失眠症患者压力应对特征的调查分析及对临床干预的启示

本研究对失眠症患者的压力应对特征进行调查与分析。按照CCMD-3诊断标准，试验组失眠患者52例，在社区分层抽样52人作为对照组，用匹茨堡睡眠指数量表、防御方式问卷、应对方式问卷、社会支持评定量表进行测量。试验组不成熟型防御方式明显高于对照组，成熟型防御方式低于对照组；应对方式试验组以消极应对为主；试验组社会支持总体高于对照组，其中客观支持较高而主观支持和社会支持利用度较低。这些因素共同作用形成了失眠症迁延不愈的主要病理心理机制。心理治疗中要运用恰当的心理治疗方法，引导患者用成熟的、积极的应对方式应对各种压力源。

The Investigation and Analysis of the Stress Coping of the Patients with Chronic Insomnia and the Enlightenment to the Intervention

This research is to investigate and analyze the characteristic of stress coping of the patients suffering chronic insomnia .The experimental group is composed by 52 cases of chronic insomnia according to CCMD-3 ,and the control group is composed by 52 normal people by stratified sampling in community .2 groups have been measured by using PSQI , DSQ ,CSQ and SSRS .The immature defense mechanism of the experimental group is significantly higher than that of the control group ,and the mature defensive mechanism is significantly lower .The negative coping style of the experimental group takes the priority ,and the positive coping style is less .The group with chronic insomnia got more social support , and among them the objective social support is more and the subjective support is less than that of the control group .The immature defense mechanism ,the negative coping style and the poor understanding and utilizing of the social support interact and form the psychological mechanism of the insomnia .To improve the therapeutic effect ,the psychologists need to take steps to guide the patients to use appropriate defense mechanism and positive coping style and learn to understand the support around them .