Effect Of Cognitive Behavioral Therapy For Insomnia In Patients With Insomnia

Objective: Insomnia patients were treated with cognitive behavioral therapy for insomnia to observe the effects of CBT-I on the patient's sleep,mood,somatization symptoms and drug use.Methods: 62 patients with insomnia were randomly divided into two groups.The control group was given routine treatment and nursing care,the intervention group was treated with cognitive behavior therapy for insomnia on the basis of the control group,the intervention was conducted for 6 weeks,followed up for 4 weeks.A total of 10 weeks.Insomnia Severity Index(ISI),Pittsburgh sleep quality index(PSQI),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Self-rating somatization symptoms scale(SSS)were evaluated before intervention,6 weeks,and 10 weeks.Record the patient's sleep onset latency(SOL),sleep efficiency(SE),and total sleep time(TST)data.The drug-reduction rates of patients at 6 weeks and 10 weeks were calculated.Results:1.There were significant differences in ISI scores,PSQI scores,HAMA scores,HAMD scores,and SSS scores between the two groups(P<0.05);the time effect on ISI scores,PSQI scores,HAMA scores,HAMD scores,and SSS scores was significant(P<0.05);there were interaction effects between time factor and intervention factor on ISI scores,PSQI scores and SSS scores in two groups(P<0.05).2.The total sleep time was 409.98±47.98 minutes in the intervention group and 371.65±31.40 minutes in the control group at 6 weeks.There was a statistically significant difference between the two groups(P=0.001).Sleep onset latency and sleep efficiency improved in both groups.3.The average reduction rate was 67.57% in the intervention group and20.88% in the control group at 6 weeks.There was a statistically significant difference between the two groups(P<0.001).The average reduction rate was81.83% in the intervention group and 25.47% in the control group at 10 weeks.The difference between the groups was statistically significant(P <0.001).Conclusions:1.Cognitive behavioral therapy for insomnia can significantly improve the symptoms of insomnia in insomnia patients,improve patients' subjective sleep quality and total sleep time.2.Cognitive behavioral therapy for insomnia can effectively improve somatization symptoms of insomnia patients,and relieve the anxiety and depression of patients.3.Cognitive behavioral therapy for insomnia can reduce the use of benzodiazepine receptor agonists in patients with insomnia and reduce their drug dependence.