伴有广场恐惧症的惊恐障碍与广泛性焦虑障碍共病患者治疗后的失眠症状
Insomnia Symptoms Following Treatment for Comorbid Panic Disorder With Agoraphobia and Generalized Anxiety Disorder.
作者信息
Cousineau Héloïse, Marchand André, Bouchard Stéphane, Bélanger Claude, Gosselin Patrick, Langlois Frédéric, Labrecque Joane, Dugas Michel J, Belleville Geneviève
机构信息
*Department of Psychology, Université du Québec à Montréal, Montréal; †Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Gatineau; ‡Department of Psychiatry, McGill University, Montreal; §Department of Psychology, Université de Sherbrooke, Sherbrooke; ∥Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières; ¶Clinique des troubles anxieux de l'Hôpital du Sacré-Cœur de Montréal, Montréal; and #Department of Psychology, Université Laval, Québec, Canada.
出版信息
J Nerv Ment Dis. 2016 Apr;204(4):267-73. doi: 10.1097/NMD.0000000000000466.
Patients with panic disorder with agoraphobia (PDA) or generalized anxiety disorder (GAD) frequently also suffer from insomnia. However, the impact of cognitive-behavioral therapy (CBT) for anxiety disorders on insomnia has been understudied. Furthermore, comorbidity between anxiety disorders is common. Our main objective was to assess the impact of CBT for PDA or GAD on insomnia. In a quasi-experimental design, 86 participants with PDA and GAD received conventional CBT for their primary disorder or combined CBT for both disorders. Overall, CBTs had a significant impact on reducing insomnia symptoms (η = 0.58). However, among people with insomnia at pretest (67%), 33% still had an insomnia diagnosis, and the majority (63%) had clinically significant residual insomnia following treatment. In conclusion, the CBTs had a positive effect on the reduction of insomnia, but a significant proportion of participants still had insomnia problems following treatment. Clinicians should address insomnia during CBT for PDA and GAD.
患有广场恐怖症的惊恐障碍（PDA）或广泛性焦虑症（GAD）的患者经常也会遭受失眠之苦。然而，认知行为疗法（CBT）对焦虑症伴发失眠的影响尚未得到充分研究。此外，焦虑症之间的共病情况很常见。我们的主要目标是评估CBT对PDA或GAD患者失眠的影响。在一项准实验设计中，86名患有PDA和GAD的参与者接受了针对其原发性疾病的传统CBT或针对两种疾病的联合CBT。总体而言，CBT对减轻失眠症状有显著影响（η = 0.58）。然而，在预测试时有失眠的人群中（67%），33%仍被诊断为失眠，并且大多数（63%）在治疗后仍有临床上显著的残余失眠。总之，CBT对减轻失眠有积极作用，但相当一部分参与者在治疗后仍有失眠问题。临床医生在对PDA和GAD进行CBT时应关注失眠问题。
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