ABSTRACT
ObjectiveTo explore the efficacy of Interpersonal and Social Rhythm Therapy （IPSRT） on first-episode adolescent depressive disorder， so as to provide references for the treatment. MethodsA total of 310 first-episode adolescents with depressive disorder who met the International Classification of Diseases， tenth edition （ICD-10） were included as the research objects. They were randomly divided into research group （n=155） and control group （n=155）. The research group received IPSRT， while the control group received conventional psychological intervention. Before and 2 weeks after the intervention， all participants were asked to complete Hamilton Anxiety Scale （HAMA）， Hamilton Depression Scale-24 item （HAMD-24） and Interpersonal Competence Questionnaire （ICQ）. The sleep quality was evaluated by portable monitoring devices. ResultsAfter intervention， compared with the control group， HAMA score ［（5.92±1.04） vs. （10.23±1.09）， t=-10.310， P<0.01］， time to fall asleep ［（0.26±0.09）h vs. （1.29±0.78）h， t=-4.701， P<0.01］ and time in bed［（10.19±0.99）h vs. （11.30±1.38）h， t=-2.353， P=0.027］ in research group were significantly lower. In research group， active social interaction ［（20.23±1.59） vs. （17.38±1.33）， t=4.959， P<0.01］， appropriate rejection ［（14.77±1.17） vs. （11.77±1.48）， t=5.740， P<0.01］， self-disclosure ［（20.92±1.66） vs. （16.15±1.46）， t=7.780， P<0.01］ and affective support ［（21.00±1.53） vs. （18.85±1.99）， t=3.092， P<0.01］ of ICQ were significantly higher than those in control group. ConclusionThe implementation of IPSRT in first-episode adolescents with depressive disorder may help to improve sleep quality， adjust inappropriate psychological state and improve interpersonal skills.
ABSTRACT
Objective To explore the effect of interpersonal and social rhythm therapy combined drugs on sleep quality and quality of life in patients with insomnia.Methods A total of 100 patients with insomnia treated in hospital from January 2016 to October 2017 were selected as subjects.The patients were divided into experimental group (n=50) and control group (n=50) according to the random number table.The control group was given conventional drug only,and the experimental group was combined with interpersonal and social rhythm therapy on the basis of the drugs treatment.The clinical efficacy was compared between the two groups.Pittsburgh Sleep Quality Index (PSQI) and Sleeping Personal Beliefs and Attitudes (DBAS) were used to assess the recent sleep quality of the two groups.The WHO Quality of Life Measurement Profile (WHOQOL-BREF) was used to compare of the quality of life between two groups.Results The clinical effective rate was 94.0％ in the experimental group and 80.0％ in the control group.There was significant difference between the two groups (x2=4.332,P＜0.05).Before treatment,there was no significant difference in PSQI ((13.61±2.09) vs (13.60±2.08),t=0.03,P＞0.05) and DBAS((80.96±10.11) vs (80.87±11.03),t =0.02,P＞ 0.05) scores between experimental group and control group.After treatment,D BAS score ((125.74 ±21.53) vs (104.22±20.97),t=4.93,P＜0.05) of both groups increased significantly,and PSQI score decreased significantly((7.51±2.35) vs (10.02±2.40),t=16.73,P＜0.05).The PSQI score in experimental group was significantly lower than that of the control group(t=7.97,P＜0.05),and the DBAS score was significantly higher than that of the control group (t =13.72,P＜0.05).Before treatment,scores in the psychological,physiological,environmental and social relations fields of the two groups were not statistically different (P ＞0.05).After the treatment,all the scores in the four fields of the two groups were significantly increased (P ＜0.05),and the scores in the experimental group were significantly higher than those in the control group (P ＜0.05).Conclusion Interpersonal and social rhythm therapy combined with drugs can effectively improve sleep quality and the quality of life.