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Objective To explore the treatment effect of group cognitive behavioral therapy (GCBT) for patients with insomnia. Methods Two hundred and forty-one cases of insomnia were collected in the department of Sleep and Neurology Psychological in Daping Hospital and Field Surgery Research Institute of Army Medical University from March 2016 to June 2017. They were randomly divided into GCBT group (n=128) and pharmacotherapy group (n=113), and the treatment last for 8 weeks for each group. Then the differences of the sleep parameters, Insomnia Severity Index (ISI) scores, Hamilton Depression Scale (HAMD) scores and Hamilton Anxiety Scale (HAMA) scores were compared in two groups at per-treatment, four-week treatment time point and eight-week treatment time point. Results At the four week treatment time point, the differences of sleep onset latency (SOL), total sleep time (TST), time in bed (TIB), number of awakenings (NOA) and insomnia severity index (ISI) in GCBT group compared to pharmacotherapy group were statistically significant (P0.05). At the eight week treatment time point, the differences of SOL, SE, NOA, HAMA, HAMD and ISI in GCBT group compared to pharmacotherapy group were statistically significant (P0.05). Conclusion GCBT and pharmacotherapy can improve insomnia symptoms, reduce the level of anxiety and insomnia severity. GCBT can also reduce the level of depression, although GCBT improve insomnia symptoms were slower than pharmacotherapy, but curative effect is superior to pharmacotherapy, and it should be popularized in clinic. DOI: 10.11855/j.issn.0577-7402.2018.03.08 |
