特勤疗养员睡眠质量与抑郁、焦虑及压力的关系  

Correlation of sleep quality with depression,anxiety and stress among special service convalescents

作　　者：陈晶晶 洛芝英 张荷 熊波 王磊 徐华 Chen Jingjing;Luo Zhiying;Zhang He;Xiong Bo;Wang Lei;Xu Hua(Department of Psychological Training,Hangzhou Special Service Rehabilitation Center of the Air Force,Hangzhou 310002,China)

机构地区：[1]空军杭州特勤疗养中心心理训练科,浙江杭州310002

出　　处：《海军医学杂志》2025年第4期327-330,共4页Journal of Navy Medicine

摘　　要：目的了解特勤疗养员睡眠质量和抑郁、焦虑及压力的现状,并探讨其关系。方法采用匹兹堡睡眠质量指数(PSQI)量表和抑郁⁃焦虑⁃压力自评量表⁃21(DASS⁃21)对2022年5—7月在空军杭州特勤疗养中心疗养的311名特勤疗养员进行问卷调查。结果311名特勤疗养员PSQI总分为(4.93±3.14)分,存在睡眠质量问题(PSQI总分>7分)的有63名(20.26%);其中睡眠时间、日间功能障碍、主观睡眠质量及入睡时间得分≥2分者占比分别为30.87%、26.05%、21.22%及20.26%。抑郁、焦虑及压力分级程度占比结果显示,轻度抑郁、焦虑及压力分别为6.11%、4.50%及2.57%,高于其他(中度、重度和非常严重)3个程度。40岁及以上特勤疗养员睡眠质量问题、抑郁、焦虑及压力占比高于其他年龄段,存在随年龄增长而增高的趋势。特勤疗养员PSQI总分及各因子(除催眠药物外)与抑郁、焦虑及压力呈正相关(P<0.01)。进一步回归分析结果显示,抑郁和压力是其睡眠质量的直接影响因素。结论特勤疗养员有不同程度的睡眠质量问题和抑郁、焦虑及压力负性情绪,特别是40岁及以上人员,且睡眠质量与抑郁、焦虑及压力负性情绪密切相关。Objective To investigate the current status of sleep quality,depression,anxiety and stress of special service convalescents and their correlation.Methods A questionnaire survey was conducted on 311 special service convalescents by the Pittsburgh sleep quality index(PSQI)and the depression⁃anxiety⁃stress self⁃rating scale⁃21(DASS⁃21)from May to July 2022.Results The mean total PSQI score of 311 special service convalescents was 4.93±3.14,and 63 of them(20.26%)had sleep quality problems(total score of PSQI>7).The proportions of respondents with the scores≥2 in sleep time,daytime dysfunction,subjective sleep quality,and fall⁃asleep time were 30.87%,26.05%,21.22%,and 20.26%,respectively.The proportions of respondents with mild depression,anxiety and stress were 6.11%,4.50%and 2.57%,respectively,which were higher than the other three grades(moderate,severe and very serious).The incidence of sleep quality problems,depression,anxiety,and stress in respondents aged 40 years and above was higher than those in the other age groups,and there was a tendency to increase with age.The total score of PSQI and all factors(except hypnotic drugs)were positively correlated with depression,anxiety,and stress in special service convalescents(all P<0.01).Regression analysis showed that depression and stress were the direct influencing factors of sleep quality.Conclusion The special service convalescents have varying degrees of sleep quality problems and negative emotions such as depression,anxiety,and stress,especially those aged 40 years and above.Sleep quality is closely related to depression,anxiety,and stress.

关 键 词：特勤疗养员 睡眠质量 抑郁 焦虑 压力 

分 类 号：R821[医药卫生—临床医学]