Clinical study on sleep-regulating technique (TIP3–2) combined with medication of treating primary

Abstract

Introduction Cognitive behavioral therapy (CBT) and hypnotic medications are efficacious for short-term treatment of insomnia, but few patients achieve complete remission with any single treatment.In patients with persistent insomnia, the addition of medication to CBT produced added benefits during acute therapy. Sleep- regulating Technique (TIP3–2) is a Symptomatic treatment method of Low Resistance Thought Induction Psychotherapy (TIP). TIP is a psychotherapy of treating insomnia or other mental disorders accompanying with insomnia.TIP is a therapy developed based on low resistance theory and thought induction theory.It combines the eastern Guidance (Dao Yin) and Qigong with western suggestion and hypnotherapy.It is supposed that this can create a low resistance background.Then to treat the patients use some psychotherapy in this condition.Sleep-regulating Technique (TIP3–2) has standard operating procedures and induction word for different symptoms of the patients. The objective of this study is to observe the curative effect of primary insomnia using Sleep-regulating Technique (TIP3–2) combined with medication. Materials and methods 70 primary insomnia patients were randomly divided into two groups, TIP combined with medication and only medication, and 35 cases Each group. The patients in medication group were given 1i«2 mg Estazolam half an hour before going to bed. On the basis of taking Estazolam, the patients in TIP combined with medication group were given Sleep-regulating Technique treatment twice a week. Observed the changes of Pittsburgh sleep quality index (PSQI) before and after treatment, and the period is 4 weeks. Results Comparison in group: In TIP combined with medication group, there are improvement in total score of PSQI, subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, daytime dysfunction in statistical significance (P 0.05).In medication group, the total score of PSQI, Subjective sleep quality, sleep duration have statistical significance improvement (P 0.05); Comparison between groups: Comparing the data after treatment, There were significant differences in the total score of PSQI, subjective sleep quality, medication use and daytime dysfunction ( P 0.05 ).TIP combined with medication is better than only medication. Comparing the difference of PSQI values before and after treatment, there are significant difference between two groups in the total score of PSQI, subjective sleep quality, sleep latency, medication use and daytime dysfunction (P 0.05).TIP combined with medication is better than only medication. Conclusion The two methods have different degrees of improvement in primary insomnia.TIP combined with medication is better than only medication. It is suggested that psychological therapy combined with medication therapy is a more effective treatment of insomnia. Acknowledgements Research was funded by the following project: Prevention and treatment study of Chinese Traditional Medicine on psychological diseases:Project supported by the National Key Technology Research and Development Program of the Ministry of Science and Technology of China (Grant No. 2009BAI77B09). And thanks to all the members cooperation and the participants who help us accomplish the study.