睡眠障碍患者焦虑抑郁症状调查分析.docVIP

睡眠障碍患者焦虑抑郁症状调查分析 【关键词】 睡眠障碍；焦虑；抑郁；国内常模 　　【摘要】 目的 探讨睡眠障碍患者的焦虑、抑郁症状特点。 方法 对60例睡眠障碍患者，58例焦虑症患者，63例抑郁症患者采用焦虑自评量表、抑郁自评量表进行评定,并与国内常模比较。结果 睡眠障碍患者的焦虑发生率高于抑郁发生率，差异无显著性（P＞0.05）；不同性别间焦虑、抑郁发生率无显著性差异（P＞0.05）；≥60a者抑郁发生率高于＜60a者，≥60a者焦虑发生率低于＜60a者，差异有显著性(P＜0.05)。睡眠障碍组焦虑、抑郁症状均高于国内常模，但其严重程度均低于焦虑症组和抑郁症组患者，差异有极显著性(P＜0.01)。 结论 睡眠障碍患者焦虑、抑郁症状发生率较高，在治疗的同时应给予抗抑郁剂药物治疗和心理治疗。 　　【关键词】 睡眠障碍；焦虑；抑郁；国内常模 　　Investigations and analyses of anxious and depressive symptoms for patients with insomnia 　　【Abstract】 Objective To explore the features of anxious and depressive symptoms of patients with insomnia. Methods 60 patients with insomnia, 59 anxiety and 63 depression were assessed with the Selfrating Anxiety Scale(SAS) and Selfrating Depression Scale(SDS) and compared with national norm. Results The incidence rate of anxiety was higher than that of depression in patients with insomnia, but the difference was not significant (Pgt;0.05). Incident rate of anxiety and depression had no difference in sex(Pgt;0.05).Incidence of depression or anxiety was higher or lower in the patients who was older than 60 years than in ones younger than 60 years, the difference had significance(Plt;0.05).The anxious and depressive symptoms in patients with insomnia were both higher than those in the national norm, but the severity was lower than patients with anxiety or depression, difference had the most significance(Plt;0.01). Conclusion Patients with insomnia had higher incidence of anxious and the depressive symptoms, at the same time of treatment should be given antidepressants and psychotherapy. 　　【Keywords】 Insomnia; anxiety; depression; national norm 　　失眠症是最常见的睡眠障碍，主要表现为入睡困难、早醒、多梦、焦虑、身体不适等。引起失眠的原因很多，但最常见的是情绪的焦虑、抑郁及睡眠卫生不良等原因引起［1］。因此，了解睡眠障碍患者的焦虑、抑郁状况，有助于指导治疗。为此作者进行了相关调查分析，现将结果报告如下。 　　1 资料与方法 　　1.1对象 选取我院2004年1月~2004年12月就诊的60例睡眠障碍患者为研究组，符合《中国精神障碍分类与诊断标准》第3版（CCMD3）失眠症诊断标准，排除继发其它疾病的失眠。其中男28例，女32例，年龄26~65a，平均44.56±18.4a，病程2mo～10a；60a以上24例，60a以下36例；家族史：神经衰弱15例（25%），精神疾病3例（5%）。