摘要
目的调查抑郁症患者睡眠障碍的相关因素、以及睡眠障碍对患者预后的影响。方法选择60例抑郁症患者,采用匹兹堡睡眠质量指数量表(PSQI)评估患者的主观睡眠质量,并随访3个月。结果治疗前PSQI评分与性别(F=8.67,P<0.01)、受教育年限(r=-0.33,P<0.01)、躯体疾病(F=6.68,P<0.01)、家族史(F=4.04,P<0.05)、首发与否(F=20.43,P<0.01)、积极应对分(r=-0.44,P<0.01)、消极应对分(r=0.23,P<0.01)、HAMD(r=0.22,P<0.05)、HAMA(r=0.31,P<0.01)、SIOSS(r=0.56,P<0.01)明显相关,治疗后PSQI评分与HAMD、HAMA、SIOSS均显著正相关(P<0.01)。结论抑郁症患者的睡眠障碍危险因素较多,对疾病结局有不良影响。
Objective To investigate relative factors and prognosis of sleep disturbance in depressive patients. Methods A total of 116 depressive patients were seIected. Pittsburgh Sleep Quality Index （PSQI） was applied to evaluate subjective sleep quality, for 3 months followed up. Results The score of PSQI before treatment was significantly related to sex （F=8.67, P〈0.01） education years （r=-0.33,P〈0.01）,physical disease （F=6.68,P〈0.01）, family history （F=4.04, P〈0. 05）,first-onset or not （F 20. 43,P〈0.01 ）, positive coping style （r =-0. 44, P〈 0.01 ）, negative coping style （r= 0.23, P〈 0.01 ）, HAMD （r = 0.22,P 〈0.05） ,HAMA （r=0.31 ,P〈0.01） and SIOSS （r=0.56, P〈0. 01）. Scores of PSQI were notably related to HAMD, HAMA and SIOSS （P〈0.01） at the end of 3 months after treatment. Conclusion SIeep disturbance in depression patients includes many risk factors and has adverse effect on outcome of disease.
出处
《中国健康心理学杂志》
2009年第11期1290-1291,共2页
China Journal of Health Psychology
基金
上海市公共卫生优秀青年人才培养计划(08GWQ030)
上海市卫生局青年科研课题(2008Y056)
虹口区医学科研课题[虹卫(2007)151号]
关键词
抑郁症
睡眠障碍
应对方式
自杀意念
预后
Depression
Sleep disturbance
Coping style
Suicide idea
Prognosis
