失眠症与中医五态人格、应激事件的相关性研究

发布时间：2019-07-05 08:30

【摘要】：目的：在现阶段这个社会发展的情况下,社会压力的形成越来越复杂,个人所负担的责任越来越多。从当前时代来看,精神状况的不良影响危害着个人乃至于群体之间的综合发展状态。故此针对于应激事件以及失眠等的问题展开其讨论是有相当必要的。并且失眠症由于其形成原因的特殊和复杂,在形成原因上难以寻找其根源,故此,本文试图从中医理论的五态人格法来来进行人群的区分,试图探讨不同性格成因的人群在患失眠症和应激反应上的具体区别选项；尝试为当前失眠症治疗与应激反应和不同人格的关系进行辨析,尝试利用一定的方法和手段对于易发生睡眠症的患者群体有一个大致预估。本研究在文献综述和临床实践的基础上,提出以下研究假设：(1)在失眠失眠症的患者群体的五态人格特点与一般人存在差异(2)不同人格的患者在应对生活事件的应激反应和失眠症的方式上也有一定的不同,其中受教育程度、工作种类、婚姻等都对其有不同的影响。(3)五态人格和生活应激量能对失眠症患者的睡眠障碍存在预测作用。方法：本研究采用问卷调查法,使用的测量工具旨在验证假设。研究选用了匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)、五态人格量表、生活事件量表(LES),并结合当前失眠症患者所表现的具体情况,对广州中医药大学第一附属医院心理科的门诊失眠患者以及广州中医药大学、广东工业大学心理咨询中心的失眠来访者组成研究组,获103个有效研究样本,利用统计学方法初步探索了失眠症的形成、五态人格,以及不同人格应对应激事件的方式和自我调节的关系。结果：(1)常模组相比较,失眠症患者的五态人格得分中,太阳、少阳、阴阳平和、少阴这四个分量表的原始分均显著低于全国常模组(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),差异均有统计学意义(t=-18.32,p0.001；t=-6.88,p0.001；t=-6.21,p0.001； t=-3.98,p0.001)。只有太阴量表的原始分显著高于全国常模(12.34±4.48 vs 9.80±4.99),差异具有统计学意义(t=5.75,p0.001)。(2)方差分析和t检验表明,性别上,男性的睡眠障碍因子分比女性的要低,差异具有统计学意义(t=2.65,p0.01),其他均无统计学意义；不同婚姻状态,其差异分别均无统计学意义(p0.05)；在学历上,在睡眠指数总分、入睡时间、睡眠时间、睡眠效率,初中以下学历比本科以上学历得分高(p0.05),其他组别之间不存在统计学差异：在职业上,体力劳动者比无工作者的PSQI总分(p0.05)、入睡时间(p0.05)得分更低,在睡眠时间、睡眠效率方面,体力劳动者均比无工作者、脑力劳动者得分低(p0.05)。(3)相关分析结果显示,太阴人格与PSQI总分(r=0.55),睡眠质量(r=0.34)、入睡时间(r=0.41)、睡眠时间(r=0.43)、睡眠效率(r=0.33)、睡眠障碍(r=0.31)、日间功能障碍(r=0.31)成正相关(r=0.01)；生活事件总量与PSQI总分(r=0.49)、睡眠质量(r=0.24)、入睡时间(z=0.35)、睡眠时间(r=0.37)、睡眠效率(r=0.35)、睡眠障碍(r=0.36)、日间功能障碍(r=0.34)成正相关(r=0.01)；生活事件总量与太阴人格呈显著正相关(r=0.65,p0.01)与阴阳平和人格(r=-0.37,p0.01)、少阳呈显著负相关(r=-0.22,p0.05)。 (4)人格对LES总分回归方程显著(p0.001),多重测定系数R2=0.49,太阴和阴阳平和的各标准化偏回归系数Beta分别为0.61和-0.28。(5)回归模型对PSQI总分的预测效果较好,多重测定系数R2=0.32,方差分析结果表明回归方程显著(p0.001),太阴人格和LES总分的各标准化偏回归系数Beta分别为0.40和0.23。结论：综合以上说明来看；在当前环境中,失眠症患者常常和其性格、对应激事件心理调节方式有一定关系。而在不同程度上患者的受教育程度、职业、婚姻、性别对睡眠影响不大；很大程度上来说,性格上较为太阴人格的人群更容易遭受失眠症以及睡眠质量下降的困扰。并且,在处理应激反应上,性格上太阴人格特点突出的人群也常常容易遭受应激反应的刺激较大,阴阳平和型的人格特点与应激反应刺激量成负相关,这说明人格对应激事件刺激的调节有影响。难以自我消解以及过分悲观情绪而是此类人群成睡眠障碍的一大原因。积极调节自我的情绪往往能够起到一定的预防失眠症的作用,训练应激刺激适应也能够一定程度上起到缓解失眠障碍,应该逐渐加强刺激反应。以缓解患者的失眠症状,逐渐提高患者的抗压能力,管理自身情绪的掌控。
[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.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R740

【参考文献】