失眠症患者的焦虑抑郁状态研究

The anxiety and depression in primary insomnia

目的了解到医院就诊的原发性失眠症患者的焦虑抑郁情绪状态 ,为临床更有效地预防和治疗原发性失眠症患者提供依据。方法使用心理CT、焦虑自评量表、抑郁自评量表评定原发性失眠症患者 (86例 )和正常睡眠者(80例 )。结果患者组STAI的状态焦虑因子、特质焦虑因子和总分、SAS焦虑状态总分、SDS的精神情感症状、躯体化障碍、精神运动性障碍、抑郁的心理障碍和总分与睡眠正常组比较 ,统计差异有显著性 (P<0.01)。结论原发性失眠症患者的状态焦虑和特质焦虑水平、焦虑和抑郁程度明显高于睡眠正常者。原发性失眠症患者同时存在有不同程度的焦虑抑郁症状 ,而且习惯性焦虑特质较高。

Objective To investigate the anxiety and depression of the patients with primary insomnia in clinical setting. Methods The Psychological CT, Self_Rating Anxiety Scale (SAS), Self_Rating Depression Scale (SDS) were used to rate the patients with primary insomnia (n=86) and control subjects (n=80). Results The statistically significant differences were found on the variables of the STAI (state_anxiety, trait anxiety), SAS ad SDS between the patients with primary insomnia and the control subjects (P<0.01). Conclusions The anxiety, depression were found to be high prevalent among patients with primary insomnia in clinical setting. The patients had high trait anxiety compared with normal controls. The anxiety, depression and insomnia should be treated together.