A comparative study of paradoxical intention therapy and stimulus control therapy in the treatment of insomnia

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A comparative study of paradoxical intention therapy and stimulus control therapy in the treatment of insomnia

Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 5

Abstract

[Objective] Exploring the therapeutic experience, execution intention, and efficacy of paradoxical intention therapy (PIT) for insomnia among college students compared to stimulus control therapy. [Methods] Eighty-one college students with insomnia were treated with PIT (PIT group, 41 cases) and stimulus control therapy (stimulus control group, 40 cases). A self-designed questionnaire was conducted to investigate the treatment experience and implementation of patients after one month of treatment. Two groups of patients were self-evaluated using the Pittsburgh sleep quality index (PSQI), Glasgow sleep effort scale (GSES), and self-rating anxiety scale (SAS) before treatment and one month after treatment, to evaluate the treatment effect based on changes in scores. [Results] After one month of treatment, the proportion of patients with a "treatment execution rate ≥ 50%" (32/41 vs. 21/40), the proportion of patients with a "reduced anxiety" treatment experience (30/41 vs. 14/40), and the proportion of patients with a positive execution intention (22/41 vs. 7/40) in the PIT group were all better than in the stimulus control group (P<0.05). The repeated measures ANOVA of PSQI, GSES, and SAS all showed that the time main effect was significant (P<0.01), while the group main effect and interaction effect was not significant (P>0.05). Compare before and after treatment, the PSQI (14.27±2.67 vs. 6.16±2.27) , GSES (10.22±1.92 vs. 5.25±1.63) and SAS (54.73±5.35 vs. 44.78±4.33) scores of the PIT group, and the PSQI (14.03±2.66 vs. 6.67±2.01), GSES (9.98±2.02 vs. 5.43±1.21) and SAS (56.13±5.62 vs. 46.52±5.68) scores of the stimulation control group, all decreased after treatment (P<0.01). In the PIT group, individuals with an execution rate ≥50% had higher △PSQI (8.19±3.30 vs. 1.56±1.81), △GSES (4.97±2.07 vs. 3.11±2.52), and △SAS (10.22±5.34 vs. 6.00±3.74) compared to those with an execution rate of <50% (P<0.05). [Conclusion] PIT is superior to stimulus control therapy in terms of treatment experience and execution intention for insomnia. The efficacy of both therapies are similar and patients with higher execution rates have better outcomes.

Authors and Affiliations

Fei WU, Xu WANG, Yingjie. XU Jia ZHANG, ??

Keywords

EP ID EP750505
DOI 10.3969/j.issn.1002-0152.2024.05.006
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