原发性失眠与睡眠知觉障碍两种失眠亚型患者心理特征的比较研究  

The comparative study of the psychological characteristics between paradoxical insomnia and idiopathic insomnia

作　　者：张瑞星[1] 李丽 史诺[3] 

机构地区：[1]郑州大学护理学院,河南郑州450052 [2]郑州市第九人民医院心理科,河南郑州450052 [3]大连医科大学护理学院,辽宁大连116044

出　　处：《现代预防医学》2014年第15期2773-2775,共3页Modern Preventive Medicine

基　　金：河南省科技厅基础与前沿技术研究计划项目[2013]25-132102310492

摘　　要：目的了解原发性失眠与睡眠知觉障碍两种不同失眠亚型患者的病理心理特征。方法采用目的抽样法,实验组为睡眠知觉障碍患者25人,按照年龄、性别、职业特征配对筛选原发性失眠患者25人为对照组。两组分别用艾森克人格问卷与应对方式问卷进行心理测评。结果实验组在精神质(P)(56.73±8.29)、内外向(E)(54.40±10.38)、掩饰(L)(58.67±8.50)3个量表的得分高于对照组(46.80±8.91,48.35±8.94,50.28±9.42),差异有统计学意义(t=6.89,P<0.01;3.02,P<0.05;3.78;P<0.05);应对方式中实验组的自责(0.31±0.15)、退避(0.41±0.17)得分低于对照组(0.46±0.12,0.56±0.16),差异有统计学意义(-3.93,P<0.01;-3.43,P<0.01),而幻想(0.59±0.18)、合理化(0.68±0.19)得分高于对照组(0.48±0.14,0.47±0.18),差异有统计学意义(3.02,P<0.01,4.01P<0.01)。结论睡眠认知障碍与原发性失眠患者具有显著不同的心理特征,原发性失眠患者更适合使用认知疗法,而睡眠认知障碍患者更宜于使用行为疗法。Objective To compare the psychological characteristics of the patients with different subtypes of insomnia. Methods 25 cases of paradoxical insomnia as the experimental group, and 25 idiopathic insomnia patients as the control group screened on the basis of matching principle had been respectively surveyed with Eysenck Personality Questionnaire （EPQ） and Coping Styles Questionnaire （CSQ）. Results The scores of Psychoticism （56.73 ± 8.29） and Extraversion （54.40 ± 10.38） and Lie （58.67 ± 8.50） scale in EPQ of the experimental group were significantly higher （t =6.89, P〈0.01; 3.02, P〈0.05; 3.78; P〈0.05） than those of the control group （46.80 ± 8.91, 48.35 ± 8.94, 50.28 ± 9.42）. And in the CSQ, the self-accusation （0.31 ± 0.15）, retreat （0.41 ± 0.17） scores of the experimental group were significantly lower （-3.93,P〈0.01; -3.43, P〈0.01） than those of the control group （0.46 ± 0.12, 0.56 ± 0.16）, but the fantasy （0.59 ± 0.18）, rationalization （0.68 ± 0.19） of the experimental group were significantly higher （3.02, P〈0.01, 4.01, P〈0.01） than those of the control group （0.48 ± 0.14, 0.47 ± 0.18）. Conclusion The result shows that there are statistical differences in psychological characteristics between idiopathic insomnia and paradoxical insomnia. Different psychological therapies should be chosen in accordance with the psychological characteristics. Cognitive psychotherapy is better for idiopathic insomnia and behavior therapy is better for the paradoxical insomnia.

关 键 词：睡眠知觉障碍 原发性失眠 人格 应对方式 心理治疗 

分 类 号：R16[医药卫生—公共卫生与预防医学]