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| 睡眠障碍与抑郁障碍青少年高自杀风险的相关性分析 |
| (1. Department of Child and Adolescent Psychology, The Fourth People"s Hospital of Hefei, Anhui 2300222. Department of Psychiatry, The Fourth People"s Hospital of Hefei 230022, Anhui |
| 投稿时间：2023-10-16 修订日期：2024-10-14 |
| DOI： |
| 中文关键词: 青少年 睡眠障碍 抑郁障碍 自杀 相关性分析 |
| 英文关键词:Adolescents Sleep disorders Depressive disorders Suicide Correlation analysis |
| 基金项目:1.安徽省重点研究与开发计划项目任务书(202204295107020005) 2.2020年应用医学研究项目计划任务书项目编号(Hwk2020yb0014) |
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| 中文摘要: |
| 【】背景 抑郁障碍是青少年心理健康问题中常见的疾病,严重影响青少年的身心健康和生活质量。而自杀作为抑郁障碍的重要危害之一,少年患者自杀已成为严重的公共卫生问题。有研究表明,青少年睡眠质量与负面情绪及自杀相关,但关于睡眠障碍与抑郁障碍青少年自杀风险的研究相对有限。目的 探讨睡眠障碍与抑郁障碍青少年患者自杀风险的相关性。方法选取2020年6月-2023年2月在合肥市第四人民医住院治疗的101例患有抑郁障碍的青少年患者为研究对象。采用自制调查问卷收集青少年患者一般情况,采用自杀风险评估量表(The Nurses’Global Assessment of Suicide Risk,NGASR)评定自杀风险,采用匹茨堡(Pittsburgh Sleep Quality Index, PSQI)睡眠量表评估睡眠状况。对抑郁障碍患者高自杀风险的影响因素进行分析,分析睡眠障碍与高自杀风险的相关性。结果 经NGASR量表评估后,存在高自杀风险的患者共35例,低自杀风险66例,高自杀风险发生率为33.67%。高自杀风险患者PSQI平均评分为9.39±3.76分,低自杀风险组PSQI平均评分7.38±2.17分,高自杀风险组PSQI评分显著高于低自杀风险组,差异有统计学意义(P<0.05),且Pearson相关分析结果发现,PSQI评分与自杀风险呈现显著正相关(r=0.698, P<0.05)。郁障碍青少年存在高自杀风险的影响因素分析发现,学习压力较大、睡眠障碍是高自杀风险的危险因素(均有OR>1, P<0.05),而与同学关系较好、家庭关系较好是其保护因素(均有OR<1, P<0.05)。结论 抑郁障碍青少年自杀风险发生率较高,除学习压力较大是存在高自杀风险的危险因素,与同学关系较好、家庭关系较好是其保护因素外,睡眠障碍也是其重要的危险因素。对于抑郁障碍青少年在积极治疗的基础上,应特别关注其睡眠状况,及时进行干预,以降低高自杀风险的发生率。 |
| 英文摘要: |
| 【】 Background: Depressive disorder is a common disorder among adolescent mental health problems, which seriously affects the physical and mental health and quality of life of adolescents. And suicide as one of the important hazards of depressive disorders, suicide among adolescent patients has become a serious public health problem. Some studies have shown that adolescent sleep quality is associated with negative mood and suicide, but research on sleep disorders and suicide risk in adolescents with depressive disorders is relatively limited. Objective To explore the correlation between sleep disorders and suicide risk in adolescent patients with depressive disorders. Methods101 adolescent patients with depressive disorders who were hospitalized at the Fourth People"s Hospital in Hefei from June 2020 to February 2023 were selected for the study. Self-made questionnaires were used to collect the general information of adolescent patients, and the suicide risk was assessed by The Nurses" Global Assessment of Suicide Risk (NGASR) scale, and the sleep status was assessed by Pittsburgh Sleep Quality Index. (PSQI) sleep scale was used to assess sleep status. The factors influencing high suicide risk in patients with depressive disorders were analyzed to analyze the correlation between sleep disorders and high suicide risk. Results After assessment by NGASR scale, there were 35 patients with high suicidal risk and 66 patients with low suicidal risk, and the incidence of high suicidal risk was 33.67%. The mean PSQI score of patients with high suicide risk was 9.39±3.76, and the mean PSQI score of the low suicide risk group was 7.38±2.17. The PSQI score of the high suicide risk group was significantly higher than that of the low suicide risk group, and the difference was statistically significant (P<0.05), and the results of Pearson correlation analysis found that the PSQI score showed a significant positive correlation with suicide risk (r= 0.698, P<0.05). The analysis of factors influencing the presence of high suicide risk in adolescents with depressive disorders revealed that high academic stress and sleep disorders were risk factors for high suicide risk (all with OR>1, P<0.05), while better relationship with peers and better family relationship were protective factors (all with OR<1, P<0.05). Conclusions The higher incidence of suicide risk in adolescents with depressive disorders is an important risk factor for the presence of high suicide risk, in addition to higher academic stress as a risk factor and better relationship with classmates and family as a protective factor, sleep disorder is also an important risk factor. On the basis of active treatment for depressed adolescents with depressive disorders, special attention should be paid to their sleep status and timely interventions should be made to reduce the incidence of high suicidal risk. |
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