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目的验证矛盾意向疗法对慢性失眠患者的效果。方法按照中国精神障碍分类与诊断标准第3版诊断标准,在社区筛选慢性失眠患者,随机分为实验组(n=40)与对照组(n=41),试验组接受矛盾意向疗法,对照组接受睡眠卫生宣教。结果在干预结束时(第6周)及干预后1个月、3个月和6个月4个时点,试验组睡眠努力度、焦虑程度分别低于对照组,差异有统计学意义(P<0.05);在干预后3个月、6个月时试验组匹茨堡睡眠指数低于对照组,差异有统计学意义(P<0.05)。结论矛盾意向疗法可以降低慢性失眠患者的睡眠努力度与焦虑程度,能够提高患者睡眠质量。
Objective To verify the effect of contradictory intention therapy on chronic insomnia patients. Methods According to the diagnostic criteria of the third edition of the Chinese Classification and Diagnostic Criteria of Mental Disorders, patients with chronic insomnia were screened in the community and randomly divided into experimental group (n = 40) and control group (n = 41) Receive sleep health education. Results The sleep effort and anxiety in the experimental group were significantly lower than those in the control group at the end of the intervention (week 6) and 1 month, 3 months and 6 months after the intervention (P <0.05). The Pittsburgh sleep index of the experimental group was lower than that of the control group at 3 months and 6 months after intervention, with significant difference (P <0.05). CONCLUSION: Contradictory intention therapy can reduce sleep effort and anxiety in patients with chronic insomnia and improve their sleep quality.