【摘要】 目的：探究失眠认知行为治疗不同人格特质的女性失眠障碍患者疗效差异。方法：选取2018年1月至2021年8月贵州省第二人民医院收治的接受失眠认知行为疗法治疗的女性睡眠障碍患者45例作为研究对象。依据艾森克人格问卷(EPQ)结果分为神经质组、外向性组、精神质组3组。治疗8周后，比较3组睡眠质量与心理状况以及多导睡眠监测参数。结果：治疗后3组患者的PSQI、SAS、SDS评分均显著降低(均P<0.05)。与神经质组比较，外向性组、精神质组的PSQI、SAS、SDS评分显著降低(均P<0.05)。治疗后各组患者睡眠效率(SE)都显著提高(均P<0.05),神经质组治疗前后入睡潜伏期(SL)、入睡觉醒时间(WASO)、总睡眠时间(TST)变化不明显(均P>0.05),外向性组、精神质组治疗后SL、WASO显著降低，TST显著升高(均P<0.05)。且与神经质组比较，治疗后外向性组SL、WASO降低、TST、SE升高，精神质组SL较低、SE较高(均P<0.05)。结论：CBT-I治疗对精神质及外向性人格特质的女性失眠障碍患者更有效，推荐根据不同人格特质调整合适的治疗方法。更多还原

【Abstract】 Objective:To explore the efficacy of cognitive behavioral therapy for insomnia in female patients with insomnia with different personality traits.Methods:A total of 45 patients with insomnia treated in The Second People′s Hospital of Guizhou Province from January 2018 to August 2021 were selected as the research objects.According to the Eysenck Personality Questionnaire(EPQ),they were divided into three groups: neurotic group, extrovert group and psychotropic group.After 8 weeks of treatment, Sleep quality, psychological status and polysomnosis monitoring parameters were compared among the three groups.Results:The PSQI,SAS and SDS scores of 3 groups were significantly decreased after treatment(Ps<0.05).Compared with neurotic group, the scores of PSQI,SAS and SDS in extraversion group and psychotropic group were significantly decreased(Ps<0.05).The Sleep efficiency(SE) of all groups was significantly increased after treatment(Ps<0.05),while the changes of Sleep Latency(SL),sleep and wake Time(WASO) and Total Sleep Time(TST) before and after treatment were not significant in the neurotic group(Ps>0.05).SL and WASO were significantly decreased and TST was significantly increased in extraversion group and psychotropic group after treatment(Ps<0.05).Compared with neurotic group, SL and WASO were decreased and TST and SE were increased in extroverted group after treatment(Ps<0.05),while SL was lower and SE was higher in psychotropic group(Ps<0.05).Conclusion:CBT-I treatment is more effective for women with insomnia disorder with psychogenic and extroverted personality traits, and it is recommended to adjust the appropriate treatment for different personality traits.更多还原