摘要
目的探讨失眠症患者的心理特征、家庭功能及其对睡眠质量的影响。方法采用匹兹堡睡眠质量指数(PSQI)、自我和谐量表(SCCS)、家庭亲密度与适应性量表(FACES-Ⅱ),对51例失眠症患者进行测评,并与正常对照组46例进行比较。结果(1)失眠组的家庭亲密度和适应性因子分显著低于对照组,不满意度A显著高于对照组(P<0.01);(2)SCCS总分及不和谐度因子分显著高于正常组,灵活性因子分显著低于正常组(P<0.01);(3)失眠组的家庭亲密度与PSQI各因子呈显著负相关,不满意度A及SCCS总分、不和谐度与PSQI各因子呈显著正相关。结论失眠症患者多有自我内部和谐度低,灵活性差的心理特征,且家庭亲密度及适应性差、满意度低,可能是其睡眠质量不满意及症状慢性化的重要影响因素。
Objective： To investigate the psychological features and the family function of persons with insomnia and their effects on insomnia. Methods： 51 insomniacs and 46 normal controls matched by age and sex were evaluated with Pittsburgh Sleep Quality Index （PSQI）, Self Consistency and Congruence Scale （SCCS）, Family Adaptability and Cohesion Scale, Second Edltion（FACES- Ⅱ ）. The study analyzed and compared the differences between the two groups. Results： （ 1 ） The scores of family cohesion and adaptability of insomniacs were lower than those of the controls, the scores of disaffection A of insomniacs were higher than those of the controls （P 〈0.01 ）. （2） The scores of SCCS sum and the incongruence of insomniacs were higher than those of the controls, the scores of flexibility of patients were lower than those of the controls （ P 〈 0.01 ）. （ 3 ） The family cohesion of insomniacs was significantly negative correlation with PSQI, and the disaffection A, the total SCCS scores, and the cohesion of patients were positively correlated with PSQI （ P 〈 0. 01 ）. Conduslon： Insomniacs tend to be characterized by lower self congruence and flexibility, and have more problems of family cohesion and adaptability than healthy people, which may be the important factors of chronic insomnia.
出处
《上海精神医学》
2006年第6期339-341,共3页
Shanghai Archives of Psychiatry
关键词
失眠症
家庭功能
心理特征
睡眠质量
Insomnia Family function Psychological features Sleep quality
