Effects of Relaxation Training and Stimulus Control in Chronic Insomnia Patients

Effects of Relaxation Training and Stimulus Control in Chronic Insomnia Patients With Hyperarousal and Maladaptive Sleep Patterns

The study aims to validate the effect of relaxation training and stimulus control on reducing hyperarousal states and improving maladaptive sleep behaviors.

Relaxation training typically includes techniques such as breathing exercises, muscle relaxation, and mindfulness meditation to help patients reduce levels of physical and psychological tension, promote relaxation, and create favorable conditions for sleep onset. Stimulus control aims to break the negative association between the bed and insomnia, and rebuild a positive association between the bed and sleep.

Inclusion Criteria:

1. Meet the diagnostic criteria for insomnia disorder according to DSM-5.
2. Pittsburgh Sleep Quality Index (PSQI) total score > 5.
3. Age ≥ 18 years, with at least a middle school education level.
4. Anxiety symptoms meeting HAMA ≥ 14.
5. "Self-developed 8-item questionnaire on maladaptive sleep behaviors" used to assess "maladaptive sleep behaviors."
6. Voluntarily participate in this study and sign an informed consent form.

Exclusion Criteria:

1. Individuals with severe physical illnesses or severe mental disorders, at risk of suicide.
2. Clinically diagnosed or suspected sleep-related breathing disorders, restless leg syndrome, and sleep-wake rhythm disorders, as well as shift workers.
3. Pregnant or lactating women.
4. Currently undergoing any psychological therapy.