数字失眠认知行为治疗在广泛性焦虑障碍患者中的应用研究.docx

数字失眠认知行为治疗在广泛性焦虑障碍患者中的应用研究

沈银萍陈海勤汤伟丽沈仲夏

[关键词]?数字失眠认知行为治疗；广泛性焦虑障碍；焦虑；睡眠质量

[中图分类号]?R749.72??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.04.004

Application?of?digital?delivery?of?cognitive?behavioral?therapy?for?insomnia?in?patients?with?generalized?anxiety?disorder

SHEN?Yinping1，?CHEN?Haiqin2，?TANG?Weili3，?SHEN?Zhongxia1

1.Sleep?Medical?Center，?Huzhou?Third?Municipal?Hospital，?Huzhou?313000，?Zhejiang，?China;?2.Department?of?Nursing，?Huzhou?Third?Municipal?Hospital，?Huzhou?313000，?Zhejiang，?China;?3.?Information?Center，?Huzhou?Third?Municipal?Hospital，?Huzhou?313000，?Zhejiang，?China

[Abstract]?Objective?To?explore?the?effect?of?digital?delivery?of?cognitive?behavioral?therapy?for?insomnia?（dCBT-I）?based?on?internet?technology?on?anxiety?and?sleep?quality?in?patients?with?generalized?anxiety?disorder?（GAD）.?Methods?A?total?of?82?GAD?patients?treated?in?Huzhou?Third?Municipal?Hospital?from?April?to?October?2023?were?selected?as?study?objects，?and?were?divided?into?intervention?group?and?control?group?according?to?random?number?table?method，?with?41?cases?in?each?group.?The?intervention?group?received?dCBT-I?based?on?internet?technology，?and?the?control?group?received?offline?cognitive?behavioral?therapy?for?insomnia.?The?anxiety?and?sleep?quality?of?two?groups?were?compared.?Results?After?the?intervention，?the?scores?of?Hamilton?anxiety?scale?and?Pittsburgh?sleep?quality?index?in?intervention?group?were?significantly?lower?than?those?in?control?group，?and?the?score?of?dysfunctional?beliefs?and?attitudes?about?sleep?was?significantly?higher?than?those?in?control?group?（P0.05）.?Conclusion?dCBT-I?based?on?internet?technology?can?effectively?relieve?the?anxiety?of?GAD?patients?and?improve?the?quality?of?sleep.

[Key?words]?Digital?delivery?of?cognitive?behavioral?therapy?for?insomnia;?Generalized?anxiety?disorder;?Anxiety;?Sleep?quality

1??资料与方法

1.1??研究对象

1.2??研究方法

1.2.2??对照组??依托门诊进行线下干预，与患者面对面进行CBTI干预，了解GAD患者失眠的原因，分析失眠因素，寻找该类患者为应对失眠的非适应性行为措施，从睡眠限制、刺激控制、认知训练、