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Therapeutic effect of mindfulness training on chronic insomnia disorder patients and its impact on inflammatory factors |
ZHANG Ying1, GE Lina1, CAO Lei2, ZOU Jie1, ZHOU Lei1 |
1. Department of Medical Psychology, 2. Rehabilitation Medicine and Physical Therapy, Jilin Provincial Corps Hospital of Chinese People's Armed Police Force, Changchun 130052,China |
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Abstract Objective To explore the therapeutic effect of mindfulness training on chronic insomnia patients and its impact on inflammatory factors. Methods A total of 82 patients with chronic insomnia disorder (CID) diagnosed in Jilin Provincial Corps Hospital of Chinese People’s Armed Police Force from February 2022 to May 2023 were selected and divided into observation group (41 cases) and control group (41 cases).The control group received extropiclone tablet orally, and the observation group received dextropiclone tablet combined with mindfulness training therapy. The two groups were treated for 5 weeks. The total effective rate, the changes of Pittsburgh Sleep index (PSQI) and insomnia severity index (ISI) before and after treatment, depression and anxiety status and the changes of inflammatory factors were compared between the two groups. Result The total effective rate of the observation group(90.24%) was higher than that of the control group (70.73%), and the difference was significant(χ2=4.970,P=0.026). After treatment, the scores of PSQI and ISI scales in 2 groups were lower than those before treatment (P<0.05). The scores of the two scales after treatment in the observation group were lower than those in the control group (P<0.05). After treatment, the scores of Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) in 2 groups were lower than before treatment (P<0.05). The scores of the two scales after treatment in the observation group were lower than those in the control group (P<0.05).After treatment, the serum levels of interleukin-1β and tumor necrosis factor (TNF) -α in 2 groups were lower than those before treatment (P<0.05); After treatment, the levels of IL-1β and TNF-α in the observation group were lower than those in the control group (P<0.05). Conclusions Mindfulness training can improve the treatment effect of patients with chronic insomnia disorder, improve the sleep quality of patients and reduce the inflammatory response of patients.
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Received: 20 August 2023
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[1] |
Silva L A S, Amaral M M, Grassi V, et al. Chronic insomnia disorder as risk factor for stroke: a systematic review[J]. Arq Neuropsiquiatr, 2022, 80(11):1159-1166.
|
[2] |
Fietza I, Bassetti C L A, Mayleben D W, et al. Efficacy and safety of daridorexant in older and younger adults with insomnia disorder: a secondary analysis of a randomised placebo-controlled trial[J]. Drugs Aging, 2022, 39(10):795-810.
|
[3] |
赵显超,邱 健,任佳封,等. 慢性失眠障碍患者既往药物使用情况及客观睡眠紊乱的影响因素分析[J]. 中风与神经疾病杂志,2020,37(11):973-977.
|
[4] |
周清安,王献红,祝希泉,等. 太极拳锻炼对慢性失眠障碍患者睡眠质量的影响[J]. 中国康复理论与实践,2019,25(2):230-233.
|
[5] |
阎加民,史玉梅,朱世丽,等. 网络式失眠认知行为疗法联合艾司唑仑对慢性失眠患者的临床疗效[J]. 中华行为医学与脑科学杂志,2021,30(12):1089-1094.
|
[6] |
张 凡,张云飞. 正念减压结合针灸对慢性失眠患者焦虑情绪和睡眠质量的影响[J]. 国际精神病学杂志,2022,49(6):1018-1020.
|
[7] |
陈 睿,赵忠新. IL-1β及TNF-α对非快速眼球运动睡眠的影响及其调节机制[J]. 解放军医学杂志, 2010, 35(8): 1032-1034.
|
[8] |
陆 林, 荣润国, 唐向东, 等. 中国失眠障碍综合防治指南[M]. 北京:人民卫生出版社, 2019:1-5,72-73.
|
[9] |
Morgenthaler T I, Kolla B P, Anderson S E, et al. Development and acceptability of a mobile health application integrated with the electronic heath record for treatment of chronic insomnia disorder[J]. J Clin Sleep Med, 2022, 18(12):2785-2792.
|
[10] |
Gong L, He K W, Cheng F, et al. The role of ascending arousal network in patients with chronic insomnia disorder[J]. Hum Brain Mapp, 2023, 44(2):484-495.
|
[11] |
赵 恺,沈慧萍,何金彩,等. 慢性失眠障碍患者血清丙二醛、谷胱甘肽过氧化物酶水平及其影响因素[J]. 浙江医学,2018,40(6):616-618,630.
|
[12] |
潘 燕,童书杰. 慢性失眠障碍患者认知功能与核磁共振波谱成像的研究[J]. 卒中与神经疾病,2020,27(5):631-634.
|
[13] |
韩彬彬,王闪闪,孙玉静,等. 重复经颅磁刺激对慢性失眠障碍患者认知功能的影响[J]. 中国临床医生杂志,2021,49(9):1053-1056.
|
[14] |
孙慧娟,李曦丹,林永忠. 重复经颅磁刺激联合右佐匹克隆治疗慢性失眠障碍的临床疗效及脑电变化[J]. 中华行为医学与脑科学杂志,2021,30(12):1082-1088.
|
[15] |
杨 扬,毕光宇,石元洪,等. 正念认知改善腹膜透析患者慢性失眠的效果研究[J]. 神经损伤与功能重建,2022,17(12):726-729.
|
[16] |
许雅娟,王晓东,刘佳佳,等. 正念治疗对慢性失眠障碍疗效的探索性研究[J]. 中国药物依赖性杂志,2021,30(6):468-471.
|
[17] |
王彦婷,江 灿,刘 凤,等. 正念治疗与失眠症的认知行为治疗对门诊慢性失眠症患者治疗效果比较的临床观察[J]. 重庆理工大学学报(自然科学版),2018,32(8): 142-146.
|
[18] |
李凤萍,严素敏,关露娟. 五音疗法结合正念冥想训练对心脾两虚型不寐患者焦虑情绪、睡眠质量的影响[J]. 齐鲁护理杂志,2021,27(21):9-12.
|
[19] |
李 佳,王 林,刘 楠,等. 正念训练对围绝经期失眠患者睡眠质量及心理状态的影响[J]. 实用临床医药杂志,2022,26(23):85-88.
|
[20] |
王 芳,瞿 萍, 夏 兰,等. 慢性失眠障碍患者血清肿瘤坏死因子与记忆的相关性研究[J]. 中国神经精神疾病杂志,2017,43(9): 530-534.
|
|
|
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