焦虑障碍、抑郁障碍患者的睡眠质量 及与焦虑、抑郁症状的相关性
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广东省高水平临床重点专科(深圳市配套建设经费)(SZGSP013);深圳市医学重点学科 建设经费资助(SZXK041)


Sleep quality and its correlation with anxiety and depressive symptoms in patients with anxiety disorder and depressive disorder
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    摘要:

    目的 探讨焦虑障碍、抑郁障碍患者的睡眠质量及与焦虑、抑郁症状的相关性。方法 选取 2020 年 8 月至 2021 年 8 月在深圳市康宁医院焦虑障碍科住院治疗的 70 例广泛性焦虑障碍、惊恐障碍、 抑郁障碍患者,其中抑郁障碍组 33 例,焦虑障碍组 37 例。比较两组的汉密尔顿焦虑量表(HAMA)、汉密 尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数(PSQI)评分及多导睡眠监测资料的差异性并做相关性分 析。结果 本研究全部入组患者中,PSQI > 15 分者 40 例(57.1%),睡眠效率< 80% 者 38 例(54.3%),其 中抑郁障碍组睡眠效率< 80% 者 16 例(48.5%),焦虑障碍组睡眠效率< 80% 者 22 例(59.5%)。抑郁障碍 组与焦虑障碍组的 HAMD、HAMA、N3 期睡眠(Stage N3 Sleep)、慢波睡眠(SWS)持续时间比较,差异有 统计学意义(P< 0.05)。抑郁障碍组的 HAMD 与 PSQI 呈正相关(r=0.416,P< 0.05),与最低血氧饱和度 呈负相关(r=-0.416, P< 0.05)。HAMA 与 PSQI、清醒期、入睡后觉醒总时间呈正相关(r=0.388~0.476, P<0.05),与快速眼动睡眠期(REM)持续时间、微觉醒指数-REM、睡眠效率呈负相关(r=-0.488~-0.429, P< 0.05)。焦虑障碍组 HAMA 与 PSQI 呈正相关(r=0.521,P< 0.01),与总睡眠间期时间(SPT)呈负相关 (r=-0.519,P< 0.01),HAMD 与 PSQI 呈正相关(r=0.424,P< 0.01),与微觉醒指数 -REM、微觉醒次数 - 非 快速眼动睡眠期(NREM)呈负相关(r=-0.476~-0.449,P< 0.01)。结论 部分抑郁障碍和焦虑障碍患者 睡眠效率降低,并且焦虑障碍及抑郁障碍患者的睡眠质量和抑郁、焦虑症状存在相关性。

    Abstract:

    Objective To explore the correlation between sleep quality and anxiety and depression symptoms in patients with anxiety disorder and depression disorder. Methods From August 2020 to August 2021, a total of 70 inpatients with generalized anxiety disorder, panic disorder and depression in Shenzhou Kangning Hospital were recruited, including 33 cases in depression group and 37 cases in anxiety group. The scores of Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Pittsburgh sleep quality index (PSQI) and Polysomnography data between the two groups were compared and analyzed. Results Among all the enrolled patients in this study, 57.1%(40/70) had PSQI >15, and 54.3%(38/70) had sleep efficiency lower than 80%, 48.5%(16/33) had sleep efficiency lower than 80% in the depression group, and 59.5%(22/37) had sleep efficiency lower than 80% in the anxiety group. There were significant differences in HAMD, HAMA, stage N3 sleep and the duration of slow wave sleep (SWS) between depression group and anxiety group (P< 0.05). The HAMD score is positively correlated with PSQI (r=0.416, P< 0.05), and negatively correlated with minimum oxygen saturation (r=-0.416, P< 0.05) in depression group. HAMA was positively correlated with PSQI, Stage W and wake time after sleep onset (WASO)(r=0.388-0.476, P < 0.05), and negatively correlated with rapid eye movement (REM) duration, microarousal index REM and sleep efficiency (r=-0.488- -0.429, P< 0.05). In anxiety group, HAMA was positively correlated with PSQI (r=0.521, P<0.01), negatively correlated with sleep period time (SPT) (r=-0.519, P< 0.01). HAMD was positively correlated with PSQI (r=0.424, P< 0.01), and negatively correlated with microarousal index REM and microarousal index non-rapid eye movement (NREM) (r=-0.476- -0.449, P < 0.01). Conclusions Some patients with depression disorder and anxiety disorder have lower sleep efficiency, and the sleep quality of patients with anxiety disorder and depression disorder is correlated with depression and anxiety symptoms.

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杨军韦,梁杰,刘敬文,马士猛,周云飞,魏堃.焦虑障碍、抑郁障碍患者的睡眠质量 及与焦虑、抑郁症状的相关性[J].神经疾病与精神卫生,2022,22(3):
DOI :10.3969/j. issn.1009-6574.2022.03.003.

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  • 在线发布日期: 2022-03-28