Southern Arizona VA Health Care System, University of Arizona, Department of Psychiatry, Tucson, Arizona 85724-5002, USA.
Int J Ment Health Nurs. 2011 Apr;20(2):130-6. doi: 10.1111/j.1447-0349.2010.00711.x.
Despite the high comorbidity of insomnia with psychiatric illness, few studies have examined insomnia or insomnia treatments in psychiatric inpatients. The present study had two overall goals. First, we sought to describe insomnia symptoms in 76 US veterans hospitalized for a wide-range of psychiatric illnesses. Next, we sought to examine whether participation in one session of group therapy for insomnia was associated with improvement in Insomnia Severity Index (ISI) scores for a subset of these inpatients (n = 19). Data were extracted from the clinical charts of 140 inpatients admitted into the 26-bed psychiatric ward at the New Mexico VA Healthcare System. The majority of the veterans had clinical insomnia in the moderate-to-severe range, and only 18% of the sample reported no clinically-significant insomnia. There was a significant reduction in ISI scores approximately 1 week after attendance at the group therapy session, which appears to be unrelated to the length of hospitalization, but might be related to psychiatric stabilization. This is the first study to examine insomnia symptoms in a mixed, psychiatric inpatient population. Group therapy for insomnia might be a particularly useful treatment option given polypharmacy and substance dependency issues often arising in this population.
尽管失眠与精神疾病的高共病率，但很少有研究检查过精神科住院患者的失眠或失眠治疗。本研究有两个总体目标。首先，我们试图描述 76 名因各种精神疾病住院的美国退伍军人的失眠症状。接下来，我们试图研究对于这些住院患者中的一部分（n = 19），参加一次团体失眠治疗是否与改善失眠严重程度指数（ISI）评分有关。数据从新墨西哥州退伍军人事务部医疗保健系统的 26 张精神病病房的 140 名住院患者的临床图表中提取。大多数退伍军人患有中重度临床失眠症，而只有 18%的样本报告没有明显的失眠症。参加团体治疗后大约一周，ISI 评分显著降低，这似乎与住院时间无关，但可能与精神稳定有关。这是第一项研究混合性、精神科住院患者人群的失眠症状。鉴于该人群经常出现药物滥用和物质依赖问题，失眠症团体治疗可能是一种特别有用的治疗选择。
