Cognitive and Behavioral Factors Associated With Insomnia in Inpatients With Schizophrenia and Related Psychoses
Cognitive and Behavioral Factors Associated With Insomnia in Inpatients With Schizophrenia and Related Psychoses
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DOI：
10.1097/nmd.0000000000000370
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发表时间：
2015-10-01
影响因子：
1.9
通讯作者：
Waters, Flavie
中科院分区：
文献类型：
--
作者：
Chiu, Vivian W.;Harvey, Robert H.;Waters, Flavie
本研究探讨了与精神分裂症和其他精神障碍（伴或不伴失眠）和健康对照（伴或不伴失眠）个体失眠相关的认知和行为因素。55例精神科住院患者和66例健康对照者（两组各25例）完成了失眠严重程度指数、失眠症思维控制问卷修订版、睡眠障碍信念和态度量表、睡眠卫生知识量表和睡眠问题原因信念问卷。两个失眠组都表现出夜间沉思，积极的抑制作为思想控制策略，以及夸大睡眠不良对健康的影响。此外，患有失眠症的精神病患者经常报告失眠的原因与他们的疾病有关（而不是与他们的生活方式因素有关），并且对良好的睡眠习惯不完全了解。心理干预应该更普遍地作为精神分裂症和精神病失眠的一线治疗，这些应该适应于解决患者独特的知识差距和认知方式。
This study examines cognitive and behavioral factors linked to insomnia in individuals with schizophrenia and other psychotic disorders (with and without insomnia) and healthy controls (with and without insomnia). Fifty-five psychiatric inpatients and 66 healthy controls (n = 25 with insomnia in both groups) completed the Insomnia Severity Index, Thought Control Questionnaire for Insomnia-Revised, Dysfunctional Beliefs and Attitudes about Sleep scale, Sleep Hygiene Knowledge scale, and Beliefs about Causes of Sleep Problems questionnaires. Both insomnia groups demonstrated night-time rumination, aggressive suppression as a thought control strategy, and exaggerated views regarding the health consequences of poor sleep. In addition, the psychiatric group with insomnia frequently reported the causes of insomnia to be related to their illness (rather than to their lifestyle factors) and had an incomplete understanding of good sleep habits. Psychological interventions should be more commonly pursued as a first line of treatment for insomnia in schizophrenia and psychosis, and these should be adapted to address the unique knowledge gaps and cognitive style of patients.