自我悲悯干预结合正念认知疗法对广泛焦虑症患者正念思维、焦虑状态及睡眠质量的影响

Effects of self-compassion intervention combined with mindfulness-based cognitive therapy on mindfulness thinking,anxiety status and sleep quality in patients with generalized anxiety disorder

目的:探讨自我悲悯干预结合正念认知疗法对广泛焦虑症(GAD)患者正念思维、焦虑状态及睡眠质量的影响。方法:选取于某院就诊的80例GAD患者,采用随机数字表法分为观察组和对照组各40例,对照组患者给予常规药物治疗和心理护理,观察组在对照组的基础上给予自我悲悯干预结合正念认知疗法,两组患者均于干预前、干预4w后比较正念思维水平、自我悲悯水平、焦虑状态、睡眠质量及生活质量方面的差异。结果:干预4w后,观察组患者正念五因素量表(FFMQ)中观察、描述、觉知行动、不判断、不行动评分及总分显著高于对照组(t=-2.396,-2.119,-2.747,-2.329,-2.687,-3.994;P<0.05);自我悲悯量表(SCS)中普遍人性、自我友善、正念评分显著高于对照组(t=-3.199,-3.114,-2.828;P<0.05),自我孤立、自我批判及过度沉溺评分显著低于对照组(t=2.924,2.639,3.006;P<0.05);状态-特质焦虑问卷(STAI)中状态焦虑和特质焦虑评分显著低于对照组(t=3.017,4.169;P<0.05);匹兹堡睡眠质量指数量表(PSQI)中睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分及总分显著低于对照组(t=5.017,4.384,3.554,5.993,3.026,2.192,4.509,7.589;P<0.05);世界卫生组织生活质量测定量表简表(WHOQOL-bref)中生理领域、心理领域、社会领域、环境领域评分及总分显著高于对照组(t=-2.739,-3.163,-2.188,-2.435,-2.146;P<0.05)。结论:自我悲悯干预结合正念认知疗法可显著提高GAD患者正念思维水平,有效改善患者自我悲悯水平、焦虑状态、睡眠质量及生活质量。

Objective:To explore the effects of self-compassion intervention combined with mindfulness-based cognitive therapy on mindfulness thinking,anxiety status and sleep quality in patients with generalized anxiety disorder(GAD).Methods:A total of 80patients with GAD treated in the hospital were selected and divided into observation group and control group by the random number table method,with 40cases in each group.The patients in the control group were given conventional medication and psychological nursing,and the patients in the observation group were given self-compassion intervention combined with mindfulness-based cognitive therapy on the basis of the control group.The differences in mindfulness thinking,self-compassion,anxiety status,sleep quality and quality of life were compared between the two groups of patients before intervention and after 4wof intervention.Results:After 4wof intervention,the scores of observation,description,mindfulness action,non-judgment and inaction and total score of Five Facet Mindfulness Questionnaire(FFMQ)in observation group were significantly higher than those in control group(t=-2.396,-2.119,-2.747,-2.329,-2.687,-3.994;P<0.05).The scores of common humanity,self-kindness and mindfulness of Self-Compassion Scale(SCS)were significantly higher than those in control group(t=-3.199,-3.114,-2.828;P<0.05),while the scores of self-isolation,self-criticism and excessive indulgence were significantly lower than those in control group(t=2.924,2.639,3.006;P<0.05).The scores of state anxiety and trait anxiety of State-Trait Anxiety Inventory(STAI)were significantly lower than those in control Group(t=3.017,4.169;P<0.05).The scores of sleep quality,time to fall asleep,sleep time,sleep efficiency,sleep disorders,hypnotics and daytime dysfunction and total score of Pittsburgh Sleep Quality Index(PSQI)were significantly lower compared with those in control group(t=5.017,4.384,3.554,5.993,3.026,2.192,4.509,7.589;P<0.05).The scores of physiological field,psychological field,social field and environmental field and total score of World Health Organization Quality of Life Questionnaire-Brief Version(WHOQOL-bref)were significantly higher than those in control group(t=-2.739,-3.163,-2.188,-2.435,-2.146;P<0.05).Conclusion:Self-compassion intervention combined with mindfulness-based cognitive therapy can significantly improve the mindfulness thinking,and effectively improve the self-compassion,anxiety status,sleep quality and quality of life in patients with GAD.