男性服刑人员的失眠状况及其相关因素  

Sleep quality and its related factors in male prisoners

作　　者：杨青振 张淑绮 肖伟霞[2] 李恒芬[1] YANG Qingzhen;ZHANG Shuqi;XIAO Weixia;LI Hengfen(The First Affliated Hospital of Zhengzhou University,Zhengzhou 450052,China;The Second Affiliated Hospital of Xinxiang Medical College,Xinxiang 453002,Henan Province,China)

机构地区：[1]郑州大学第一附属医院,郑州450052 [2]新乡医学院第二附属医院,河南新乡453002

出　　处：《中国心理卫生杂志》2022年第12期1046-1049,共4页Chinese Mental Health Journal

摘　　要：目的:了解男性服刑人员的失眠状况,探讨其相关因素。方法:选取某男性监狱服刑人员.973名,采用国际睡眠障碍分类第三版(ICSD-3)作为失眠症诊断标准,参考失眠严重指数量表(ISI)判断其临床严重程度,将其分为失眠组(n=366)和非失眠组(n=607)。采用广泛性焦虑量表(GAD 7)、患:者健康问卷抑郁症状群量表(PHQ9)、患者健康问卷躯体症状群量表(PHQ-15)调查心理健康状况。结果:失眠发生率为37.6%。失眠组的GAD-7、PHQ9、PHQ-15总分均高于非失眠组(均P<0.001)。Pearson相关分析发现,服刑时间与ISI总分呈正相关(r=0.16,P<0.05);二元logistic回归分析发现,存在抑郁、躯体不适、焦虑、既往失眠史为服刑期间出现失眠的危险因素(OR=4.23、2.04、2.03、2.69)。结论:男性服刑人员失眠与抑郁、躯体症状、焦虑、既往失眠史、服刑时间及年龄相关。Objective:To understand the insomniaof prisoners and its related factors.Methods:A total of 973 male prisoners were selected, and the International Classification of Sleep Disorders-3(ICSD-3) was used as the diagnostic criteria for insomnia, and their clinical severity was determined with the Insomnia Severity Index Scale(ISI).They were divided into the insomnia group(n=366) and the non-insomnia group(n=607).The Generalized Anxiety Scale(GAD-7),Patient Health Questionnaire Depressive Symptom Cluster scale(PHQ-9),and Patient Health Questionnaire Somatic Symptom Cluster Scale(PHQ-15) were used to investigate their mental health.Results:The insomnia detection rate of the prisoners was 37.6%.The total scores of GAD-7,PHQ-9,and PHQ-15 were higher in the insomnia group than inthe non-insomnia group(Ps<0.001).Pearson correlation analysis found that time served was significantly positively correlated with the ISI scores(r=0.16,P<0.05).Binary logistic regression analysis identified that depression, somatic discomfort, anxiety, and previous history of insomnia were risk factors for the insomnia(OR=4.23,2.04,2.03,2.69).Conclusion:The sleep quality of prisoners is closely related to depression, somatic discomfort, anxiety, previous history of insomnia, time served, and age.

关 键 词：服刑人员 睡眠障碍 抑郁 焦虑 躯体症状 

分 类 号：R338.63[医药卫生—人体生理学] R749.41[医药卫生—基础医学]