美沙酮维持治疗门诊患者抑郁焦虑共存与情绪状态、睡眠质量和功能缺损的关系  

RELATIONSHIP BETWEEN COEXISTING DEPRESSION AND ANXIETY WITH EMOTIONAL STATUS,SLEEP QUALITY AND FUNCTIONAL IMPAIRMENT AMONG METHADONE MAINTENANCE TREATMENT OUTPATIENTS

作　　者：吕淑艳[1] 钟宝亮[2] 朱军红[2] 禚传君[1] 

机构地区：[1]天津市安宁医院,天津300300 [2]华中科技大学同济医学院附属精神卫生中心,武汉430022

出　　处：《中国药物依赖性杂志》2013年第4期286-291,共6页Chinese Journal of Drug Dependence

摘　　要：目的獉獉:探索美沙酮维持治疗(MMT)门诊患者抑郁焦虑共存(CDA)与抑郁焦虑情绪、睡眠质量和功能缺损的关系。方法獉獉:585例MMT门诊患者完成Zung氏抑郁自评量表(SDS)、Zung氏焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)和Sheehan残疾量表(ShDS);根据SDS和SAS界值,将对象分为非抑郁非焦虑(NDNA)组、单纯抑郁(SD)组、单纯焦虑(SA)组和CDA组;比较4组患者SDS、SAS、PSQI和ShDS评分的差异。结果獉獉:4个量表的组间评分总体呈CDA组>SD组或SA组>NDNA组关系(P均≤0.047);分层分析结果与之基本一致。结论獉獉:CDA的MMT患者抑郁焦虑情绪、睡眠问题和功能缺损最严重,是MMT门诊心理健康促进工作的重点服务对象。Objective： To explore the relationship between coexisting depression and anxiety （CDA） with emotional status, sleep quality and functional impairment among methadone maintenance treatment （MMT）outpatients. Methods：Five hundred and eighty -five MMT outpatients completed Zung Self- rating Depression Scale （ SDS ）, Zung Self - rating Anxiety Scale （ SAS ）, Pittsburgh Sleep Quality Index （PSQI） and Sheehan Disability Scale （ShDS）. According to the cut - off values of SDS and SAS, all subjects were divided into non - depression and non - anxiety （NDNA） group, simple depression （ SD ） group, simple anxiety（SA） group and CDA group. The differences of SDS, SAS ,PSQI and ShDS between groups were compared. Results：The difference comparison between the four groups of these four scale scores showed a general trend of CDA group 〉 SD or SA group 〉 NDNA group （P〈0.047） ,and the corresponding stratification analysis showed a similar trend. Conclusion：CDA MMT outpatients have the most severe depressive/anxious emotion, sleep problem and functional impairment. Therefore, CDA MMT outpatients should be the key service targets of mental health promotion program.

关 键 词：美沙酮维持治疗 抑郁焦虑共存 情绪状态 睡眠质量 功能缺损 

分 类 号：R338.63[医药卫生—人体生理学]