63例失眠患者与抑郁的相关性研究  

Study on Correlation Between Insomnia and Depression in 63 Cases

作　　者：李倩[1] 傅小燕[2] 曲丽芳[2] 

机构地区：[1]上海同济大学附属东方医院,上海200120 [2]上海中医药大学,上海201203

出　　处：《中华中医药学刊》2013年第1期141-143,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：上海市卫生局科研计划资助项目(2007118)

摘　　要：63例失眠患者采用匹茨堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)问卷调查,调查数据采用SPSS 15.0软件进行统计分析。结果:(1)失眠伴抑郁组与不伴抑郁组的失眠发生存在差异性,其中与睡眠质量、入睡时间、睡眠障碍、日间功能障碍等因子存在显著性差异(P<0.05),失眠伴抑郁组与失眠不伴抑郁组的失眠总分比较有统计学意义(P<0.001)。(2)入睡时间和日间功能障碍是发生抑郁症的危险因素(P<0.1,P<0.05),其相应的OR值分别是1.878、2.811。(3)抑郁计分与失眠程度计分存在直线相关关系,y=38.152+1.440x(y为SDS标准分,x为PSQI总分)。结论:失眠可伴发抑郁症状,失眠症状与抑郁症状呈正相关性,其中以入睡时间、日间功能障碍尤为明显。Objective：To study the correlation between insomnia and depression.Methods：63 patients with insomnia participated in a questionnaire investigation by using PSQI scale（Pittsburgh Sleep quality index） and SDS（Self-rating Depression Scale）.All the data were analyzed by the SPSS 15.0 software.Result：（1） The occurrence between the in- somnious patients with depression and the ones without depression was different.Among all the factors of the two group samples,subjective sleep quality,sleep latency,sleep disturbances,daytime dysfunction were significant（P0.05）. There was statistical significance of global PSQI score between the two groups（P0.001）.（2） Sleep latency and daytime dysfunction were risk factors of depression.The OR of the two risk factors was 1.878 and 2.811 respectively.（3） There was a linear correlation between the score of depression and the ones of insomnia,y =38.152 ＋ 1.440x（y is the standardized score of SDS,x is the global score of PSQI）.Conclusion：Insomnia can be associated with depression. There is a linear correlation between the symptoms of insomnia and depression.And among all the symptoms,sleep latency and daytime dysfunction are obvious.

关 键 词：失眠 抑郁 神志 情志 心神 

分 类 号：R256.23[医药卫生—中医内科学]