Li Weihui, Huang Xiao, Zhang Li
Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011 Jan;36(1):9-14. doi: 10.3969/j.issn.1672-7347.2011.01.002.
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.
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.
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.
Some evidences are provided for cognitive behavioral therapy during antidepressant therapy, and the therapy should be matched with problematic beliefs and attitudes.
探讨重度抑郁症患者短期药物治疗前后睡眠功能失调信念与态度和睡眠障碍之间的关系。
招募66例（29例男性，37例女性，年龄34.0±9.5岁）重度抑郁症患者进行治疗前评估。在为期4周的抗抑郁治疗前后，采用睡眠功能失调信念与态度问卷（DBAS）、匹兹堡睡眠质量指数（PSQI）、汉密尔顿抑郁量表（HDRS）和汉密尔顿焦虑量表（HAMA）进行评估。
4周抗抑郁治疗后，抑郁和焦虑症状明显缓解，但睡眠障碍仍然存在。治疗后睡眠质量与有问题的睡眠信念密切相关。
为抗抑郁治疗期间的认知行为治疗提供了一些证据，该治疗应与有问题的信念和态度相匹配。
