Abstract：【Objective】 To investigate the effects of online cognitive behavioral therapy for insomnia (CBTI) on sleep quality, anxiety and depressive symptoms in patients with anxiety disorders. 【Methods】 A total of 50 patients with anxiety disorders were recruited from Affiliated Encephalopathy Hospital of Zhengzhou University via outpatient service, posters and WeChat Moments from April 2025 to November 2025. They were randomly divided into an observation group and a control group using a random number table, with 25 cases in each group. The control group received sleep hygiene education and relaxation training, while the observation group received online CBTI intervention for 6 weeks, followed by a 3 months follow-up. Sleep quality (Pittsburgh Sleep Quality Index, PSQI), insomnia severity (Athens Insomnia Scale, AIS), anxiety symptoms (Hamilton Anxiety Scale, HAMA), depressive symptoms (Hamilton Depression Scale, HAMD) and self-efficacy (General Self-Efficacy Scale, GSES) were compared between the two groups before intervention, at 3 weeks, 6 weeks, 1 month and 3 months after intervention. 【Results】 The total scores of PSQI, AIS, HAMA and HAMD in both groups at 3 weeks, 6 weeks, 1 month and 3 months after intervention were lower than those before intervention, and the scores in the observation group were lower than those in the control group (P<0.05). The total GSES scores in both groups at the above time points were higher than those before intervention, and the score in the observation group was higher than that in the control group (P<0.05). 【Conclusion】 Online CBTI intervention can significantly improve sleep quality, relieve anxiety and depressive symptoms, and enhance self-efficacy in patients with anxiety disorders, which is worthy of clinical application.
王红霞, 赵福涛, 孙群星, 刘智慧, 段凌云, 刘美丽, 罗艳艳. 线上失眠认知行为疗法干预对焦虑障碍患者睡眠质量及焦虑、抑郁症状的影响[J]. 医学临床研究, 2026, 43(4): 580-583.
WANG Hongxia, ZHAO Futao, SUN Qunxing, LIU Zhihui, DUAN Lingyun, LIU Meili, LUO Yanyan. Effects of Online Cognitive Behavioral Therapy for Insomnia on Sleep Quality, Anxiety and Depressive Symptoms in Patients with Anxiety Disorders. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 580-583.
[1] 雷玉,曾欣,王婷婷,等.2023年美国预防临床服务指南工作组《成年人焦虑障碍筛查推荐声明》解读[J].中国全科医学,2024,27(14):1665-1671. [2] 王欣,陈丽霞,张婷婷,等.内蒙古自治区成人焦虑障碍现况调查[J].中国心理卫生杂志,2025,39(5):385-391. [3] 苏珊珊,蒋文晖,王书婷,等.焦虑障碍患者的焦虑水平、述情障碍程度对其生活质量的影响[J].上海交通大学学报(医学版),2024,44(5):584-590. [4] 李薇,柯金菊,蔡浩斌,等.临床状态医学理念指导下中西医结合治疗失眠障碍的临床研究[J].广州中医药大学学报,2021,38(12):2559-2565. [5] 伊如汉,吕东升,杨滋慧,等.数字化认知行为疗法治疗失眠障碍的研究进展[J].国际精神病学杂志,2023,50(5):942-945. [6] 陈鹏飞,刘雅茜,王途之,等.失眠的在线简版行为疗法对失眠障碍的干预效果研究[J].中国全科医学,2024,27(35):4370-4375. [7] PERLIS M L, JOUVET M, JUNG R, et al. Cognitive behavioral treatment of insomnia: a session-by-session guide[M].New York:Springer,2008. [8] BUYSSE D J, MONK T H, Berman S R, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research[J].Psychiatry Res,1989, 28(2): 193-213. [9] SOLDATOS C R, DIKEOS D G, PAPARRIGOPOULOS T J. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria[J].J Psychosom Res, 2000, 48(6): 555-560. [10] HAMILTON M. The assessment of anxiety states by rating[J].Br J Med Psychol,1959, 32(1): 50-55. [11] HAMILTON M. A rating scale for depression[J].J Neurol Neurosurg Psychiatry,1960, 23(1): 56-61. [12] 王才康,胡中锋,刘勇. 一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1): 37-40. [13] 中华医学会精神医学分会. 中国焦虑障碍防治指南(第二版)[M]. 北京:中华医学电子音像出版社, 2023. [14] MURPHY S E,CAPITAO L P,GILES S L C,et al.The knowns and unknowns of SSRI treatment in young people with depression and anxiety:efficacy,predictors, and mechanisms of action[J].Lancet Psychiatry,2021,8(9):824-835. [15] 毛洪京,徐莲莲,余正和,等.个体与互联网认知行为治疗失眠症患者的疗效观察[J].中华精神科杂志, 2017,50(1): 41-46. [16] TRAUER J M,QIAN M Y,DOYLE J S,et al. Cognitive behavioral therapy for chronic insomnia:a systematic review and meta-analysis[J].Ann Intern Med,2015,163 (3):191-204. [17] NGUYEN V V,ZAINAL N H,NEWMAN M G. Why sleep is key:Poor sleep quality is a mechanism for the bidirectional relationship between major depressive disorder and generalized anxiety disorder across 18 years[J].J Anxiety Disord,2022,90:102601. [18] PETER L,REINDL R,ZAUTER S,et al. Effectiveness of an online CBT-I intervention and a face-to-face treatment for shift work sleep disorder: a comparison of sleep diary data[J].Int J Environ Res Public Health,2019,16( 17):3081.
2026, Vol. 43 
