睡眠个人信念及态度与主观和客观睡眠的相关分析

Relationship between beliefs and attitudes about sleep and objective/subjective sleep

目的探讨睡眠个人信念及态度与主观睡眠和客观睡眠的相关性。方法连续入组48例就诊于深圳市康宁医院符合《国际疾病分类(第10版)》(ICD-10)的失眠症患者,采用睡眠个人信念与态度量表(DBAS-16)测评其睡眠信念与态度,采用阿森斯失眠量表(AIS)、Epworth嗜睡量表(ESS)及睡眠问卷(SQ)测评其睡眠质量和嗜睡状况等主观睡眠,采用多导睡眠监测仪监测客观睡眠,并进行相关分析。结果 DBAS-16评分与患者主观睡眠总时间呈正相关(r=0.347,P<0.05),与AIS评分呈负相关(r=-0.508,P<0.01),与客观睡眠总时间无线性相关(P>0.05);失眠恐惧评分与N1期睡眠时间呈正相关(r=0.360,P<0.05),害怕失眠后果评分与N3期睡眠时间呈正相关(r=0.366,P<0.05),失眠恐惧评分与微觉醒(r=-0.354,P<0.05)和微觉醒指数(r=-0.338,P<0.05)呈负相关。结论错误的睡眠个人信念及态度与主观总睡眠时间减少、日间嗜睡增加、客观微觉醒增多相关,但与客观睡眠总时间无关。

Objective To explored the relationship between beliefs and attitudes about sleep and objective and subjective sleep. Methods 48 stable patients who met the International Classification of Diseases,tenth edition( ICD-10) from Shenzhen Kangning Hospital were included in the study. Dysfunctional Beliefs and Attitudes about Sleep Scale( DBAS-16) was used to assess the beliefs and attitudes about sleep,Epworth Sleepiness Scale( ESS),Athens Insomnia Scale( AIS) and Sleep Questionnaire( SQ)were used to assess the quality of sleep and sleepiness in subjective sleep,Polysomnography( PSG) was used to assess the objective sleep,and carries on the correlation analysis. Results The DBAS-16 score was positively correlated with total sleep time( TST) in subjective sleep( r = 0. 347,P < 0. 05),and was negatively correlated with AIS scores( r =-0. 508,P < 0. 01),had no correlation with the TST in objective sleep( P > 0. 05). The fear of insomnia score was positively correlated with N1 sleep duration( r = 0. 360,P < 0. 05),the consequences of fear insomnia score was positively correlated with N3 sleep duration( r = 0. 366,P < 0. 05),the fear of insomnia score was negatively correlated with the arousal( r =-0. 354,P < 0. 05) and microarousal index( r =-0. 338,P < 0. 05).Conclusion Dysfunctional personal sleep beliefs and attitudes are associated with decreased subjective total sleep time,increased daytime sleepiness,and increased objective microarousal. However,there is no significantly correlation with TST in objective sleep.