中青年失眠症患者的心理因素分析

Analysis of Psychological Factors in Young And Middle-aged Insomnia Patients

目的探讨中青年失眠症患者的心理因素,从心理层面改善中青年人群的失眠症状。方法选择2022年-2023年在山东省青岛市某部队门诊部参加睡眠情况调查的500名中青年人群为研究对象,其中男470人,女30人。向500名中青年人群讲解此次调查的目的,由调查对象填写调查问卷,包括性别、年龄、婚姻状况、是否首发、失眠时间等。分析失眠人群的心理影响因素。结果500名调查者中,首次失眠77例,占比15.40%;失眠时间<1年124例,占比24.80%;失眠时间≥1年86例,占比17.20%。失眠人数共计287例,占比57.40%。287例失眠患者中,焦虑抑郁得分(16.21±3.51)分,快感缺乏得分(7.66±1.32)分,孤独感得分(13.42±3.07)分,思虑内耗得分(13.78±3.11)分,抑郁躯体化得分(11.25±2.68)分,心理痛苦累计得分(71.38±14.36)分;其中,焦虑抑郁得分最高,其次为思虑内耗、孤独感。失眠患者心理痛苦得分超过70分,整体分值较高。结论中青年人群失眠受心理因素的影响较大。应加强对中青年人群焦虑抑郁、孤独感、思虑内耗等心理状态的应对措施,改善其失眠症状。

Objective:To explore the psychological factors of young and middle-aged insomnia patients, so as to improve the insomnia symptoms of young and middle-aged people from the psychological level. Methods:500 young and middle-aged people who participated in the sleep Outpatient department of a certain military unit in Qingdao, Shandong Province 2022 to 2023 were selected as the research objects.Results:Among the 500 investigators, there were 77 cases of first-time insomnia, accounting for 15.40%,124 cases of <1 year insomnia, accounting for 24.80%,and 86 cases of ≥1 year insomnia, accounting for 17.20%. The total number of insomniacs was 287 cases, accounting for 57.40%.Among the 287 insomniacs, the score of anxiety and depression(16.21±3.51), the score of lack of pleasure(7.66±1.32), the score of loneliness(13.42±3.07), the score of internal depletion of thoughts(13.78±3.11), and the score of depressive somatization(11.25±2.68) were found. Cumulative psychological distress score(71.38±14.36), anxiety and depression scores were the highest, followed by internal depletion of thoughts and loneliness. The psychological distress score of insomnia patients was more than 70 points, and the overall score was high. Conclusion:Insomnia in young and middle-aged people is greatly influenced by psychological factors. Combined with the findings of this paper, the psychological state coping of anxiety and depression, loneliness, and internal depletion of thoughts in young and middle-aged people should be strengthened to improve the symptoms of insomnia.