济南市信访工作者睡眠质量与心理健康的关系  

Relationship between sleep quality and mental health status of petition workers in Jinan

作　　者：李旭 史高岩[2] 顾香 李仁军[4] LI Xu;SHI Gaoyan;GU Xiang;LI Renjun(School of Mental Health,Jining Medical University,Jining 272013,China;Department of Clinical Psychology II,Shandong Mental Health Center,Jinan 250014,China;Department of Psychiatry,Heze Municipal Hospital,Heze 274031;Clinical Second Party Branch,Shandong Mental Health Center,Jinan 250014,China)

机构地区：[1]济宁医学院精神卫生学院,济宁272013 [2]山东省精神卫生中心临床心理二科,济南250014 [3]菏泽市立医院精神科,菏泽274031 [4]山东省精神卫生中心临床二党总支,济南250014

出　　处：《济宁医学院学报》2024年第2期138-141,共4页Journal of Jining Medical University

摘　　要：目的 探讨信访工作者睡眠质量与心理健康之间的关系,为信访工作者心理健康干预提供依据。方法 于2021年4月—6月,采用匹兹堡睡眠质量指数量表(PSQI)和症状自评量表(SCL-90)对352名在职信访工作者进行调查研究。结果 信访工作者心理健康问题检出率为25.6%。信访工作者SCL-90总均分、躯体化、强迫、抑郁、焦虑、恐怖、偏执、精神病性因子得分均高于全国常模1,且差异有统计学意义(P<0.05)。信访工作者的SCL-90躯体化、强迫、人际关系敏感、抑郁、焦虑、恐怖、偏执、精神病性因子得分均高于全国常模2,且差异有统计学意义(P<0.05)。睡眠质量问题检出率为11.9%,且有睡眠质量问题组的信访工作者心理问题阳性检出率高于无睡眠质量问题组(χ^(2)=33.087,P<0.05)。PSQI总分和睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠药物、日间功能障碍等6个因子与SCL-90总分及各因子均呈正相关(P<0.05)。除一般人口学特征中的文化程度和工作年限是心理健康的影响因素外,睡眠质量中的睡眠障碍和日间功能障碍是心理健康状况的2个危险因素[β=1.35,OR(95%CI)=3.844(2.09~7.06);β=1.67,OR(95%CI)=5.316(2.95~9.60)]。结论 济南市信访工作者心理健康状况存在一定问题,且与睡眠质量相关,睡眠障碍及日间功能障碍的问题越严重,信访工作者的心理健康状况相应越差。Objective This study aims to explore the relationship between the sleep quality and mental health status of petition workers to provide a basis for future mental health interventions.Methods A survey was conducted on 352 petition workers using the Pittsburgh Sleep Quality Index(PSQI) and the Symptom Checklist-90(SCL-90).Results The positive detection rate of mental health problems among petition workers was 25.6%.The overall scores and scores for somatization,compulsion,depression,anxiety,terror,paranoia,and psychosis were higher than the national norms one,with statistical significance(P<0.05).Compared to the national norms two,Petition workers also had higher scores on factors such as somatization,obsession-compulsion,interpersonal sensitivity,depression,anxiety,phobic anxiety,paranoid ideation,and psychoticism,and these differences were statistically significant(P<0.05).The detection rate of sleep quality problems was 11.9%,and the mental health positive rate of petition workers with sleep quality problems was higher than those without sleep quality problems(χ^(2)=33.087,P<0.05).Spearman correlation analysis revealed positive correlations between PSQI total score and six sleep factors(sleep quality,sleep latency,sleep duration,sleep disorders,sleep medications,and daytime dysfunction) and SCL-90 total score as well as its factors(P<0.05).Logistic regression analysis showed that besides educational level and years of work experience,sleep disorders and daytime dysfunction in sleep quality were two risk factors for psychological health [β=1.35,OR(95%CI)=3.844(2.09~7.06);β=1.67,OR(95%CI)=5.316(2.95~9.60)].Conclusion There are some problems in the mental health of petition workers in Jinan city which is related to sleep quality.The more severe the sleep disorders and daytime dysfunction,the worse the mental health of the petition workers.

关 键 词：信访工作者 睡眠质量 心理健康 心理干预 

分 类 号：R395[哲学宗教—心理学]