美沙酮维持治疗海洛因依赖患者睡眠质量与生命质量关系的典则相关分析  

The relationship between sleep quality and quality of life of heroin addicts receiving methadone maintenance treatment: a canonical correlation analysis

作　　者：徐艳敏[1,2,3,4] 钟宝亮[5] 朱军红[5] 刘铁榜[2,3,4] 

机构地区：[1]深圳大学师范学院心理学系,广东省518061 [2]深圳市精神卫生中心 [3]深圳市康宁医院 [4]深圳市精神卫生研究所 [5]华中科技大学同济医学院附属精神卫生中心

出　　处：《中华脑科疾病与康复杂志（电子版）》2013年第5期12-16,共5页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

摘　　要：目的分析美沙酮维持治疗（MMT）海洛因依赖患者（HA）的睡眠质量与生命质量的关系。方法收集2009～2010年武汉市三所MMT门诊的603例正在接受MMT的HA（男性占68．3％，平均年龄38．1岁），进行匹兹堡睡眠质量指数（PSQI）和世界卫生组织生命质量量表简表（WHOQOL—BREF）评定，用典则相关分析PSQI7个睡眠成分和WHOQOL．BREF4个领域之间的关系。结果共提取了2对典则变量（典则相关系数分别为0．548和0．264，P均〈0．001），可解释原始变量信息的94．5％；PSQl入睡时间、睡眠效率和日间功能障碍与生理和社会关系领域的生命质量负相关，主观睡眠质量、入睡时间和睡眠障碍与心理和环境领域的生命质量负相关。结论接受MMT的HA的生命质量各领域与不同的睡眠质量成分有关，改善HA的睡眠质量问题可能是提高HA生命质量的有效方法。Objective To analyze the relationship between sleep quality and quality of life（ QOL） of heroin addicts （ HA ） receiving methadone maintenance treatment （MMT）. Methods Between 2009 and 2010,603 HA （proportion of males was 68.3 %, mean age was 38.1 years）from three M MT outpatients in Wuhan,were administered with Pittsburgh sleep quality index（PSQI） and The World Health Organization＇s QOL Questionnaire-Brief Version（ WHOQOL-BREF）, Canonical correlation analysis was used to analyze the relationship between 7 sleep components in PSQI and 4 domains in WHOQOL-BREF. Results Two pairs of canonical variables were extracted （ Canonical correlation coefficients were 0. 548 and O. 264, P 〈 0. 001 ）, which could account for 94. 5% of the total variance. Sleep duration, sleep efficiency and daytime dysfunction of PSQI had negative correlation with physical health and social relationships domains of WHOQOL-BREF, whereas subjective sleep quality, sleep latency and sleep disturbance of PSQI negatively correlated with psychological health and environment domains of WHOQOL-BREF. Conclusion There are associations between different sleep quality components dimensions and QOL domains among HA receiving MMT. Treating sleep quality problem might be an effective intervention to improve QOL.

关 键 词：美沙酮 海洛因依赖 睡眠质量 生命质量 典则相关 

分 类 号：R749.64[医药卫生—神经病学与精神病学]