抑郁症患者主客观睡眠的对照研究

A Comparative Research of Subjective Sleep and Objective Sleep in Depressions

目的:了解抑郁症患者的睡眠特点,探讨其主客观睡眠的异同点。方法:对30例抑郁症患者、20例正常人的主观睡眠(PSQI)和客观睡眠(PSG)特点进行测量。结果:抑郁症的PSG多项指标(睡眠时间、睡眠潜伏期、睡后觉醒次数、觉醒总时间、觉睡比、睡眠总时间、睡眠效率、睡眠维持率、S1、S2)与正常对照有显著差异(P<0.05或P<0.01);抑郁症的PSQI多项指标(PSQI总分、睡眠效率、睡眠时间、睡眠潜伏期)方面与正常对照有显著差异(P<0.01)。抑郁症的PSQI和PSG在睡眠效率、睡眠时间、睡眠潜伏期方面存在显著差异(P<0.01)。结论:抑郁症患者的主观睡眠和客观睡眠均存在一定程度的异常,抑郁症患者有高估自己睡眠障碍的倾向。

Objective： To explore characteristics, differences and similarities of objective sleep and subjective sleep in depressions. Methods： A comparative research of sleep disorder was made to 30 cases of depression and 20 normals. A comparative research of objective sleep and subjective sleep was made to 30 cases of depressions. Results： The indicators of PSG （sleep time, sleep latency, awakening number, awakening time, AT/TST%, total sleep time, sleep efficiency, sleep maintenance, S1 and S2） in depressions were significantly different than those in controls. The indicators of PSQI （PSQI total score, sleep efficiency, total sleep time, sleep latenc） in depressions were significantly different than those in controls. The sleep efficiency and actual sleep of objective sleep in depressions and insomnia were significantly higher than those of subjective sleep, and sleep latency was contrary. Conclusion： Depression in patients with subjective sleep and objective sleep abnormalities exist in a certain degree, subjective depressions have a tendency to exaggerate their sleep disorders.