(终稿)中老年失眠症患者的神经心理特征双双(修改5)6供参习.docVIP

中老年失眠症患者的神经心理特征研究 杨玉玲1，付君1，崔吉吉1，孙彩虹2，田玉双1，王雪婷1，姜洁1，韩辉3﹡ （1.哈尔滨医科大学附属第一医院 国际部,黑龙江 哈尔滨 150001；2.哈尔滨医科大学公共卫生学院儿少卫生与妇幼保健,黑龙江 哈尔滨 150081；3.哈尔滨医科大学附属第一医院干部病房,黑龙江 哈尔滨 150001） 【摘要】目的 初步探讨中老年失眠症患者的焦虑、抑郁、自主神经功能状况及注意力和反应控制力情况。方法 采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自主神经功能检查用表（TMI）和视听觉连续执行任务（CPT）测试对中老年失眠症患者和对照者进行评估，比较两组的焦虑、抑郁、自主神经功能状况、注意力及反应控制力情况。结果 中老年失眠症组抑郁、焦虑和自主神经功能障碍的发生率为分别是60.0%，61.7%，76.7%，明显高于对照组的30.0%，35.0%，20.0%，经统计学分析，差异有统计学意义(P＜0.05)；且中老年失眠症组在视听觉测试中错误数、漏报数及平均反应时间均高于对照组，经统计学分析，差异具有显著性（P＜0.05）。结论 中老年失眠症患者更易出现焦虑、抑郁和自主神经功能障碍，且会有不同程度的注意力及反应控制力的下降。 【关键词】失眠症；焦虑；抑郁；自主神经功能；注意力； Investigation of characteristics of Middle-aged patients with insomnia YANG Yu-ling1,FU Jun1, CUI Zhe1,SUN Cai-hong2,TANG Yu-shuang1,WANG Xue-ting1,JIANG Jie1,HAN Hui3 Department of the International Medical,The Fist Affiliated Hospital of Harbin Medical Universisty,Harbin 150001,China;2.Department of Fewer Health and Maternity and Child Care , Harbin Medical University School of Public Health,Harbin 150081,China;3.Care Ward,The Fist Affiliated Hospital of Harbin Medical Universisty,Harbin 150001,China) [收稿日期]2011-06-21 [基金项目]黑龙江省教育厅科学技术研究资助项目 [作者简介]杨玉玲（1963-），女，黑龙江哈尔滨人，副主任医师，硕士。﹡通讯作者 Abstract : Objective To make an investigation about elderly patients with insomnia wehere they have anxiety, depression, autonomic nerve function status and attention and response control situation. Methods Self-rating anxiety scale (SAS), self-rating depression scale (SDS), autonomic nerve function test using the table (TMI), and visual and auditory continuous performance task (CPT)were used to tests on middle-aged patients with insomnia and controls, comparing the two groups of anxiety, depression, autonomic nerve function status, attention and reaction control situation .Results Depression, anxiety, and autonomic dysfunction in group of middle-aged with insomnia was 60.0%, 61.7%, 76.7%, significantly higher than the 30.0%, 35.0%, 20.0% in control group, Statistical analysis, the difference was statistically sig