四种量表对阻塞性睡眠呼吸暂停低通气综合征患者心理状况的评价

The application of 4 scales on mental health conditions of OSAHS patients

目的:应用4种常用心理量表对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的心理状况进行评价比较。方法:对120例OSAHS患者应用症状自评量表(SCL-90)、康奈尔医学指数(CMI)(精神症状维度)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HRSD)、匹兹堡睡眠质量指数(PSQI)及多导睡眠监测(PSG),将各心理量表结果与睡眠质量及睡眠监测结果进行相关性分析。结果:OSAHS患者SCL-90强迫症状、因子10得分高于对照组(P<0.05);CMI中抑郁、焦虑、敏感因子得分高于对照组,P<0.05;HAMA及HRSD得分高于对照组(P<0.05)。OSAHS患者PSQI总分及睡眠质量、睡眠障碍、日间功能障碍分高于对照组(P<0.05)。各心理量表与PSQI及PSG结果存在相关,其中CMI(精神症状维度)与PSQI存在较强相关(γ>0.4),HAMA与PSG存在较强相关(γ>0.4)。结论:OSAHS患者睡眠质量较差,影响患者的心理健康。CMI(精神症状维度)及HAMA对评价其心理健康有较高的应用性。

Objective： To evaluate and compare health conditions of OSAHS patients by 4 common psychological assessment scale. Methods： 120 OSAHS patients in Observation group and 95 healthy persons in control were surveyed with SCL-90, CMI, HAMA and HRSD, PSQI, PSG. The data were contrastive analyzed. Results： The scores of SCL-90 （compulsion, factor 10）, CMI （depression, anxiety, sensitivity）, HAMA, HRSD, PSQI （global score, subjective sleep quality, sleep disturbances, daytime dysfunction） of OSAHS patients were higher than that of control group （P〈0.05）. The correlation analysis indicated that most of factors in psychological scales and PSQI, PSG were correlated, in which CMI and PSQI, HAMA and PSG were notably correlated （y〉0.4）. Conclusion： The worse sleep quality can influence the mental heath of OSAHS patients. CMI and HAMA are valuable in research on mental health conditions of OSAHS patients.