低频重复经颅磁刺激联合认知行为疗法在焦虑症伴睡眠障碍患者中的应用

Low-frequency Repetitive Transcranial Magnetic Stimulation Combined with Cognitive Behavioral Therapy in Patients with Anxiety and Sleep Disorders

杨猛 ¹杨红梅 ²孙丽丽 ³毕艳芳⁴

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作者信息

1. 济南市第二精神卫生中心临床一病区,济南,250102
2. 济南市第二精神卫生中心精神科,济南,250102
3. 济南市第二精神卫生中心精神科三病区,济南,250102
4. 山东省公共卫生临床中心历山院区呼吸肿瘤病区,济南,250014
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摘要

目的:探究对焦虑症(AD)伴睡眠障碍(SD)行低频重复经颅磁刺激(LF-rTMS)+认知行为疗法的作用.方法:选取2022年1月至2024年1月济南市第二精神卫生中心收治的AD伴SD患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例.对照组行认知行为疗法,观察组行LF-rTMS+认知行为疗法,对比2组疗效、焦虑状态、睡眠指标、睡眠质量.结果:较对照组,观察组疗效、睡眠指标更佳,焦虑自评量表(SAS)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量指数(PSQI)评分更低,差异有统计学意义(P＜0.05).结论:LF-rTMS+认知行为疗法可促进AD伴SD患者焦虑症状及睡眠状态改善,可推广.

Abstract

Objective:To explore the effect of low-frequency repetitive transcranial magnetic stimulation(LF-rTMS)+cognitive behavioral therapy on anxiety disorder(AD)with sleep disorder(SD).Methods:A total of 86 patients with AD and SD admitted to Ji'nan Second Mental Health Center from January 2022 to January 2024 were selected,and they were 1:1 included in the control group(n=43,cognitive behavioral therapy)and the observation group(n=43,LF-rTMS+cognitive behavioral therapy)by random number table method.The two groups'efficacy,anxiety state,sleep index and sleep quality were compared.Results:Compared with the control group,the observation group had better efficacy and sleep indexes,and the scores of SAS,HAMA,and PSQI were lower(P＜0.05).Conclusion:LF-rTMS+cognitive behavioral therapy can promote the improvement of anxiety symptoms and sleep status in patients with AD and SD.

关键词

焦虑症/睡眠障碍/低频重复经颅磁刺激/认知行为疗法/睡眠质量/焦虑/精神疾病/心理

Key words

Anxiety/Sleep disorders/LF-rTMS/Cognitive behavioral therapy/Sleep quality/Anxiety/Mental illness/Mind

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出版年

2024

世界睡眠医学杂志

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