| 先德强,倪志松,赖晋锋,马小英,刘娅.老年人睡眠时长与抑郁症状的关系[J].四川精神卫生杂志,2023,36(5):453-459.Xian Deqiang,Ni Zhisong,Lai Jinfeng,Ma Xiaoying,Liu Ya,Association between sleep duration and depressive symptoms inthe elderly[J].SICHUAN MENTAL HEALTH,2023,36(5):453-459 |
| 老年人睡眠时长与抑郁症状的关系 |
| Association between sleep duration and depressive symptoms inthe elderly |
| 投稿时间：2023-02-19 |
| DOI：10.11886/scjsws20230219001 |
| 中文关键词: 老年人 睡眠时长 抑郁症状 |
| 英文关键词:The elderly Sleep duration Depressive symptoms |
| 基金项目:成都医学院四川应用心理学研究中心项目（项目名称：四川地区老年人抑郁症状流行特征及影响因素研究，项目编号：CSXL-22226） |
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| 中文摘要: |
| 背景 抑郁症严重危害老年人的身心健康，睡眠与抑郁症状的关系已成为研究热点之一，但目前关于睡眠与抑郁症状之间的研究结论存在差异。目的 探讨老年人睡眠时长与抑郁症状之间的关系，为预防老年人出现抑郁症状和延缓已有抑郁症状的老年人病情发展提供参考。方法 采用2018年《中国健康与养老追踪调查》数据库（CHARLS）中8 210名年龄≥60岁老年人的调查结果。按照中文简版流调中心用抑郁量表（CESD-10）评分标准，将老年人分为存在抑郁症状和不存在抑郁症状两组。使用Logistic回归及限制性立方样条模型分析老年人睡眠时长与抑郁症状之间的关联。结果 在8 210名老年人中，检出存在抑郁症状者3 118人（37.98%），平均每晚睡眠时长为（6.14±2.05）h。睡眠时长与抑郁症状之间存在非线性关联（χ2=412.670，P<0.01，df=4）。在调整了混杂因素后，睡眠时长<6 h、6~6.9 h和≥8 h的老年人出现抑郁症状的风险分别是睡眠时长7~7.9 h老年人的2.971倍（95% CI：2.560~3.449，P<0.01）、1.372倍（95% CI：1.161~1.621，P<0.01）和1.185倍（95% CI：1.009~1.393，P<0.05）。在不同性别及60~69岁组老年人中，未发现睡眠时长≥8 h与抑郁症状检出风险有关（P>0.05）。结论 睡眠时长与抑郁症状存在近似非线性关联，但存在性别和年龄差异。 |
| 英文摘要: |
| Background Depression presents a significant risk to the physical and mental health of the elderly. The relationship between sleep and depressive symptoms has become a major research focus. However， previous research findings on this relationship have yielded inconsistent conclusions.Objective To explore the relationship between sleep duration and depressive symptoms in the elderly， in order to provide insights into the prevention of depressive symptoms and delaying their progression in the elderly.Methods Data analysis involved 8 210 adults aged 60 years or older， utilizing data from the 2018 China Health and Retirement Longitudinal Study （CHARLS） survey. Participants were categorized into two groups those with depressive symptoms and those without- based on the Center for Epidemiologic Studies Depression-10 Scale （CESD-10） criteria. Logistic regression and restricted cubic spline models were used to analyze the association between sleep duration and depressive symptoms.Results The 318 people with depressive symptoms were detected among the 8 210 elderly participants， with an average sleep duration of （6.14±2.05） hours per night. Restricted cubic spline models showed a non-linear association between sleep duration and depressive symptoms （χ2=412.670，P<0.01）. After adjusting for confounding factors， compared to the elderly with a sleep duration 7~7.9 hours， the risk of depressive symptoms in the elderly was 2.971 times higher （95% CI： 2.560~3.449， P<0.01） in those with a sleep duration <6 hours， 1.372 times higher （95% CI： 1.161~1.621， P<0.01） in those with 6~6.9 hours， and 1 185 times higher （95% CI： 1.009~1.393， P<0.05） in those with ≥8 hours. Subgroup analysis showed no correlation between sleep duration ≥8 hours and the risk of depressive symptoms across genders and the 60~69 age group （P>0.05）.Conclusion There was an approximately nonlinear association between sleep duration and depressive symptoms， with differences by gender and age.［Funded by Sichuan Applied Psychology Research Center， Chengdu Medical College （number， CSXL-22226）］ |
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