双重抑郁症与单一抑郁症患者睡眠质量及应对方式的研究  

Sleep Quality and Coping Style of Patients with Double Depression and Major Depression

作　　者：严保平[1] 孙秀丽[1] 桑文华[1] 韩彦超[1] 李建峰[1] 刘永桥[1] 栗克清[1] 江琴普[1] 高良会[1] 杨老虎[1] 崔利军[1] 

机构地区：[1]河北省精神卫生中心,河北省保定市071000

出　　处：《中国全科医学》2014年第1期98-100,104,共4页Chinese General Practice

摘　　要：目的了解双重抑郁症与单一抑郁症患者睡眠质量及应对方式的差异。方法以美国精神障碍诊断与统计手册-第4版(DSM-Ⅳ)为诊断标准,以DSM-Ⅳ-TR轴Ⅰ障碍定式临床检查患者版(SCID-I/P)为诊断工具,以河北省流行病学调查的399例抑郁症患者为研究对象,采用匹茨堡睡眠质量指数(PSQI)中国修订版及简易应对方式问卷(SCSQ),对其中诊断为双重抑郁症的56例患者(双重抑郁症组)及未共病心境恶劣障碍的343例患者(单一抑郁症组)的睡眠质量及应对方式进行对比分析。结果双重抑郁症组的低睡眠质量发生率为62.5%(35/56),单一抑郁症组的低睡眠质量发生率为71.1%(244/343),两组比较差异无统计学意义(P=0.191)。两组PSQI各个因子分及睡眠总分差异均无统计学意义(P>0.05)。两组SCSQ消极应对维度及积极应对维度得分比较差异无统计学意义(P>0.05)。然而双重抑郁症组患者在"通过吸烟、喝酒、服药和吃东西来解除烦恼"、"认为时间会改变现状,惟一要做的便是等待"及"幻想可能会发生某种奇迹改变现状"条目的得分高于单一抑郁症组,差异有统计学意义(P<0.05)。结论双重抑郁症与单一抑郁症患者中低睡眠质量者多,双重抑郁症患者更容易采取一些消极的应对方式,应引起临床重视。Objective To understand the differences in sleep quality and coping style of patients with double depression and major depression. Methods Taking DSM - IV - TR as the diagnostic criteria and DSM - IV Axis I Disorders - Patient Edition （SCID - I/P） as the diagnostic tools, totally 399 samples with depression disorder in epidemiological survey of mental illnesses in Hebei Province were grouped as double depression of 56 cases depression combined with dysthymia and major depression （with no mood disorder） of 343 cases. Pittsburgh morpheus quality index （PSQI） Chinese edition and Simplified Coping Style Questionnaire （SCSQ） were used for assessment of sleep quality and coping style of the patients, and the results were compared between the two groups. Results The prevalence of low sleep quality in double depression group was 62. 5% （35/56）, while the prevalence of low sleep quality in major depression group was 71. 1 % （244/343）, with no significant difference between the two groups （P = 0. 191） . There was no significant difference in each factional score and total score in PSQI between the two groups （P 〉 0. 05）, and so was in negative coping dimension and positive coping dimension between the two groups （P 〉 0. 05） . But the scores of some negative coping items, i. e. ,＂ to relieve the troubles through smoking, drinking, medication and eating;＂＂ to think that time will change the status quo, and the only thing to do is to wait;＂ and＂ to imagine that some miracle may come to change the status quo＂, was significantly higher in double depression than major depression （P 〈 0. 05） . Conclusion The patients with both double depression and those with major depression have a higher prevalence of low sleep quality, and the former will more liable to take some negative coping styles, which needs to pay attention to clinically.

关 键 词：双重抑郁症 抑郁症 流行病学 睡眠质量 应对方式 

分 类 号：R749.42[医药卫生—神经病学与精神病学]