失眠症患者的多导睡眠图检测及其与心理卫生状况的相关研究  

A study on the experimentation of sleep in relation to the mental health situation and personality in the insomniacs

作　　者：余海鹰[1] 王宏[1] 崔庶[1] 

机构地区：[1]解放军第102医院,常州213003

出　　处：《中国行为医学科学》2003年第2期165-166,174,共3页Chinese Journal of Behavioral Medical Science

摘　　要：目的　探讨失眠症患者的睡眠行为、生理的变化及其与心理卫生状况间的联系。方法　对 69例失眠症患者及 2 5名正常对照者进行睡眠行为调查及全夜多导睡眠图 (PSG)检测 ;采用症状自评量表 (SCL 90 )及艾森克个性问卷 (EPQ) ,对 69例失眠症患者进行测试。结果　 (1 )与对照组比较 ,失眠症组睡眠潜伏期延长 [(40 .7± 2 1 .3)min] ,总睡眠时间减少 [(31 7.8± 88.6)min] ,觉醒次数增多 [(9.5± 5.5)次 ] ,睡眠效率下降 [(75.5± 8.6) % ] ,深睡眠减少 [(7.8± 3 .8) % ] ;(P <0 .0 5 0 .0 1 )。 (2 )失眠症患者SCL 90的抑郁、焦虑、恐怖因子分与觉醒次数、觉醒时间有显著相关性 (P <0 .0 1 ) ;N量表分与SCL - 90的各因子分间有显著相关性 (P <0 .0 1 )。结论　失眠症患者存在睡眠行为及睡眠生理的异常变化 。Object To explore the behavioral and physiologic changes of sleep in relation to the mental health situation and personality in the insomniacs. Methods Sleep behavior and all night polysomnography (PSG) records were performed in 69 insomniacs and 25 normal controls, while 69 insomniacs were tested by SCL 90 and Eysenck Personality Questionnaire (EPQ). Results (1) Compared with control group, sleep latency was prolonger [(40.7±21.3)min], total sleep time was decreased [(317.8±88.6)min], awake frequency was increased [(9.5±5.5)次], sleep efficiency was decreased [(75.5±8.6)%], slow wave sleep was decreased [(7.8±3.8)%] in the insomniacs (P<0.05 0.01). (2)There were definite correlation between depression and anxiety and phobia of SCL 90 scores and awake frequency and awake duration of PSG in the insomniacs (P<0.01); there were definite correlation between N Score of EPQ and all factors of SCL 90 scores in the insomniacs(P<0.01). Conclusions There are varying features of physiology and behavior in the insomniacs, and it is related to the mental health situation and personality of the insomniacs.

关 键 词：失眠症 多导睡眠描记术 心理卫生 检测 

分 类 号：R741.044[医药卫生—神经病学与精神病学]