团体正念认知疗法在抑郁症伴睡眠障碍患者中的应用效果

Application effects of group mindfulness cognitive therapy in patients of depression with sleep disorders

目的分析团体正念认知疗法对抑郁症伴睡眠障碍患者临床症状、睡眠质量及正念觉知能力的影响。方法选取2023年1—9月绍兴市第七人民医院收治的193例抑郁症伴睡眠障碍患者,根据随机数字表法将其分为对照组(96例)和观察组(97例)。对照组应用常规心理干预,观察组在对照组的基础上应用团体正念认知疗法。比较2组患者干预前后抑郁症状[抑郁自评量表(SDS)及汉密尔顿抑郁量表(HAMD)]、睡眠质量[阿森斯失眠量表(AIS)和失眠严重程度指数(ISI)]及正念觉知能力[五因素正念度量表(FFMQ)]。结果干预后,观察组患者SDS、HAMD、AIS、ISI得分分别为(51.20±3.64)分、(17.46±2.52)分、(11.05±2.33)分、(12.24±2.80)分,对照组分别为(55.64±4.71)分、(19.72±3.43)分、(14.11±3.14)分、(15.91±3.17)分,观察组均低于对照组(P<0.05)。干预后,观察组患者FFMQ各维度得分及总分均明显高于对照组(P<0.05)。结论团体正念认知疗法能明显缓解抑郁症伴睡眠障碍患者抑郁症状,提高患者睡眠质量及正念水平。

Objective To analyze the impacts of group mindfulness cognitive therapy on clinical symptoms,sleep quality,and mindfulness awareness in patients of depression with sleep disorders.Methods A total of 193 patients of depression with sleep disorders admitted to the Shaoxing Seventh People's Hospital from January 2023 to September 2023 were selected.They were divided into a control group(n=96)and an observation group(n=97)using the random number table method.The control group received routine psychological intervention,while the observation group received group mindfulness cognitive therapy based on the control group.The depressive symptoms[self rating depression scale(SDS)and Hamilton depression scale(HAMD)],sleep quality[Athens insomnia scale(AIS)and insomnia severity index(ISI)],and mindfulness level[five factor mindfulness questionaire(FFMQ)]were compared between the two groups of patients before and after intervention.Results After intervention,the observation group patients exhibited significantly lower scores in SDS(51.20±3.64),HAMD(17.46±2.52),AIS(11.05±2.33)and ISI(12.24±2.80),compared to the control group with scores of 55.64±4.71,19.72±3.43,14.11±3.14 and 15.91±3.17,respectively(P<0.05).Furthermore,the FFMQ scores in all dimensions,total scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Group mindfulness cognitive therapy can significantly alleviate depressive symptoms in patients of depression with sleep disorders,and improve sleep quality and mindfulness level.