Quality of sleep in patients with schizophrenia is associated with quality of life and coping 英文参考文献.docVIP

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Quality of sleep in patients with schizophrenia is associated with quality of life and coping 英文参考文献.doc

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Quality of sleep in patients with schizophrenia is associated with quality of life and coping 英文参考文献

BMC Psychiatry BioMedCentral Research article Open Access Quality of sleep in patients with schizophrenia is associated with quality of life and coping John R Hofstetter*, Paul H Lysaker and Aimee R Mayeda Address: Department of Psychiatry, R.L. Roudebush VA Medical Center, 1481 W. 10th St, Indianapolis, IN, 46202, USA and Department of Psychiatry, Indiana University School of Medicine, 1111 W. 10th St, Indianapolis, IN, 46202, USA Email: John R Hofstetter* - jhofstet@; Paul H Lysaker - Paul.Lysaker@; Aimee R Mayeda - Aimee.Mayeda@ * Corresponding author Published: 03 March 2005 Received: 26 October 2004 Accepted: 03 March 2005 BMC Psychiatry 2005, 5:13 doi:10.1186/1471-244X-5-13 This article is available from: /1471-244X/5/13 ? 2005 Hofstetter et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: While sleep disturbance is widespread in schizophrenia it is less clear whether sleep disturbance is uniquely related to impaired coping and perceived quality of life. Methods: We simultaneously assessed sleep quality, symptoms, and coping in 29 persons with schizophrenia or schizoaffective disorder in a post acute phase of illness. Assessment instruments included the Pittsburgh Sleep Quality Index; the Positive and Negative Symptom Scale; the Heinrichs Quality of Life Scale; and the Ways of Coping Scale. Multiple regressions were performed predicting quality of life and coping from sleep quality controlling for age and symptom severity. On a subset of seven subjects non-dominant wrist actigraphy was used as an objective check of their self-reported poor sleep. Results: Analyses revealed that poor sleep quality predicted low quality of life (r = -0.493; p = .022) and reduced preferen