Therapeutic effects of psychological intervention with medication on 150 patients of severe insomnia in post-earthquake

Objective: To observe the therapeutic effects of psychological intervention with medication on patients with severe insomnia in post-earthquake.Methods: 150 patients with severe insomnia were equally divided into two groups according to the patients whether they have pre-earthquake insomnia.GroupⅠ had no insomnia before earthquake but suffered from it after earthquake;GroupⅡ had insomnia before earthquake but symptom aggravated after earthquake.And every group was divided equally into three groups according to the different therapeutic approach: psychological intervention group,medication group,and psychological intervention with medication group.We talked about the earthquake with the psychological intervention patients face to face,and helped them to conquer the horror,then we provided some knowledge about prevention of mental illness after earthquake through pamphlet of propaganda.The medication was diazepam 2 mg oral administration before sleep every night.We recorded the time of sleeping and mental status of the patients every day.Results: In GroupⅠ and GroupⅡ,psychological intervention or medication only could take effects in some degrees.However,the therapies of psychological intervention with medication combined treatment had not only increased the time of sleeping but also improved the quality of sleeping,and improved the mental status of the patients（compared with the mental intervention or medication therapy groups,P＜0.05）.Conclusion: The psychological intervention combined with medication was the good method to the patients with severe post-earthquake somnia in no matter if they had pre-earthquake insomnia.