赤峰市精神科门诊患者失眠程度与生活质量的相关性研究

IF 3.4 4区 医学 Q1 PSYCHIATRY
Meng-Ran Xie, Gang Li, Yu-Ting Shi, Li Kang, Na-Na Dou, Bing Liu, Jia-Li Cao, Shi-Qi Fu, Shi-Guang Hao
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引用次数: 0

摘要

背景:失眠是一种常见的睡眠障碍,对生活质量有负面影响,经常与抑郁和焦虑共病。慢性失眠症影响着全球约15%的人口,其中女性和老年人的患病率较高。虽然现有的研究表明失眠和情绪障碍之间存在双向关系,但失眠严重程度对抑郁、焦虑和生活质量的具体影响尚不清楚。本研究调查了精神科门诊患者失眠严重程度与这些因素之间的关系,假设更严重的失眠与更高水平的抑郁和焦虑以及更差的生活质量有关。目的:探讨原发性慢性失眠症患者失眠严重程度与抑郁、焦虑及生活质量的关系。方法:于2023年6月至12月招募赤峰市345例原发性失眠症患者,根据匹兹堡睡眠质量指数(PSQI)评分分为轻度(n = 137)、中度(n = 162)、重度(n = 46) 3组。通过问卷调查收集人口统计数据。比较抑郁自评量表(SDS)、焦虑自评量表(SAS)、PSQI和短表36 (SF-36)得分,并进行Pearson和偏相关分析。结果:失眠程度越大,抑郁、焦虑症状越严重(P < 0.001)。失眠越严重,SF-36评分越低(不含身体疼痛),三组间差异有统计学意义(P < 0.001)。Pearson相关分析和偏相关分析显示,SDS评分和SAS评分与失眠严重程度显著正相关(P < 0.001)。Pearson相关分析和偏相关分析显示,SF-36评分与失眠严重程度显著正相关(P < 0.05)。结论:抑郁和焦虑是影响原发性慢性失眠症患者失眠严重程度的独立因素。更高的抑郁/焦虑水平与更严重的失眠相关,影响生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study on the correlation between insomnia degree and quality of life in psychiatric outpatients in Chifeng city.

Background: Insomnia is a common sleep disorder that negatively impacts quality of life and is frequently comorbid with depression and anxiety. Chronic insomnia affects approximately 15% of the global population, with higher prevalence among females and the elderly. While existing research suggests a bidirectional relationship between insomnia and emotional disorders, the specific impact of insomnia severity on depression, anxiety, and quality of life remains unclear. This study investigates the correlation between insomnia severity and these factors in psychiatric outpatients, hypothesizing that greater insomnia severity is associated with higher levels of depression and anxiety, as well as poorer quality of life.

Aim: To explore the correlation between insomnia severity and depression, anxiety, and quality of life in primary chronic insomnia patients.

Methods: From June to December 2023, 345 patients with primary insomnia in Chifeng city were recruited and divided into three groups based on Pittsburgh sleep quality index (PSQI) scores: Mild (n = 137), moderate (n = 162), and severe (n = 46). Demographic data were collected via questionnaires. Self-rating depression scale (SDS), self-rating anxiety scale (SAS), PSQI, and short form 36 (SF-36) scores were compared, and Pearson and partial correlation analyses were performed.

Results: The greater the degree of insomnia, the greater the symptoms of depression and anxiety (P < 0.001). The more severe the insomnia, the lower the SF-36 score (excluding body pain), and the difference between the three groups was statistically significant (P < 0.001). Pearson correlation analysis and partial correlation analysis depicted the SDS score and SAS score were apparently positively correlated with the severity of insomnia (P < 0.001). Pearson correlation analysis and partial correlation analysis depicted the SF-36 scores were apparently positively correlated with the severity of insomnia (P < 0.05).

Conclusion: Depression and anxiety are independent factors influencing insomnia severity in primary chronic insomnia patients. Higher depression/anxiety levels correlate with worse insomnia, impacting quality of life.

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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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