Efficacy of hypnosis combined with cognitive behavior therapy for insomnia for intervention of chronic insomnia with anxiety

Rong HAN; Yuan ZHAO; Yangmei LEI; Jiangyou YU; Chenggang JIANG

doi:10.16016/j.1000-5404.201809030

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Efficacy of hypnosis combined with cognitive behavior therapy for insomnia for intervention of chronic insomnia with anxiety

Medical Psychology | 更新时间：2026-01-09

- Efficacy of hypnosis combined with cognitive behavior therapy for insomnia for intervention of chronic insomnia with anxiety
- Journal of Third Military Medical University Vol. 41, Issue 4, Pages: 394-398, 封三(2019)
- 作者机构：
  
  400021 重庆，重庆市妇幼保健院心理科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201809030
  CLC： R256.23;R338.63;R395.5
- Received：05 September 2018，
  
  Revised：2018-10-13，
  
  Published：28 February 2019
- 稿件说明：
移动端阅览
Rong HAN, Yuan ZHAO, Yangmei LEI, et al. Efficacy of hypnosis combined with cognitive behavior therapy for insomnia for intervention of chronic insomnia with anxiety[J]. Journal of Third Military Medical University, 2019, 41(4): 394-398, 封三.
DOI：

Rong HAN, Yuan ZHAO, Yangmei LEI, et al. Efficacy of hypnosis combined with cognitive behavior therapy for insomnia for intervention of chronic insomnia with anxiety[J]. Journal of Third Military Medical University, 2019, 41(4): 394-398, 封三. DOI： 10.16016/j.1000-5404.201809030.

摘要

目的

探讨失眠的认知行为治疗(cognitive behavior therapy for insomnia

CBT-I)联合催眠治疗对伴有焦虑的慢性失眠患者的治疗效果。

方法

将重庆市妇幼保健院心理门诊2018年3-5月的轻中度焦虑的慢性失眠患者48例按照随机数字表法分为观察组和对照组，每组各24例，观察组和对照组分别给予6周催眠联合CBT-I治疗和传统CBT-I治疗，在干预前，干预结束后即刻、1个月、3个月，采用宗氏焦虑自评量表(Self-Rating Anxiety Scale

SAS)和匹兹堡睡眠指数(Pittsburgh Sleep Quality Index

PSQI)量表对患者焦虑情绪及睡眠状况进行调查，并使用心肺耦合睡眠质量评估系统(Cardiopulmonary Coupling Sleep Quality Assessment System

CPC)对患者睡眠潜伏期(sleep onset latency

SOL)、在床时间(time in bed

TIB)、总睡眠时间(total sleep time

TST)及睡眠效率(sleep efficiency，SE)情况进行评估记录。

结果

T检验结果显示，干预后观察组各时段SAS、PSQI评分均低于对照组；重复测量方差分析结果显示，观察组干预后各时段SAS、PSQI评分低于干预前(

0.05)；对照组各时段SAS评分差异无统计学意义(

0.05)，干预结束后即刻和干预结束后1个月PSQI评分低于干预前(

0.01)，而干预结束后3个月则与干预前差异无统计学意义(

0.05)。CPC结果显示，干预后观察组各时段TST、SE均高于对照组，SOL低于对照组(

0.01)，对照组SOL在干预结束后即刻降低(

0.01)，在干预结束后1、3个月SOL较干预结束后即刻有所增加(

0.01)，且干预结束后3个月TST及SE与干预前比较差异无统计学意义(

0.05)。

结论

失眠的认知行为治疗对焦虑情绪的改善作用不佳，且对睡眠的改善作用不稳定；与传统失眠的认知行为治疗相比，催眠联合失眠的认知行为治疗能显著改善失眠患者焦虑情绪及睡眠质量，且具有更长期、稳定的治疗效果，值得临床推广使用。

Abstract

Objective

To evaluate the efficacy of hypnosis combined with cognitive behavior therapy for insomnia (CBT-I) in improving the symptoms of patients with chronic insomnia and anxiety.

Methods

Between March and May

2018

48 patients with chronic insomnia and moderate anxiety were recruited from the Psychology Clinic of our center and randomized into the observation group and control group. The patients in the observation group received hypnosis therapy combined with CBT-I for 6 weeks

and those in the control group were treated with CBT-I only. The patients were assessed for anxiety level and sleep quality using Self-Rating Anxiety Scale (SAS) and Pittsburg Sleep Quality Index (PSQI) before and immediately after the intervention

and at 1 month and 3 months after the intervention; Cardiopulmonary Coupling Sleep Quality Assessment System (CPC) was used to measure the sleep onset latency (SOL)

time in bed (TIB)

total sleep time (TST) and sleep efficiency (SE) of the patients at the same time points.

Results

At each of the time points after intervention

the patients in the observation group had lower SAS and PSQI scores than those in the control group. Repeated measures analysis of variance showed that the patients in the observation group had significantly better improvement in the anxiety level and sleep quality than the control patients (

0.05). The combined therapies also significantly reduced the SOL and increased TST and SE as compared with CBT-I only (

0.05).

Conclusion

Intervention with CBT-I alone has a poor effect on anxiety and an unstable effect on insomnia. The combination of CBT-I with hypnosis can achieve significant improvements in the anxiety level and sleep quality of the patients with long-lasting and stable effects.

关键词

Keywords

references

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