摘要
目的:研究失眠症患者睡眠质量与焦虑程度及交感神经皮肤反应(Sympathetic skin response,SSR)的关系。方法:回顾性分析某院2017年9月到2019年1月70例失眠症患者资料,根据匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分,将患者分为轻度失眠组30例(PSQI总分7~14分)、中重度失眠组40例(PSQI总分15~21分),另选择40例无睡眠障碍及焦虑的体检健康者作为对照组。比较3组的汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、交感神经皮肤反应(Sympathetic skin response,SSR),并用Pearson直线相关法分析失眠症患者睡眠质量与HAMD、HAMA、SSR的关系。结果:轻度失眠组的PSQI、HAMD、HAMA显著低于中重度失眠组并显著高于对照组,差异均有统计学意义(F=756.05,474.02,392.78;P<0.05)。在SSR中,轻度失眠组的上肢、下肢潜伏期显著低于中重度失眠组并显著高于对照组,上肢、下肢波幅显著高于中重度失眠组并显著低于对照组,差异均有统计学意义(F=36.67,18.28,50.56,3.59;P<0.05)。经Pearson直线相关法分析,失眠症患者睡眠质量与与HAMD、HAMA、SSR均呈正相关(r=-0.456,-0.675,-0.378;P<0.05)。结论:失眠症患者睡眠质量越差,焦虑程度越严重,SSR越强烈。
Objective:To study the relationship between sleep quality and anxiety level and sympathetic skin response(SSR)in patients with insomnia.Methods:Seventy cases of insomnia patients from September 2017 to January 2019 were retrospectively analyzed.According to the Pittsburgh sleep quality index(PSQI)score,30 patients were assigned into mild insomnia group(PSQI total score 7~14),and 40 patients were assigned into moderate to severe insomnia group(PSQI total score 15~21).Another 40 healthy people with no sleep disorders and anxiety were selected as the control group.The three groups’scores of Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),and Sympathetic skin response(SSR)were compared.The relationship between sleep quality and HAMD,HAMA,SSR in patients with insomnia was analyzed by Pearson linear correlation method.Results:The PSQI,HAMD,and HAMA in the mild insomnia group were significantly lower than those in the moderate to severe insomnia group and significantly higher than the control group,and the differences were statistically significant(F=756.05,474.02,392.78;P<0.05).The amplitude of upper limbs and lower limb svolatility was significantly higher than that of the moderate to severe insomniagroup and significantly lower than the control group(F=36.67,18.28,50.56,3.59;P<0.05).Pearson linear correlation analysis showed that sleep quality of patients with insomnia was positively correlated with HAMD,HAMA,and SSR(r=-0.456,-0.675,-0.378;P<0.05).Conclusion:The worse the sleep quality of insomnia patients,the more severe the anxiety,the stronger the SSR.
作者
马长林
张云飞
王湖
MA Changlin;ZHANG Yunfei;WANG Hu(Mental Health Center,Jiading District,Shanghai 201806,China)
出处
《中国健康心理学杂志》
2020年第7期983-986,共4页
China Journal of Health Psychology
基金
交通大学校局级项目支持(编号:DLY201620)。
