神经内科门诊患者焦虑障碍、睡眠障碍与应对方式的关系

Relationship between anxiety disorders,sleep disorders and coping styles in neurology outpatients

目的调查神经内科门诊患者焦虑障碍与睡眠障碍之间的关系,并探讨应对方式在二者之间的潜在中介作用。方法以2019年1—12月该院就诊的102例神经内科门诊患者为研究对象。分别采用综合医院用焦虑量表、匹兹堡睡眠指数问卷和应对方式问卷评估患者的焦虑障碍、睡眠障碍与应对方式。结果焦虑障碍与睡眠障碍呈正相关(r=0.592,P=0.003)。多元线性回归分析显示,成熟应对方式如问题解决(β=—0.493,P=0.002)与混合应对方式如合理化(β=—0.336,P=0.021)对睡眠障碍与焦虑障碍的关系具有负向预测作用,而不成熟应对方式如幻想(β=0.237,P=0.041)、退避(β=0.223,P=0.040)对睡眠障碍与焦虑障碍的关系具有正向预测作用。结论有效应对方式能够缓解焦虑障碍对睡眠障碍的负面影响。

Objective To investigate the relationship between anxiety disorders and sleep disorders in neurology outpatients,and to explore the potential mediating role of coping styles between the two.Methods A total of 102 neurology outpatients were recruited from May to November 2019.The hospital anxiety scale,Pittsburgh sleep quality index questionnaire and coping style questionnaire were used to assess the outpatients′anxiety disorders,sleep disorders and coping styles.Results Anxiety disorders had significant positive with sleep disorders(r=0.592,P=0.003).Multiple linear regression analysis indicated that mature coping styles such as problem-solving(β=-0.493,P=0.002)and mixed coping styles such as rationalization(β=-0.336,P=0.021)could negatively predict the relationship between sleep disorders and anxiety disorders.While immature coping styles such as fantasy(β=0.237,P=0.041)and withdrawal(β=0.223,P=0.040)could positively predict the relationship between sleep disorders and anxiety disorders.Conclusion Effective coping styles could alleviate the adverse effects of sleep disorders on anxiety disorders.