摘要
山东省精神卫生中心临床二目的:探讨慢性前列腺患者的心理健康状况和睡眠质量及两者之间的相关性。方法:采用匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)、自制的相关因素调查表,对200例慢性前列腺患者的心理健康状况与睡眠质量进行调查,并对影响睡眠的相关因素进行分析。结果:51.5%的患者有睡眠质量问题;PSQI≥8分的患者SCL-90各因子(人际关系、敌对性两因子除外)及总分、SAS,SDS总分显著高于PSQI≤7的患者,且PSQI得分越高,SCL-90各因子及总分、SAS,SDS得分越高(F=1.424~34.648,P<0.01~0.05);睡眠质量与SCL-90中躯体化、强迫、抑郁、焦虑、恐怖、精神病性,其他7个因子及总分与睡眠质量呈显著正相关(r=0.0097~0.6317,P<0.01~0.05);影响患者睡眠质量的因素是多方面的,按作用大小依次为:性功能改变、躯体局部不适、首次发病年龄、负性生活事件和夫妻感情差(偏回归系数=0.0092~0.0561)。结论:睡眠障碍是慢性前列腺患者的重要症状之一,与心理健康状态、焦虑、抑郁症状密切相关。
AIM:To explore the mental health status and the quality of sleep, and their relationship in patients with chronic prostatitis. METHODS:A total of 200 patients with chronic protatitis were involved in the study.The mental health status and the quality of sleep were evaluated with Pittsburgh sleep quality index(PSQI),symptom checklist(SCL 90) and self made related factors inventory. RESULTS:There were 51.5%of the patients with problem of sleep.The factors of SCL 90(except human relationship and hostility),total score,SAS and SDS total score of patients with PSQI≥8 were significantly higher than those with PSQI≤7;the higher the score of PSQI was,the higher the scores of SCL 90 factors,total score,SAS and SDS were(F=1.424-34.648,P< 0.01-0.05).The quality of sleep was positively related to somatization,compulsion,depression,anxiety,panic and insanity of SCL 90,and there was also a positive relation of sleep quality with other seven factors and total score(r=0.009 7-0.631 7,P< 0.01-0.05).The quality of sleep was influenced by multiple factors,they were sexual dysfunction,local uncomfort of body,age of first episode,negative life events and bad relation with spouse in order(r=0.009 2-0.056 1).Sleep disorder is one of the main symptoms in patients with chronic protatitis,and it has a close relation with mental health status, anxiety and depression.
出处
《中国临床康复》
CSCD
2004年第12期2215-2217,共3页
Chinese Journal of Clinical Rehabilitation
基金
山东省卫生厅科学研究基金资助项目(1998107)~~