【摘要】 目的　探讨失眠症患者的睡眠行为、应付方式及其心理控制源。方法　采用睡眠行为特征量表、应付方式问卷及内在-外在心理控制源量表对68例失眠症患者(失眠症组)和68名睡眠正常者(对照组)进行了测评,并将测评结果加以比较。结果　①失眠症组对睡眠的不合理信念、非功能性睡眠行为和夜间焦虑3个因子评分均明显高于对照组(t=6 07、7 99、17 98,P<0 01),而睡眠效率则明显低于对照组(t=15. 65,P<0.01);②失眠症组解决问题评分明显低于对照组(t=4 .41,P<0 .01),而自责评分则明显高于对照组(t=3 .13,P<0 .01);③失眠症组I-E量表评分明显高于对照组(t=19. 21,P<0. 01)。结论　失眠症患者存在对睡眠的不合理信念、非功能性睡眠行为和夜间焦虑;解决问题能力低,心理控制源为外控。更多还原

【Abstract】 Objective To examine the locus of control,coping styles and sleep behavior in patients with insomnia.Methods Sixty-eight patients met the criteria of CCMD-3 on insomnia and 68 normal sleeper were evaluated with the self-made questionnaire of sleep behaviors,the coping style questionnaire and the internal-external locus of control (I-E).Results The irrational beliefs and attitudes toward sleep,the dysfunctional sleep behaviors,the anxiety on evening,and the scores of I-E and of the self-blame in coping style were higher in the insomniacs than in normal controls (P<0.01).The scores of problem-solving of the insomniacs were lower than that of the normal controls (P<0.01).Conclusions The insomniacs had irrational beliefs and attitudes toward sleep,they had more dysfunctional sleep behaviors and higher anxiety on evening.Their ability of problem-solving was impaired and they incline to attribute their fate to external control.更多还原