| 孟繁强,杨丽娟,张居易,李占江.伴失眠的抑郁症患者睡眠认知特征及其对睡眠质量的影响[J].四川精神卫生杂志,2022,35(4):319-324.Meng Fanqiang,Yang Lijuan,Zhang Juyi,Li Zhanjiang,Characteristics of the sleep-related beliefs in depressive patients comorbid with insomnia and its influence on sleep quality[J].SICHUAN MENTAL HEALTH,2022,35(4):319-324 |
| 伴失眠的抑郁症患者睡眠认知特征及其对睡眠质量的影响 |
| Characteristics of the sleep-related beliefs in depressive patients comorbid with insomnia and its influence on sleep quality |
| 投稿时间：2022-05-03 |
| DOI：10.11886/scjsws20220503001 |
| 中文关键词: 抑郁症 失眠 信念与态度 失眠认知行为治疗 |
| 英文关键词:Depressive disorders Insomnia Beliefs and attitudes Cognitive behavioral therapy for insomnia |
| 基金项目:首都卫生发展科研专项项目（项目名称：基于认知行为治疗的失眠自我管理技术社区应用和推广研究，项目编号：首发2020-3-2124）；北京市属医院科研培育项目（项目名称：失眠症认知行为治疗不同技术成分的效果比较研究，项目编号：PX2019067） |
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| 中文摘要: |
| 目的 了解伴失眠的抑郁症患者对睡眠的信念与态度，并探讨其对睡眠质量的影响。方法 纳入在首都医科大学附属北京安定医院就诊、符合《精神障碍诊断与统计手册（第4版）》（DSM-IV）诊断标准的伴失眠的抑郁症患者（n=61）和原发性失眠患者（n=62）为研究对象，并招募健康对照组（n=64）。三组被试均接受睡眠功能失调信念和态度量表（DBAS）及匹兹堡睡眠质量指数量表（PSQI）评定，伴失眠的抑郁症患者同时接受汉密尔顿抑郁量表17项版（HAMD-17）评定。采用协方差分析比较三组被试PSQI和DBAS评分。采用多元线性回归分析探讨伴失眠的抑郁症患者PSQI评分的影响因素。结果 伴失眠的抑郁症组和原发性失眠组PSQI评分均高于对照组（t=18.932、18.610，P均<0.01），两组DBAS评分均低于对照组（t=-5.561、-5.791，P均<0.01）。以伴失眠的抑郁症患者PSQI评分作为因变量，建立的多元线性回归方程具有统计学意义（F=14.095，R2=0.327，P<0.05），DBAS中对睡眠的预测与控制因子和年龄是患者睡眠质量的影响因素（B=-0.100、-0.279，P<0.05或0.01）。结论 伴失眠的抑郁症患者比正常人存在更多的睡眠相关负性认知，且不良认知可能是其睡眠质量的影响因素。 |
| 英文摘要: |
| Objective To explore the beliefs and attitudes about sleep in patients with comorbid depressive disorder and insomnia， and to explore its influence on sleep quality.Methods Patients with comorbid depressive disorder and insomnia （n=61） and patients with primary insomnia （n=62） who met criteria specified in the Diagnostic and Statistical Manual of Mental Disorders， fourth edition （DSM-IV） in Beijing Anding Hospital Affiliated to Capital Medical University were enrolled， meantime， another 64 healthy controls were recruited. All subjects were assessed using Dysfunctional Beliefs and Attitudes about Sleep （DBAS） and Pittsburgh Sleep Quality Index （PSQI）. Additionally， patients with comorbid depressive disorder and insomnia were evaluated using Hamilton Depression Scale-17 item （HAMD-17）. The PSQI and DBAS scores were compared among three groups using analysis of covariance， and multiple linear regression analysis was used to screen the factors affecting PSQI score in patients with comorbid depressive disorder and insomnia.Results Compared with healthy controls， higher scores of PSQI （t=18.932， 18.610， P<0.01） along with lower scores of DBAS （t=-5.561， -5.791， P<0.01） were observed in patients with comorbid depressive disorder and insomnia and patients with primary insomnia. Taking the PSQI score of patients with comorbid depressive disorder and insomnia as the dependent variable， statistically significant equations were generated using multiple linear regression analysis （F=14.095， R2=0.327， P<0.05）， and the predictive and control factors of sleep in DBAS and age were found to be the influencing factors of PSQI score in patients （B=-0.100， -0.279， P<0.05 or 0.01）.Conclusion Compared with the normal，depression patients with insomnia have more dysfunctional beliefs and attitudes towards sleep，and dysfunctional cognition may be the influencing factor of their sleep quality. |
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