失眠症患者心理健康状况调查

Mental Health of Patients with Insomnia

目的了解失眠症患者心理健康状况，为失眠症的防治提供临床依据。方法方便抽样法选取2012年1月-1日至12月31日来某疗养院门诊就诊的失眠症患者51例为研究对象，由专业心理医师采用第四军医大学研制的DXc-6型群体多项心理侧评仪，对研究对象进行症状自评量表（SCL-90）及艾森克人格（EPQ）评定。结果①失眠症患者SCL-90各因子评分及阳性项目数与中国常模比较，均显著高于中国常模（t=8．1187，13．1955，10．4721，13．6512，15．6589，11．7150，13．4690，10．6173，16．2677，13．1186；P〈0．01）；各因子正常检出率为25．5％～68．6％，阳性检出率31．4％～74．5％，其中良好检出率15．7％～33．3％，一般检出率5．9％～35．3％，异常检出率2．0％～11．8％；②失眠症患者P、E、N、L分位于38．5～61．5之间占总人数的33．3％～94．1％，情绪稳定及中间者占35．3％，情绪不稳定占64．7％，性格内向占31．3％，精神质分数高者13．7％。结论失眠症患者整体心理健康状况不佳，人格不够成熟稳定。

Objective To understand the mental health of patients with insomnia,and provide the clinical basis for the preven- tion and treatment of insomnia. Methods To select 51 cases as the research object who came to a sanatorium outpatient from 1 January to 31 December 2012 ,they were assessed by professional psychiatrist with the DXC--6 groups,the Fourth Military Medical University,developed a number of psychological study side of the assessment instrument,the study assessed Symptom Checklist 90 （SCL-90） and the Eysenck Personality（EPQ）. Results ① SCL-90 factors scores and the number of positive items of patients with insomnia were significantly higher than the Chinese norm （t = 8. 1187,13. 1955,10. 4721,13. 6512, 15. 6589, 11. 7150, 13. 4690,10. 6173,16. 2677,13. 1186 ;P〈0.01） ;Normal detection rate of each factor were 25.5%-68.6% ,the positive rate were 31.4%-74.5% ,a good detection rate were 15.7%-33.3% ,general detection rate were 5.9%-35.3% ,anomaly detection rate were 2.0 %- 11.8 %;② Patients with insomnia whose P,E, N, L points were located between 38.5 to 61.5 were 33.3 % - 94.1 35.3 % ,emotional stability,and intermediate, emotional instability accounted for 64.7%, 31.3% were introverted, 13.7 % had high psychoticism scores. Conclusion Patients with insomnia are poor overall mental health,not mature enough and stable personality.