抑郁症患者睡眠障碍与睡眠信念和态度关系及影响因素

doi:10.12183/j.scjpm.2020.0231

摘要/Abstract

摘要： 目的探讨抑郁症患者睡眠障碍与睡眠信念和态度的关系及影响因素。方法以2018年7月至2019年5月绵阳市某医院收治的所有确诊为抑郁症的患者为研究对象,由经过培训的医师收集研究对象基本信息并指导研究对象填写《匹兹堡睡眠质量指数量表》（PSQI）、睡眠个人信念和态度量表（DBAS-16）。结果采用描述流行病学分析方法进行分析,并采用单、多因素分析方法对睡眠障碍发生影响因素进行分析。结果本研究共对130例抑郁症患者进行调查,男性占40.8%,女性占59.2%;年龄以30~39岁为主,占59.2%;文化程度以大专及以上为主,占64.6%;已婚占57.7%;抑郁症患病时间>3年占42.3%;有家族史者占35.4%。70例抑郁症患者存在睡眠障碍,睡眠障碍发生率为53.8%。睡眠障碍患者DBAS-16总分以及DBAS-16各部分（对失眠后果的估计、对睡眠的担心、对睡眠的期望、对药物的认识）评分均显著低于无睡眠障碍患者,差异均有统计学意义（均P<0.01）。多因素logistic回归分析结果显示,年龄越大（OR=1.049）、文化程度越低（OR=1.064）、抑郁症患病时间越长（OR=1.350）的抑郁症患者睡眠障碍发生风险越高。结论抑郁症患者睡眠障碍发生率高,睡眠障碍发生与其睡眠信念和态度显著相关,年龄大、文化程度低和抑郁症患病时间长的患者更容易发生睡眠障碍。

关键词: 抑郁症, 睡眠障碍, 睡眠信念, 态度, 影响因素

Abstract: Objective To explore the association of sleep disorders with sleep beliefs and attitudes in patients with depression and influencing factors. Methods All patients diagnosed with depression and admitted to a hospital in Mianyang City were recruited from July 2018 to May 2019. Basic information of the participants was collected by trained doctors. The Pittsburgh Sleep Quality Index scale （PSQI） and Dysfunctional Belief and Attitude about sleep scale （DBAS-16） were completed by the participants under the guidance of the doctors. Descriptive epidemiological analysis methods were used to analyze the data. Univariate and multivariate logistic regressions were used to determine factors influencing the occurrence of sleep disorders. Results A total of 130 patients with depression were investigated. Of the participants, 40. 8% were men and 59. 2% were women; the ages were mainly 30-39 years old, accounting for 59. 2%; the education level was mainly college or above, accounting for 64. 4%; 57. 7% were married; 42. 3% had depression for more than 3 years; 35. 4% had family history. Seventy patients with depression suffered from sleep disorders, with an incidence of 53. 8%. The total score of DBAS-16 and the scores of all parts of DBAS-16 （estimation of consequences of insomnia, worry about sleep, prediction of sleep, understanding of medication） in patients with sleep disorder were significantly lower than those in patients without sleep disorder （all P<0. 01）. Multivariate logistic regression model showed that the patients with older age （OR=1. 049）, lower education level （OR=1. 064）, and longer duration of depression （OR=1. 350） were more likely to have higher risk of sleep disorders. Conclusion The incidence of sleep disorders is high in depression patients and significantly associated with their sleep beliefs and attitudes. Patients with older age, lower education level, and longer duration of depression are more prone to sleep disorders.

Key words: Depression, Sleep disorders, Sleep beliefs and attitudes, Influencing factor

中图分类号:

R749.4

吴林林, 姚静, 姚晓波, 张光勇, 王荣科, 陈姝, 胡耀之. 抑郁症患者睡眠障碍与睡眠信念和态度关系及影响因素[J]. 华南预防医学, 2020, 46(3): 231-234.

WU Lin-lin, YAO Jing, YAO Xiao-bo, ZHANG Guang-yong, WANG Rong-ke, CHEN Shu, HU Yao-zhi. Association of sleep disorder with sleep belief and attitude in patients with depression and influencing factors[J]. South China Journal of Preventive Medicine, 2020, 46(3): 231-234.

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