原发性与继发性失眠患者睡眠质量与焦虑抑郁情绪的研究  

Sleep quality and anxiety and depression in patients with primary or secondary insomnia

作　　者：李岩[1] 侯彦波[2] 王红[3] 陈嘉峰[3] 

机构地区：[1]吉林省职业病防治院,吉林长春130061 [2]公主岭市中心医院,吉林公主岭136100 [3]吉林大学第一医院,吉林长春130021

出　　处：《吉林医学》2009年第19期2264-2267,共4页Jilin Medical Journal

摘　　要：目的：研究原发性与继发性失眠患者在睡眠质量、焦虑抑郁情绪上有无差异以及失眠患者睡眠质量与焦虑、抑郁情绪之间的相关性。方法：就诊于我院神经内科门诊的失眠患者（173例）作为研究对象,分为原发性失眠组（119例）和继发性失眠组（54例）。采用AIS、HAD、HAMA、HAMD对失眠患者的睡眠质量以及焦虑和抑郁情绪进行测评并对数据进行统计学分析。结果：①失眠患者AIS总分均〉6分。继发性失眠组与原发性失眠组相比,其AIS总分及各因子分（对总体睡眠质量评价除外）得分较高,但两组差异无统计学意义（P〉0.05）。②继发性失眠组中焦虑抑郁情绪（HAMA、HAMD）测评得分高于原发性失眠组,这种差异尚未达到统计学意义（P〉0.05）。③两组失眠患者中存在不同程度的焦虑抑郁情绪的发生率,经χ^2验,继发性失眠组的焦虑情绪及焦虑抑郁情绪共存的发生率高于原发性失眠组（P〈0.05）。④线性相关分析显示,失眠患者AIS总分与HAD、HAD-A、HAD-D、HAMA、HAMD呈强正相关性,r值在0～1之间,P〈0.01。结论：①原发性与继发性失眠患者的睡眠质量比较差异无统计学意义。②原发性与继发性失眠患者的焦虑、抑郁情绪的严重程度差异无统计学意义。③继发性失眠患者焦虑情绪及焦虑抑郁情绪共存的发生率高于原发性失眠患者。④原发性与继发性失眠患者的失眠程度与焦虑抑郁情绪呈正相关，失眠患者的睡眠质量越差，其焦虑抑郁情绪越严重。Objective To study the differences of sleep quality, anxiety and depression between primary and secondary insomnia patients, and the correlation between sleep quality and anxiety and depression in insomnia patietns. Method Randomly selecting the insomnia patients （ n = 173） for treatment at neurology out - patient department of our hospital,divided into primary insomnia group （ n = 119） and secondary insomnia group （ n = 54）. Adopting AIS, HAD, HAMA, HAMD to evaluate sleep quality, anxiety and depression of the insomnia patients, and then analysising the data through statistical methods. Results （1）AIS scores of all the eases are more than 6 points. Compared with the primary insomnia group, the secondary insomnia group＇s scores are higher in the AIS total score and factor scores （for the exception of the overall evaluation of sleep quality） ,but there is no significant difference between the two groups （P 〉 0. 05 ）. （2）The secondary insomnia group＇s score is higher than the primary insomnia group in the anxiety and depression （HAMA, HAMD） , but this difference has not reach statistical significance （ P 〉 0. 05 ）. （3）The insomnia patients of the two groups have varying degrees of anxiety and depression,and the incidence of anxiety and the coexistence of anxiety and depression in the secondary insomnia group are higher than the primary insomnia group （ P 〈 0. 05 ）. （4）The linear correlation analysis shows that there is a positively correlation between AIS scores with HAD, HAD - A, HAD - D, HAMA and HAMD scores in the insomnia patients, r value between 0 and 1 （ P 〈 0.01 ）. Conclusion （1）The sleep quality of the primary and secondary insomnia patients has no significant difference. （2）The severity of the anxiety and depression shows no significant difference in primary and secondary insomnia patients. （3）The incidence of anxiety and the coexistence of anxiety and depression in the secondary insomnia patients are higher than the primary insom

关 键 词：原发性失眠 继发性失眠 睡眠质量 焦虑情绪 抑郁情绪 

分 类 号：R740[医药卫生—神经病学与精神病学]