Influencing Factors Of Sleep Quality In Patients With Depression And Anxiety And Case Intervention

Sleep disorder is one of the common symptoms of depression and anxiety,which mainly includes three symptoms,such as difficulty falling asleep,deep sleep and early awakening.Sleep disorders and depression and anxiety affect each other and interact with each other,which have an important influence on the prognosis and recurrence of depression and anxiety.Purpose: To investigate the relationship between sleep quality,sleep beliefs and attitudes and coping styles in patients with depression and anxiety,and to explore the relationship between the influencing factors that affects patients' sleep quality.To investigate the effect of cognitive behavior therapy on depression and sleep disorders through one patient with depression and insomnia.Objective: A total of 135 patients(from September 2016 to December)with depression and anxiety in the Department of mental health of a hospital affiliated to a medical university,were enrolled in the study.A questionnaire survey was conducted among 135 patients who were in accordance with the conditions of admission,and one of them was given psychological intervention.Method:1.Investigation study: 135 patients with depression and anxiety were recruited by convenience sampling and received Pittsburgh sleep quality index scale,Personal beliefs and sleep attitude scale,Hamilton depression scale,Hamilton anxiety scale and Trait coping style questionnaire assesment.2.Intervention study: A combination of individual psychotherapy and group psychotherapy,psychological intervention were performed on a patient with depression and sleep disorders.The individual psychotherapy was divided into four parts,which were alternated with two times group psychotherapy;and the theme of the two group psychotherapy were TO UNDERSTAND OUR SLEEP and HOW TO SAVE OUR SLEEP.During the individual psychotherapy,one hand,to correct patient's poor sleep cognition and wrong sleep behavior through cognitive behavioral therapy;on the other hand,to explore the root of insomnia patients through the method of psychoanalysis,and cope with patients' trauma to let them face the major loss in life.Result:1.The result of investigation:(1)About 61.5% of the respondents had sleep disorders,among which sleep latency and sleep efficiency were more prominent,and 79% of the patients have regular use of hypnotic drugs a month before they went to the hospital.There are many false cognitions about the cause of insomnia and the expectation of sleep among the patients.(2)Poor sleep quality influence on male daytime function was significantly higher than female(t=2.16,p=0.033);unmarried patients was significantly better than married patients on sleep time(t=-2.15,p=0.040)and sleep efficiency(t=-4.53,p=0.000),and had better evaluation of control and predict ability of sleep(t=2.27,p=0.029);education levels of the patients have significant differences in the understanding of the causes of insomnia(F=3.40,p=0.004).(3)On sleep cognition,patients' sleep quality was negatively correlated to the estimation of insomnia and evaluation of control and predict ability of sleep,and positively correlated to patients' sleep expectations;on the mood,somatic anxiety and depression and anxiety were positively correlated to the severity of the patients' sleep quality.(4)Patients' sleep expectation and evaluation of evaluation of control and predict ability of sleep and somatic anxiety have significant predictive effect on patients' sleep quality,and the severity of patients' anxiety has significant moderating effects on the relationship between sleep quality and patients' sleep beliefs and attitudes.2.The result of intervention: By recording the changes of patients before and after intervention,it shows that psychological intervention has some effect on the improvement of depression and the remission of insomnia.Conclusion:1.Patients with depression and anxiety have different degrees of sleep problems,and most people choose to take hypnotic drugs to ease the problem of sleep,and have poor cognition on sleep problems.There were significant differences among patients with different gender,marital status and education level.2.The sleep quality of patients with depression and anxiety is closely related to their cognition of sleep and the severity of depression and anxiety.3.Anxiety affects the quality of sleep through sleep beliefs and attitudes.4.Psychological intervention have some improvement on patients' depression and insomnia symptoms.