本文選題：原發(fā)性失眠 + 匹茲堡睡眠質(zhì)量指數(shù)問卷　； 參考：《上海交通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2016年05期

【摘要】：目的探討原發(fā)性失眠患者的人群特征、睡眠質(zhì)量及心理健康狀況,探索原發(fā)性失眠可能的危險(xiǎn)因素。方法采用基于病例對(duì)照的研究設(shè)計(jì),對(duì)602例原發(fā)性失眠患者和242例年齡、性別相匹配的健康志愿者進(jìn)行匹茲堡睡眠質(zhì)量指數(shù)問卷(PSQI)、漢密爾頓抑郁量表17項(xiàng)(HAMD-17)、漢密爾頓焦慮量表(HAMA)的評(píng)估以及生活習(xí)慣和方式的比較。結(jié)果原發(fā)性失眠患者和健康對(duì)照組在教育水平、婚姻、居住情況、職業(yè)收入、生活習(xí)慣、睡眠習(xí)慣、家庭關(guān)系、存在軀體不適以及心理健康狀況方面差異有統(tǒng)計(jì)學(xué)意義(P0.05)。病例組PSQI各項(xiàng)目得分、總分均高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.01);與男性失眠患者相比,女性失眠患者入睡所需時(shí)間更長(zhǎng),睡眠效率較差,更容易使用催眠藥物(P0.05)。通過Logistic回歸分析發(fā)現(xiàn),飲酒、存在軀體不適、加班或夜班、離異或喪偶、個(gè)人年收入($5萬~10萬)、精神心理因素(焦慮、抑郁)都是失眠的危險(xiǎn)因素。結(jié)論原發(fā)性失眠患者多伴有軀體不適以及焦慮或抑郁癥狀。飲酒、加班或夜班、離異或喪偶、個(gè)人年收入($5萬~10萬)等都可能是失眠的危險(xiǎn)因素。
[Abstract]:Objective to investigate the population characteristics, sleep quality and mental health of patients with primary insomnia, and to explore the possible risk factors of primary insomnia. Methods 602 patients with primary insomnia and 242 patients with age were enrolled in a case-control study. Gender matched healthy volunteers were assessed with Pittsburgh Sleep quality Index questionnaire, Hamilton Depression scale 17 items HAMD-17 and Hamilton anxiety scale Hama, and lifestyle were compared. Results there were significant differences in education level, marriage, living condition, occupation income, living habit, sleep habit, family relationship, physical discomfort and mental health status between patients with primary insomnia and healthy control group (P 0.05). The scores and total scores of PSQI in the case group were higher than those in the control group, the difference was statistically significant (P 0.01), compared with the male insomnia patients, the female insomnia patients needed longer time to fall asleep, the sleep efficiency was lower, and it was easier to use the hypnotic drug P0.05. Logistic regression analysis showed that alcohol consumption, physical discomfort, overtime or night shift, divorce or widowhood, personal annual income of $50,000 to $100000, mental and psychological factors (anxiety, depression) were all risk factors of insomnia. Conclusion patients with primary insomnia often have somatic discomfort and symptoms of anxiety or depression. Alcohol, overtime or night work, divorce or widowhood, and an annual income of $50, 000 to $100000 are all risk factors for insomnia.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院附屬精神衛(wèi)生中心;
【基金】：國家“重大新藥創(chuàng)制”科技重大專項(xiàng)(2012ZX09303-003) 上海市科委醫(yī)學(xué)重點(diǎn)項(xiàng)目(11411950200-201)~~
【分類號(hào)】：R740

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