“癫痫”诊断对个体心理健康和睡眠质量状况的影响  

The effect of epilepsy diagnosis on the level of mental health and sleep quality

作　　者：江帆[1] 马崔[1] 王俊杰[1] 曹顺姬[1] 邓启杨 刘惠文[1] 朱国良[1] 卢慧贤[1] 彭红军[1] 

机构地区：[1]广州市精神病医院,510370

出　　处：《上海精神医学》2006年第5期270-272,共3页Shanghai Archives of Psychiatry

摘　　要：目的探讨癫痫诊断对个体心理健康与睡眠质量状况的影响。方法采用症状自评量表(Symptom Checklist 90,SCL-90)和匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI),对100例确诊癫痫患者和74例可疑癫痫患者的心理健康水平和睡眠质量状况进行评价。结果确诊癫痫组的心理健康水平较常模水平低,SCL-90的总分、总均分、强迫症状、焦虑、恐怖和精神病性因子的差别具有非常显著性意义(P＜0．01或P＜0．001),躯体化、抑郁、敌对因子的差别具有显著性意义(P＜0．05),但人际关系敏感和偏执因子的差别无显著性意义(P＞0．05)。可疑癫痫组SCL-90评分水平更高,除人际关系敏感和偏执因子的差别无显著性意义外(P＞0．05),其余SCL-90全部指标的差别均具有非常显著性意义(P＜0．01或P＜0．001)。但两组SCL-90相应指标的差别无显著性意义(P＞0．05)。与正常人相比,确诊癫痫组除睡眠时间和睡眠障碍因子的差别无显著性意义外(P＞0．05),其余所有PSQI指标的差别均具有显著性意义(P＜0．01或P＜0．05)。可疑癫痫组的PSQI评分水平更高,与正常人相比,除睡眠效率因子的差别无显著性意义外(P＞0．05),其它所有指标的差别均具有显著性意义(P<O．Ol或尸<0．05)。两组间比较,总分、睡眠质量以及睡眠时问的差别具有显著性意义(P＜0．05)。结论癫痫患者存在明显的心理问题和睡眠问题,可疑癫痫患者的情况更加严重,尤其是睡眠问题,提示癫痫的诊断对个体心理健康和睡眠质量状况的影响相当明显,应该引起临床医生注意。Objective： To study the effect of epilepsy diagnosis on the level of mental health and sleep quality. Methods ： Using the Symptom Checklist 90 （ SCL - 90） and Pittsburgh Sleep Quality Index （ PSQI）, we evaluated the mental health and sleep quality level of one group of 100 patients with definite epilepsy and another group of 74 patients with suspected epilepsy. Results： The mental health level of both groups was significantly lower than normal according to SCL - 90 scores. The major mental problems of definite epilepsy patients were anxiety, phobic anxiety, psyehotieism, obsessive - compulsive （ P 〈 0. 001 or P 〈 0. 01 ）, somatization, depression and hostility （P 〈 0.05）. The mental state of suspected epilepsy patients was more severe than that of definite epilepsy patients. The difference was not significant between the SCL -90 scores of two groups（P 〉 0.05）. The sleep quality of both groups was significantly worse than normal according to PSQI scores. The patients with definite epilepsy showed significantly higher scores in sleep quality, time to falling asleep, sleep efficiency, daytime function （P 〈 0.01 ）, and drugs used for sleep promoting （P 〈 0.05）, while the patients with suspected epilepsy showed significantly higher scores in sleep quality, time to falling asleep, drugs used for sleep promoting, daytime function （P 〈 0.01 ）, sleep time and sleep disorder （P 〈 0.05）. The scores of sleep quality and sleep time of suspected epilepsy group were significantly higher than those of definite epilepsy group （P 〈 0.05 ）. Conclusion： Both of definite epilepsy and suspected epilepsy groups had many mental and sleep problems, with more serious in suspected epilepsy group. In clinical practice, we should pay more attention to the complaints of mental and sleep problems.

关 键 词：癫痫 疑似诊断 心理健康 睡眠 

分 类 号：R742.1[医药卫生—神经病学与精神病学]