女性失眠症患者心理健康状况及相关因素分析

Analysis of mental health status and related factors of female patients with insomnia

目的 探讨女性失眠症患者心理健康状况及其影响因素,为改善其心理健康提供参考。方法 选取2012年1月-6月在中山大学附属第三医院就诊的符合《国际疾病分类(第10版)》(ICD-10)诊断标准的女性失眠症患者42例,采用匹兹堡睡眠质量指数量表(PSQI)、症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和艾森克人格问卷(EPQ)评定患者睡眠质量、心理健康状况、人格特征,并分别对SCL-90和PSQI、EPQ评分进行相关分析。结果 除人际关系敏感因子外,42例患者的SCL-90总评分及其他8个因子评分均高于常模,差异均有统计学意义( P <0.05或0.01);PSQI总评分及7个因子评分、SAS、SDS评分均高于常模,差异均有统计学意义( P 均<0.01);PSQI的睡眠质量因子评分与SCL-90总评分及其9个因子评分均呈正相关(r=0.605~0.934,P均<0.01);EPQ的精神质因子评分与SCL-90总评分及其8个因子评分(除恐怖因子外)均呈正相关(r=0.413~0.725,P <0.05或0.01),神经质因子评分与SCL-90总评分及其9个因子评分均呈正相关(r=0.642~0.868,P均<0.01)。结论 女性失眠症患者的心理健康状况较差且常伴有焦虑、抑郁症状,其心理健康状况与睡眠质量和个性特征相关。

Objective To explore the mental health status of female patients with insomnia and its influencing factors, so as to provide references for improving their mental health. Methods From January to June 2012, 42 female patients with insomnia who met the diagnostic criteria of International Classification of Diseases, tenth edition (ICD-10) admitted to the Third Affiliated Hospital of Sun Yat-sen University were recruited. Sleep quality, mental health status and personality characteristics were assessed by Pittsburgh Sleep Quality Index (PSQI), Symptom Checklist 90 (SCL-90), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Eysenck Personality Questionnaire (EPQ). Correlation analysis was performed among SCL-90, PSQI and EPQ scores. Results The total score of SCL-90 and other 8 factors of 42 patients were higher than norm (except interpersonal sensitivity factors), and the differences were statistically significant ( P <0.05 or 0.01).The total score and 7 factors scores of PSQI, SAS and SDS scores were all higher than norm, and the differences were statistically significant ( P <0.01). The sleep quality factor score of PSQI was positively correlated with the total score and 9 factors scores of SCL-90 ( r=0.605~0.934, P <0.01).The psychotropic factor score of EPQ was positively correlated with the total score and its 8 factors scores of SCL-90 (except for the fear factor)( r=0.413~0.725, P <0.05 or 0.01). Neuroticism factor score was positively correlated with SCL-90 total score and its 9 factors scores ( r=0.642~0.868 ,P <0.01). Conclusion The mental health of female patients with insomnia is poor and often accompany by anxiety and depression. Their mental health status was related to sleep quality and personality traits.