抑郁症患者抗抑郁治疗前后不良睡眠信念和态度与睡眠问题的比较

摘要

目的:探讨抑郁症患者短期药物治疗前后不良睡眠信念和态度与睡眠问题的关系.方法:66名抑郁症住院患者纳入调查,分别在4周治疗前后进行不良睡眠信念和态度(dysfunctional beliefs and attitudes on sleep,DBAS),睡眠质量指数问卷(PSQI),汉密顿抑郁量表(HDRS),汉密顿焦虑量表(HAMA)的评估.结果:4周治疗后,抑郁和焦虑症状得到明显缓解,但仍存在睡眠问题,并且睡眠质量更多地与不良睡眠信念和态度相关.结论:对抑郁症患者有必要进行针对性强的认知行为治疗.%Objective To explore the relationship between dysfunctional beliefs and attitudes on sleep and sleep disturbances before and after a short-term pharmacotherapy in patients with major depression.Methods Sixty-six ( 29 male, 37 female, 34.0 ± 9.5 years old) patients with major depression were recruited before the treatment.Dysfunctional Beliefs and Attitudes about Sleep (DBAS)questionnaire, Pittsburgh Sleep Quality Index (PSQI), Hamilton Depression Rating Scale (HDRS),and Hamilton Anxiety Scale (HAMA) were assessed before and after a 4-week antidepressant treatment.Results After the 4-week antidepressant treatment, depressive and anxiety symptoms were alleviated significantly, whereas sleep disturbance still persisted.And sleep quality was closely related with problematic sleep beliefs after the treatment.Conclusion Some evidences are provided for cognitive behavioral therapy during antidepressant therapy, and the therapy should be matched with problematic beliefs and attitudes.