失眠癥與中醫(yī)五態(tài)人格、應(yīng)激事件的相關(guān)性研究
發(fā)布時間：2019-07-05 08:30
【摘要】：目的：在現(xiàn)階段這個社會發(fā)展的情況下,社會壓力的形成越來越復雜,個人所負擔的責任越來越多。從當前時代來看,精神狀況的不良影響危害著個人乃至于群體之間的綜合發(fā)展狀態(tài)。故此針對于應(yīng)激事件以及失眠等的問題展開其討論是有相當必要的。并且失眠癥由于其形成原因的特殊和復雜,在形成原因上難以尋找其根源,故此,本文試圖從中醫(yī)理論的五態(tài)人格法來來進行人群的區(qū)分,試圖探討不同性格成因的人群在患失眠癥和應(yīng)激反應(yīng)上的具體區(qū)別選項；嘗試為當前失眠癥治療與應(yīng)激反應(yīng)和不同人格的關(guān)系進行辨析,嘗試利用一定的方法和手段對于易發(fā)生睡眠癥的患者群體有一個大致預(yù)估。本研究在文獻綜述和臨床實踐的基礎(chǔ)上,提出以下研究假設(shè)：(1)在失眠失眠癥的患者群體的五態(tài)人格特點與一般人存在差異(2)不同人格的患者在應(yīng)對生活事件的應(yīng)激反應(yīng)和失眠癥的方式上也有一定的不同,其中受教育程度、工作種類、婚姻等都對其有不同的影響。(3)五態(tài)人格和生活應(yīng)激量能對失眠癥患者的睡眠障礙存在預(yù)測作用。方法：本研究采用問卷調(diào)查法,使用的測量工具旨在驗證假設(shè)。研究選用了匹茲堡睡眠質(zhì)量指數(shù)(Pittsburgh Sleep Quality Index,PSQI)、五態(tài)人格量表、生活事件量表(LES),并結(jié)合當前失眠癥患者所表現(xiàn)的具體情況,對廣州中醫(yī)藥大學第一附屬醫(yī)院心理科的門診失眠患者以及廣州中醫(yī)藥大學、廣東工業(yè)大學心理咨詢中心的失眠來訪者組成研究組,獲103個有效研究樣本,利用統(tǒng)計學方法初步探索了失眠癥的形成、五態(tài)人格,以及不同人格應(yīng)對應(yīng)激事件的方式和自我調(diào)節(jié)的關(guān)系。結(jié)果：(1)常模組相比較,失眠癥患者的五態(tài)人格得分中,太陽、少陽、陰陽平和、少陰這四個分量表的原始分均顯著低于全國常模組(7.26±3.30 vs 13.21±3.60:9.44 ±4.27 vs 12.33±4.21；4.80±2.26 vs 6.23±2.25；12.01±4.11 vs 13.62±3.77),差異均有統(tǒng)計學意義(t=-18.32,p0.001；t=-6.88,p0.001；t=-6.21,p0.001； t=-3.98,p0.001)。只有太陰量表的原始分顯著高于全國常模(12.34±4.48 vs 9.80±4.99),差異具有統(tǒng)計學意義(t=5.75,p0.001)。(2)方差分析和t檢驗表明,性別上,男性的睡眠障礙因子分比女性的要低,差異具有統(tǒng)計學意義(t=2.65,p0.01),其他均無統(tǒng)計學意義；不同婚姻狀態(tài),其差異分別均無統(tǒng)計學意義(p0.05)；在學歷上,在睡眠指數(shù)總分、入睡時間、睡眠時間、睡眠效率,初中以下學歷比本科以上學歷得分高(p0.05),其他組別之間不存在統(tǒng)計學差異：在職業(yè)上,體力勞動者比無工作者的PSQI總分(p0.05)、入睡時間(p0.05)得分更低,在睡眠時間、睡眠效率方面,體力勞動者均比無工作者、腦力勞動者得分低(p0.05)。(3)相關(guān)分析結(jié)果顯示,太陰人格與PSQI總分(r=0.55),睡眠質(zhì)量(r=0.34)、入睡時間(r=0.41)、睡眠時間(r=0.43)、睡眠效率(r=0.33)、睡眠障礙(r=0.31)、日間功能障礙(r=0.31)成正相關(guān)(r=0.01)；生活事件總量與PSQI總分(r=0.49)、睡眠質(zhì)量(r=0.24)、入睡時間(z=0.35)、睡眠時間(r=0.37)、睡眠效率(r=0.35)、睡眠障礙(r=0.36)、日間功能障礙(r=0.34)成正相關(guān)(r=0.01)；生活事件總量與太陰人格呈顯著正相關(guān)(r=0.65,p0.01)與陰陽平和人格(r=-0.37,p0.01)、少陽呈顯著負相關(guān)(r=-0.22,p0.05)。 (4)人格對LES總分回歸方程顯著(p0.001),多重測定系數(shù)R2=0.49,太陰和陰陽平和的各標準化偏回歸系數(shù)Beta分別為0.61和-0.28。(5)回歸模型對PSQI總分的預(yù)測效果較好,多重測定系數(shù)R2=0.32,方差分析結(jié)果表明回歸方程顯著(p0.001),太陰人格和LES總分的各標準化偏回歸系數(shù)Beta分別為0.40和0.23。結(jié)論：綜合以上說明來看；在當前環(huán)境中,失眠癥患者常常和其性格、對應(yīng)激事件心理調(diào)節(jié)方式有一定關(guān)系。而在不同程度上患者的受教育程度、職業(yè)、婚姻、性別對睡眠影響不大；很大程度上來說,性格上較為太陰人格的人群更容易遭受失眠癥以及睡眠質(zhì)量下降的困擾。并且,在處理應(yīng)激反應(yīng)上,性格上太陰人格特點突出的人群也常常容易遭受應(yīng)激反應(yīng)的刺激較大,陰陽平和型的人格特點與應(yīng)激反應(yīng)刺激量成負相關(guān),這說明人格對應(yīng)激事件刺激的調(diào)節(jié)有影響。難以自我消解以及過分悲觀情緒而是此類人群成睡眠障礙的一大原因。積極調(diào)節(jié)自我的情緒往往能夠起到一定的預(yù)防失眠癥的作用,訓練應(yīng)激刺激適應(yīng)也能夠一定程度上起到緩解失眠障礙,應(yīng)該逐漸加強刺激反應(yīng)。以緩解患者的失眠癥狀,逐漸提高患者的抗壓能力,管理自身情緒的掌控。
[Abstract]:Objective: In the present situation of the social development, the formation of social pressure is becoming more and more complex, and the burden of the individual is more and more. From the present age, the adverse effect of mental condition is harmful to the comprehensive development state between the individual and the group. Therefore, it is necessary to discuss the problems of stress event and insomnia. and because of the special and complicated reasons of the formation of the insomnia, it is difficult to find the root cause of the reason, therefore, the article tries to distinguish the people from the five-state personality method of the traditional Chinese medicine theory, An attempt was made to explore the specific difference between the factors of insomnia and stress, and to analyze the relationship between the treatment of insomnia and stress and the different personality. Attempts to take advantage of certain methods and means have a general estimate of the population of patients prone to sleep. Based on the literature review and clinical practice, the following research hypotheses are put forward: (1) The five-state character of the group of patients with insomnia is different from that of the general people (2) The patients with different personality also have a certain difference in coping with the stress reaction and the insomniacs of the life events, among them the degree of education, the type of work, Marriage and so on have different effects on them. (3) The five-state personality and the amount of life stress can predict the sleep disorder in the patients with insomnia. Methods: The purpose of this study was to verify the hypothesis by using the questionnaire. The Pittsburgh Sleep Quality Index (PSQI), the Five-State Personality Inventory (PSQI), the Life Event Scale (LES) and the specific conditions of the patients with insomnia were selected. The study of the insomnia of the first Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and the insomniacs of Guangzhou University of Traditional Chinese Medicine and Guangdong Industrial University was made up of 103 effective research samples, and the formation of insomnia was first explored by using the statistical method. The relationship between the five-state personality and the way of coping with stress events and self-regulation. Results: (1) The original scores of the four component tables were significantly lower than that in the whole country (7.26, 3.30 vs. 13.21, 3.60: 9.44, 4.27 vs 12.33, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs The difference was statistically significant (t =-18.32, p0.001; t =-6.88, p0.001; t =-6.21, p0.001; t =-3.98, p0.001). Only the original score of the Taiyin scale was significantly higher than that of the national norm (12.34, 4.48 vs. 9.80, 4.99), and the difference was of statistical significance (t = 5.75, p0.001). (2) The analysis of variance and t-test showed that, on the basis of sex, the sleep disorder factor of the male was lower than that of the female, the difference had statistical significance (t = 2.65, p0.01), and the other was not statistically significant; the difference was no statistical significance (p0.05) in the different marital status; in the academic degree, There was no statistical difference between the total score of the sleep index, the time of sleep, the time of sleep, the efficiency of sleep, the degree in junior middle school, or above (p0.05), and there was no statistical difference between the other groups: in the profession, the physical labor force was lower than that of the non-worker PSQI (p0.05). The scores of sleep time (p0.05) were lower, and in the aspects of sleep time and sleep efficiency, the physical labor force was lower than that of non-workers (p0.05). (3) The results of correlation analysis showed that the total score (r = 0.55), sleep quality (r = 0.34), sleep time (r = 0.41), sleep time (r = 0.43), sleep efficiency (r = 0.33), sleep disturbance (r = 0.31), daytime dysfunction (r = 0.31) were positive correlation (r = 0.01). The total number of life events (r = 0.49), sleep quality (r = 0.24), sleep time (z = 0.35), sleep time (r = 0.37), sleep efficiency (r = 0.35), sleep disorder (r = 0.36), daytime dysfunction (r = 0.34) were positively correlated (r = 0.01); The total amount of life events was positively correlated with the personality of the Taiyin (r = 0.65, p0.01), and negative correlation with Yin and Yang (r =-0.37, p0.01) and shaoyang (r =-0.22, p0.05). (4) The regression coefficient of the standardized partial regression coefficients of the personality on the total score of LES (p0.001), the multi-assay coefficient of R2 = 0.49, the Taiyin and the Yin-Yang peace were 0.61 and-0.28, respectively. (5) The regression model has a good prediction effect on the total score of PSQI, the multiple measurement coefficients R2 = 0.32, and the variance analysis results show that the regression equation is significant (p0.001), and the normalized partial regression coefficients of the Taiyin personality and the LES total score are 0.40 and 0.23, respectively. Conclusion: In the current environment, the patients with insomniacs often have a certain relationship with the psychological adjustment of stress events. In a different degree, the degree of education, occupation, marriage and sex of the patients are not affected by the sleep; in a large part, the people with more personality are more likely to suffer from the problems of insomnia and the decline of the quality of sleep. In addition, in the process of stress response, the people with the characteristics of the personality of the personality of the personality of the personality are often prone to stress response, and the personality characteristics of the Yin and Yang type are negatively correlated with the stress response, which indicates the influence of the personality on the regulation of the stress event stimulation. It is difficult to self-digestion and to be too pessimistic, but a major reason for such a group's sleep disorder. The positive regulation of self-emotion tends to play a role in the prevention of insomnia, and the training stress stimulation can also play a certain role in relieving the disorder of insomnia, and the stimulation reaction should be gradually strengthened. So as to relieve the symptoms of the insomnia of the patient, and gradually improve the pressure resistance of the patient and manage the control of the emotion of the patient.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R740
本文編號：2510397
[Abstract]:Objective: In the present situation of the social development, the formation of social pressure is becoming more and more complex, and the burden of the individual is more and more. From the present age, the adverse effect of mental condition is harmful to the comprehensive development state between the individual and the group. Therefore, it is necessary to discuss the problems of stress event and insomnia. and because of the special and complicated reasons of the formation of the insomnia, it is difficult to find the root cause of the reason, therefore, the article tries to distinguish the people from the five-state personality method of the traditional Chinese medicine theory, An attempt was made to explore the specific difference between the factors of insomnia and stress, and to analyze the relationship between the treatment of insomnia and stress and the different personality. Attempts to take advantage of certain methods and means have a general estimate of the population of patients prone to sleep. Based on the literature review and clinical practice, the following research hypotheses are put forward: (1) The five-state character of the group of patients with insomnia is different from that of the general people (2) The patients with different personality also have a certain difference in coping with the stress reaction and the insomniacs of the life events, among them the degree of education, the type of work, Marriage and so on have different effects on them. (3) The five-state personality and the amount of life stress can predict the sleep disorder in the patients with insomnia. Methods: The purpose of this study was to verify the hypothesis by using the questionnaire. The Pittsburgh Sleep Quality Index (PSQI), the Five-State Personality Inventory (PSQI), the Life Event Scale (LES) and the specific conditions of the patients with insomnia were selected. The study of the insomnia of the first Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and the insomniacs of Guangzhou University of Traditional Chinese Medicine and Guangdong Industrial University was made up of 103 effective research samples, and the formation of insomnia was first explored by using the statistical method. The relationship between the five-state personality and the way of coping with stress events and self-regulation. Results: (1) The original scores of the four component tables were significantly lower than that in the whole country (7.26, 3.30 vs. 13.21, 3.60: 9.44, 4.27 vs 12.33, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21, 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs. 6.23, 4.21; 4.80, 2.26 vs The difference was statistically significant (t =-18.32, p0.001; t =-6.88, p0.001; t =-6.21, p0.001; t =-3.98, p0.001). Only the original score of the Taiyin scale was significantly higher than that of the national norm (12.34, 4.48 vs. 9.80, 4.99), and the difference was of statistical significance (t = 5.75, p0.001). (2) The analysis of variance and t-test showed that, on the basis of sex, the sleep disorder factor of the male was lower than that of the female, the difference had statistical significance (t = 2.65, p0.01), and the other was not statistically significant; the difference was no statistical significance (p0.05) in the different marital status; in the academic degree, There was no statistical difference between the total score of the sleep index, the time of sleep, the time of sleep, the efficiency of sleep, the degree in junior middle school, or above (p0.05), and there was no statistical difference between the other groups: in the profession, the physical labor force was lower than that of the non-worker PSQI (p0.05). The scores of sleep time (p0.05) were lower, and in the aspects of sleep time and sleep efficiency, the physical labor force was lower than that of non-workers (p0.05). (3) The results of correlation analysis showed that the total score (r = 0.55), sleep quality (r = 0.34), sleep time (r = 0.41), sleep time (r = 0.43), sleep efficiency (r = 0.33), sleep disturbance (r = 0.31), daytime dysfunction (r = 0.31) were positive correlation (r = 0.01). The total number of life events (r = 0.49), sleep quality (r = 0.24), sleep time (z = 0.35), sleep time (r = 0.37), sleep efficiency (r = 0.35), sleep disorder (r = 0.36), daytime dysfunction (r = 0.34) were positively correlated (r = 0.01); The total amount of life events was positively correlated with the personality of the Taiyin (r = 0.65, p0.01), and negative correlation with Yin and Yang (r =-0.37, p0.01) and shaoyang (r =-0.22, p0.05). (4) The regression coefficient of the standardized partial regression coefficients of the personality on the total score of LES (p0.001), the multi-assay coefficient of R2 = 0.49, the Taiyin and the Yin-Yang peace were 0.61 and-0.28, respectively. (5) The regression model has a good prediction effect on the total score of PSQI, the multiple measurement coefficients R2 = 0.32, and the variance analysis results show that the regression equation is significant (p0.001), and the normalized partial regression coefficients of the Taiyin personality and the LES total score are 0.40 and 0.23, respectively. Conclusion: In the current environment, the patients with insomniacs often have a certain relationship with the psychological adjustment of stress events. In a different degree, the degree of education, occupation, marriage and sex of the patients are not affected by the sleep; in a large part, the people with more personality are more likely to suffer from the problems of insomnia and the decline of the quality of sleep. In addition, in the process of stress response, the people with the characteristics of the personality of the personality of the personality of the personality are often prone to stress response, and the personality characteristics of the Yin and Yang type are negatively correlated with the stress response, which indicates the influence of the personality on the regulation of the stress event stimulation. It is difficult to self-digestion and to be too pessimistic, but a major reason for such a group's sleep disorder. The positive regulation of self-emotion tends to play a role in the prevention of insomnia, and the training stress stimulation can also play a certain role in relieving the disorder of insomnia, and the stimulation reaction should be gradually strengthened. So as to relieve the symptoms of the insomnia of the patient, and gradually improve the pressure resistance of the patient and manage the control of the emotion of the patient.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R740
【參考文獻】
相關(guān)期刊論文 前10條
1 張伯華;胡霜;盛潔;;中醫(yī)院校大學生網(wǎng)絡(luò)成癮與五態(tài)人格的關(guān)系[J];山東大學學報(醫(yī)學版);2013年09期
2 韓旭慶;黎紅華;;失眠癥的非藥物治療進展[J];中國康復理論與實踐;2013年06期
3 李瓊;丁沖;;中醫(yī)院校本科生五態(tài)人格與心理健康的關(guān)系研究[J];湖北民族學院學報(醫(yī)學版);2013年02期
4 梁政亭;陳俊逾;張星平;馬磊;周海榮;劉新;;中醫(yī)不寐五神分型與睡眠進程參數(shù)的相關(guān)性研究[J];上海中醫(yī)藥雜志;2013年06期
5 宋伶俐;王洪波;張伯華;;中醫(yī)院校大學生五態(tài)性格與自尊的相關(guān)研究[J];精神醫(yī)學雜志;2013年02期
6 呂學玉;劉艷驕;林穎娜;呂夢涵;汪衛(wèi)東;;抑郁癥患者陰陽五態(tài)人格特征與多導睡眠圖特征的相關(guān)性[J];中醫(yī)雜志;2013年01期
7 劉婕;楊振寧;;大學生孤獨感與五態(tài)人格相關(guān)性研究[J];中國中醫(yī)基礎(chǔ)醫(yī)學雜志;2012年12期
8 聶衍剛;李祖嫻;萬華;胡春香;;中學生生活壓力事件人格特質(zhì)與攻擊行為的關(guān)系[J];中國學校衛(wèi)生;2012年12期
9 楊微微;湯玉蓉;徐新寓;王一琳;林琳;;失眠及其相關(guān)精神因素對女性腸易激綜合征患者的影響[J];世界華人消化雜志;2012年29期
10 汪晗;楊明會;李紹旦;羅海鷗;;失眠相關(guān)因素與臨床特征觀察[J];激光雜志;2012年05期
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