原发性失眠人群特征、睡眠质量及危险因素的研究

发布时间：2018-06-16 12:27

本文选题：原发性失眠 + 匹兹堡睡眠质量指数问卷　；参考：《上海交通大学学报(医学版)》2016年05期

【摘要】：目的探讨原发性失眠患者的人群特征、睡眠质量及心理健康状况,探索原发性失眠可能的危险因素。方法采用基于病例对照的研究设计,对602例原发性失眠患者和242例年龄、性别相匹配的健康志愿者进行匹兹堡睡眠质量指数问卷(PSQI)、汉密尔顿抑郁量表17项(HAMD-17)、汉密尔顿焦虑量表(HAMA)的评估以及生活习惯和方式的比较。结果原发性失眠患者和健康对照组在教育水平、婚姻、居住情况、职业收入、生活习惯、睡眠习惯、家庭关系、存在躯体不适以及心理健康状况方面差异有统计学意义(P0.05)。病例组PSQI各项目得分、总分均高于对照组,差异有统计学意义(P0.01);与男性失眠患者相比,女性失眠患者入睡所需时间更长,睡眠效率较差,更容易使用催眠药物(P0.05)。通过Logistic回归分析发现,饮酒、存在躯体不适、加班或夜班、离异或丧偶、个人年收入($5万~10万)、精神心理因素(焦虑、抑郁)都是失眠的危险因素。结论原发性失眠患者多伴有躯体不适以及焦虑或抑郁症状。饮酒、加班或夜班、离异或丧偶、个人年收入($5万~10万)等都可能是失眠的危险因素。
[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.
【作者单位】：上海交通大学医学院附属精神卫生中心;
【基金】：国家“重大新药创制”科技重大专项(2012ZX09303-003) 上海市科委医学重点项目(11411950200-201)~~
【分类号】：R740

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