稳定状态精神分裂症患者睡眠状态的主观知觉

发布时间：2018-08-27 12:16

【摘要】：目的:探讨稳定状态精神分裂症患者对睡眠状态主观知觉的准确性,为临床优化睡眠评估方法提供证据。方法:研究共纳入117名稳定状态精神分裂症患者,记录患者自我报告和多导睡眠图检查的总睡眠时间(TST)、睡眠潜伏期(SOL)、睡眠效率(SE)。主观和客观TST、SOL、SE采用配对t检验和相关性分析以及Bland-Altman一致性检验进行统计分析。主客观睡眠差异的相关因素分析采用多元线性回归分析。结果:Bland-Altman一致性检验结果显示主客观TST、SOL、SE的差值均数分别为(73.0±98.2)min、(-12.9±22.3)min、(19.7±14.1)%,95%一致性界限分别为(-119.5,265.4)、(-56.6,30.8)、(-8.0,47.4)。以TST差值、SE差值为应变量的回归分析中,阴性症状量表分有统计学意义(β=0.53、0.32,均P0.01)。结论:稳定状态精神分裂症患者往往夸大自身的睡眠质量,提示临床医生需要全面评估精神分裂症患者的主客观睡眠情况,尤其是阴性症状明显的。
[Abstract]:Objective: to investigate the accuracy of subjective perception of sleep state in patients with stable state schizophrenia and to provide evidence for clinical optimization of sleep evaluation methods. Methods: a total of 117 stable state schizophrenic patients were enrolled in the study. Total sleep time (TST),) sleep latency (SOL), sleep efficiency) and polysomnography (polysomnography) were recorded. (SOL), sleep efficiency (SE). Was recorded. Subjective and objective TST,SOL,SE were statistically analyzed by paired t test, correlation analysis and Bland-Altman consistency test. Multiple linear regression analysis was used to analyze the relative factors of subjective and objective sleep differences. Results the mean difference of subjective and objective TST,SOL,SE was (73.0 卤98.2) min, (-12.9 卤22.3) min, (19.7 卤14.1) and 95% (-119.5265.4), (-56.6), (-30.8), (-8.0), (47.4), the results showed that: Bland-Altman consistency test showed that the average difference of subjective and objective TST,SOL,SE was (73.0 卤98.2) min, (-12.9 卤22.3) min, (19.7 卤14.1). The scores of negative symptom scale were statistically significant in regression analysis with TST difference and SE difference as dependent variables (P < 0. 53, P < 0. 01). Conclusion: stable state schizophrenic patients often exaggerate their sleep quality, suggesting that clinicians need to comprehensively evaluate the subjective and objective sleep conditions of schizophrenic patients, especially the negative symptoms.
【作者单位】：北京回龙观医院;
【基金】：2015年北京市自然科学基金——左利手遗传素质及后天转换对精神分裂症流行病学的影响(7254208)
【分类号】：R749.3

【相似文献】