沈阳东部地区抑郁症患者匹兹堡睡眠质量指数调查

Pittsburgh Sleep Quality Index Investigation of Depressive Disorder Patients in the East-region of Shenyang

目的了解抑郁症患者的睡眠情况及其心理特征.方法对沈阳东部地区78例抑郁症患者进行匹兹堡睡眠质量指数问卷（PSQI）和精神卫生症状自评量表（SCL-90）评估,并与对照组（69例）进行比较.结果 78例抑郁症患者中63例（80.8%）存在睡眠障碍（PSQI总分≥8分）,而对照组为15例（21.7%）,两者有显著性差异（ P〈0.05）.PSQI检测显示,抑郁症组的睡眠质量、入睡时间、睡眠效率、睡眠障碍、催眠药物、日间功能和PSQI总分均高于对照组（ P〈0.05～0.01）;SCL-90评定显示,睡眠质量差组的躯体化、强迫、抑郁、焦虑、恐怖、偏执和精神病性等因子分及SCL-90总分均高于睡眠质量佳组（ P〈0.05～0.01）.结论抑郁症患者睡眠质量下降,常与躯体化、强迫、抑郁、焦虑、恐怖等精神心理表现密切相关.

Objective To investigate sleep disorder of patients with depression and find out the regularity. Methods 78 depression cases in the east-region of Shenyang were evaluated by Pittsburgh Sleep Quality Index （PSQI） questionnaire and mental health symptom checklist-90 （SCL-90）. The results were contrasted with normal control group. Results 63 depression cases （80%） had sleep disorder （PSQI scores ≥8） and were significantly higher than normal control group. The PSQI evaluation showed that sleep quality, enter-sleep time, sleep efficiency, sleep disorder, hypnotige drugs, function of daytime and total scores of PSQI of the depression group were significantly higher than that of normal control group （P〈0.05～0.01）. The SCL-90 test showed that scores of somatic, obsessive, depressive, anxiety, phobia, paranoid and mental-illness, etc. and total quota of bad-sleep quality group were significandy higher than that of the fine-sleep quality group （ P〈0.05～0.01）. Conclusion Depression patients have significantly descent in sleep quality, latter is often closely related to the mental psychotic expressiveness of somatic, obsession, depression, anxiety, phobia, etc.