| 刘蕾,陈娟,杨德英,徐莲英,杨洁,高敏.青少年抑郁障碍患者的自杀风险：睡眠质量的影响及相关因素[J].四川精神卫生杂志,2024,37(6):520-525.Liu Lei,Chen Juan,Yang Deying,Xu Lianying,Yang Jie,Gao Min,Suicide risk in adolescents with depressive disorders： the impact of sleep quality and related factors[J].SICHUAN MENTAL HEALTH,2024,37(6):520-525 |
| 青少年抑郁障碍患者的自杀风险：睡眠质量的影响及相关因素 |
| Suicide risk in adolescents with depressive disorders： the impact of sleep quality and related factors |
| 投稿时间：2023-10-16 |
| DOI：10.11886/scjsws20231016002 |
| 中文关键词: 青少年 抑郁障碍 睡眠质量 自杀 |
| 英文关键词:Adolescents Depressive disorder Sleep quality Suicide |
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| 中文摘要: |
| 背景 青少年群体的抑郁问题日趋严重，严重影响青少年健康成长。青少年抑郁障碍患者的睡眠问题逐渐受到关注，但目前尚缺少关于青少年抑郁障碍患者睡眠质量与自杀风险关系的研究。目的 探讨青少年抑郁障碍患者自杀风险与睡眠质量的关系，并分析其自杀风险的影响因素，为临床干预提供参考。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、符合《国际疾病分类（第10版）》（ICD-10）抑郁障碍诊断标准的青少年患者101例。采用护士用自杀风险评估量表（NGASR）和匹兹堡睡眠质量指数量表（PSQI）进行评定。根据NGASR评分，将患者分为严重自杀风险组（n=35）和非严重自杀风险组（n=66）。采用Pearson相关分析考查青少年抑郁障碍患者NGASR评分与PSQI评分的相关性。采用多元Logistic回归分析考查青少年抑郁障碍患者严重自杀风险的影响因素。结果 两组患者的学习压力、同学关系以及家庭关系比较，差异均有统计学意义（t=3.942、4.378、6.748，P均<0.05）。两组PSQI评分比较，差异有统计学意义（t=7.398，P<0.05）。两组睡眠质量比较，差异有统计学意义（χ2=4.986，P<0.05）。Pearson相关分析结果显示，青少年抑郁障碍患者PSQI总评分与NGASR总评分呈正相关（r=0.698，P<0.05）。重度抑郁障碍（OR=1.628，95% CI：1.079~2.457）、学习压力较大（OR=1.118，95% CI：1.018~1.228）、睡眠质量不良（OR=1.158，95% CI：1.033~1.297）是严重自杀风险的危险因素，同学关系较好（OR=0.908，95% CI：0.826~0.998）、家庭关系较好（OR=0.904，95% CI：0.823~0.993）是严重自杀风险的保护因素。结论 青少年抑郁障碍患者的睡眠质量与自杀风险呈负相关，睡眠质量不良可能是青少年抑郁障碍患者高自杀风险的危险因素。 |
| 英文摘要: |
| Background The issue of depression among adolescents is becoming increasingly serious， seriously endangering their healthy development. The issue of sleep disturbances in adolescents with depressive disorder is gradually receiving attention， but there is currently a lack of research on the relationship between sleep quality and suicide risk in this patient population.Objective To explore the relationship between suicide risk and sleep quality in adolescents with depressive disorders， and analyze the influencing factors of suicide risk， so as to provide references for clinical intervention.Methods A total of 101 adolescents patients who met the diagnostic criteria for depressive disorder in the International Classification of Diseases， 10th edition （ICD-10） and were hospitalized at Hefei Fourth People's Hospital from June 2020 to February 2023 were selected. The patients were evaluated using the Nurses' Global Assessment of Suicide Risk （NGASR） and Pittsburgh Sleep Quality Index （PSQI）. According to the NGASR score， patients were divided into severe suicide risk group （n=35） and non-severe suicide risk group （n=66）. Pearson correlation analysis was used to examine the correlation between sleep quality and suicide risk in adolescents with depression. Multiple Logistic regression was used to analyze the influencing factors of severe suicide risk in adolescent patients with depression.Results Statistically significant differences were found between the two groups in terms of academic pressure， peer relationship and family relationship （t=3.942， 4.378， 6.748， P<0.05）. Moreover， there was a statistically significant difference in PSQI score between two groups （t=7.398， P<0.05）. There was also a statistically significant difference in sleep quality between the two groups （χ2=4.986， P<0.05）. Pearson correlation analysis showed a positive correlation between total PSQI score and NGASR score （r=0.698， P<0.05）. Severe depression （OR=1.628， 95% CI： 1.079~2.457）， high academic pressure （OR=1.118， 95% CI： 1.018~1.228） and poor sleep quality （OR=1.158， 95% CI： 1.033~1.297） were identified as risk factors of severe suicide risk， while good relationships with classmates （OR=0.908， 95% CI： 0.826~0.998） and family （OR=0.904， 95% CI： 0.823~0.993） were protective factors.Conclusion Sleep quality in adolescents with depression is negatively correlated with suicide risk and poor sleep quality may be a risk factor for severe suicide risk. |
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