失眠的心理研究现状

    谢晨，赵娜，杨文佳*，陈云飞

    (上海中医药大学附属岳阳中西医结合医院中心实验室，上海 200437)

    摘要：失眠的发生与心理因素关系密切。失眠的西医特征即急性失眠的发病与负性生活事件有关，而慢性失眠尤以人格和认知因素最为显要。失眠的中医心理主要是情志引起一系列的变化，为烦躁焦虑、惊悸不安、郁闷不舒、思虑过度、精神萎靡5种心理紊乱状态；不同人群的失眠的心理特征、中医证型分布及心理干预不同，对失眠的中医心理治疗方法主要有音乐疗法、认知行为疗法、心理调节等。

    关键词：失眠；心理因素；中医证型；音乐疗法

    DOI:10.13463/j.cnki.cczyy.2015.06.020

    中图分类号：R256.23文献标志码：A

    文章编号：2095-6258(2015)06-1149-04

    基金项目:上海市教委课题(2010JW33)；上海市教委课题(2012JW52)；上海市卫生局中医药科研基金(2012QL019A)；

    作者简介:谢晨(1987-)，女，博士研究生，主要从事针灸免疫方向研究。

    收稿日期:(2015-01-22)

    上海市科委项目(10DZ1973800)；上海市卫生局项目(20110423)。

    *通信作者:杨文佳，女，博士，主治医师，电话-(021)65161782，电子信箱-yangwenjia1030@163.com

    Present Research Situation of Insomnia in Psychology

    XIE Chen,ZHAO Na,YANG Wenjia*,CHEN Yunfei

    (Central Laboratory，Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,

    Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

    Abstract:The incidence of insomnia is closely related to psychological factors.The western medicine characteristics of insomnia,which includes the occurrence of acute insomnia is related to negative sex life events,while chronic insomnia is mainly dependent on personality and cognitive factors.The Chinese medical psychotherapy of insomnia is mainly on a variety of emotional changes,including five states of psychological disorders:dysphoria and anxiety,palpitation due to fright and restless,distressed,overstrung and loss of energy;Different people have diffrent psychology characteristics,distribution of TCM syndromes and psychological intervention.TCM psychological therapy includes music therapy,cognitive behavioral therapy,psychological adjustment and so on. ......