抑郁症患者社会快感缺失与睡眠质量和睡眠信念的相关性

The Relationship Between Social Anhedonia,Sleep Quality and Sleep Beliefs in Depression Patients

目的:探讨抑郁症患者社会快感缺失与睡眠质量及睡眠信念的关系。方法:收集42例抑郁症患者和43例健康者对照,采用社会快感缺失问卷(RSAS-C)、匹斯堡睡眠质量指数量表(PSQI)及睡眠个人信念和态度量表(DBAS)进行调查。结果:患者组RSAS-C(t=-3.18,P<0.01)和PSQI总分(t=-8.84,P<0.01)及各因子分均显著高于对照组,DBAS总分(t=4.52,P<0.01)、失眠后果的估计(t=4.33,P<0.01)和对睡眠的担心因子分(t=4.80,P<0.01)均低于对照组,差异有显著性。Spearman相关分析显示,患者组RSAS-C评分与PSQI中睡眠障碍因子分呈正相关(r=0.327,P<0.05),DBAS总分与PSQI总分呈负相关(r=-0.339,P<0.05)。DBAS中对失眠后果的估计因子分与PSQI总分、睡眠质量、睡眠药物及睡眠效率因子分均呈负相关(r=-0.310,-0.337,-0.369,-0.326;P<0.05)。余变量间的相关性均无统计学意义。结论 :抑郁症患者存在明显的社会快感缺失,睡眠质量变差以及存在较多错误的睡眠信念,并且患者睡眠质量与社会快感缺失存在相关。

Objective： To investigate the relationship between social anhedonia, sleep quality,and sleep beliefs in de- pression patients.Methods：We assessed 42 depression patients and 43 healthy controls with The Revised Social An- hedonia Scale--Chinese Version（RSAS--C）,The Pittsburgh Sleep Quality Index（PSQI）and The dysfunctional be- liefs and attitudes about sleep（DBAS）.Results： Compared with the healthy controls, depression patients had signifi- cantly higher total score of social anhedonia（t = 3.18, P〈0.01）, the total and all factor scores of PSQI（t =-8.84, P〈0.01）.Depression patients had significantly lower total score of DBAS（t=4.52,P〈0.01）,the factor scores of in- somnia consequence estimation （t = 4.33, P 〈0.01 ） and fear of sleep （t = 4.80, P 〈0.01 ） .Correlation analysis showed that the score of RSAS-- C and the score of sleep disturbance of PSQI were positively correlated （r=O.327,P〈0.05） ,the total score of PSQI and the total score of DBAS were negatively correlated（r =-0. 339, P d0.05）. The score of estimate of the insomnia consequence of DBAS and the total of PSQI,the score of sleep quality,the score of the sleep medication, the score of sleep efficiency factors were negatively correlated （r =-0. 310,-0. 337,-0. 369, -0.326 ;P〈0.05）.The rest of the correlation between variables had no significant statistical significance.Conclusion： The depression patients have poorly social anhedonia, sleep quality and sleep beliefs.Sleep quality is significant corre- lated with social anhedonia in depression patients.