Group cognitive–behavioral therapy in insomnia: a cross-sectional case-controlled study
Autor: | Lianlian Xu, Guangzheng Tang, Hongjing Mao, Zhenghe Yu, Yutian Ji, You Xu, Chanchan Shen, Wei Wang |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
group psychotherapy
medicine.medical_specialty Zolpidem Neuropsychiatric Disease and Treatment cognitive–behavioral therapy medicine.medical_treatment insomnia Dysfunctional family Group psychotherapy Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine Intervention (counseling) mental disorders medicine Insomnia Original Research business.industry Case-control study humanities Cognitive behavioral therapy 030228 respiratory system Physical therapy medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
Zdroj: | Neuropsychiatric Disease and Treatment |
ISSN: | 1178-2021 |
Popis: | Hongjing Mao,1,* Yutian Ji,2,* You Xu,1 Guangzheng Tang,1 Zhenghe Yu,1 Lianlian Xu,1 Chanchan Shen,2 Wei Wang1,2 1Department of Psychosomatic Disorders, The Seventh People’s Hospital, Mental Health Center, 2Department of Clinical Psychology and Psychiatry, School of Public Health, Zhejiang University College of Medicine, Hangzhou, Zhejiang, People’s Republic of China *These authors contributed equally to this work Background: Group cognitive–behavioral therapy (GCBT) might meet the considerable treatment demand of insomnia, but its effectiveness needs to be addressed.Participants: This study recruited 27 insomnia patients treated with 16-weeks of zolpidem (zolpidem group), 26 patients treated with 4-weeks of zolpidem and also treated with 12-weeks of GCBT (GCBT group), and 31 healthy control volunteers.Methods: Before treatment and 16weeks after intervention, participants were evaluated using the Patient Health Questionnaires (Patient Health Questionnaire-9 [PHQ-9] and Patient Health Questionnaire-15 [PHQ-15]), the Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS-16), and the Pittsburgh Sleep Quality Index (PSQI).Results: Compared to the zolpidem and healthy control groups, the scale scores of PHQ-9, PHQ-15, DBAS-16 and PSQI were significantly reduced after intervention in the GCBT group. Regarding the score changes, there were correlations between PSQI, DBAS-16, PHQ-9, and PHQ-15 scales in the zolpidem group, but there were limited correlations between PSQI and some DBAS-16 scales in the GCBT group.Conclusion: Our results indicate that GCBT is effective to treat insomnia by improving sleep quality and reducing emotional and somatic disturbances; thus, the study supports the advocacy of applying group psychotherapy to the disorder. Keywords: cognitive–behavioral therapy, group psychotherapy, insomnia  |
Databáze: | OpenAIRE |
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