Study on Correlation of Sleep Reactivity,Depression and Anxiety Level with Sleep Quality in Patients with Chronic Insomnia
To investigate the relationship between sleep reactivity,sleep awakening,stress,depres-sion and anxiety levels and subjective and objective sleep quality in patients with chronic insomnia(CI),88 volunteers were recruited and divided into CI group(61 cases)and control group(27 ca-ses).Pittsburgh Sleep Quality Index(PSQI)and polysomnography(PSG)were used to evaluate the sleep quality.The levels of sleep reactivity,stress,arousal,depression and anxiety were evalua-ted by Ford Stress Sleep Response Scale(FIRST),PSAS,Stress perception Scale and Hamilton Depression and Anxiety Scale(HAMD and HAMA),respectively.The results showed that com-pared with the control group,the scores of HAMD,HAMA,PSAS,FIRST and CPSS in CI group increased(P＜0.001);sleep reactivity was positively correlated with the number of awakenings and N2 stage in CI patients;awakening before bedtime and stress level were positively correlated with sleep latency and wake up times.Anxiety scores were positively correlated with sleep latency,and anxiety scores and depression scores were negatively correlated with sleep efficiency(P＜0.05).ROC analysis suggested that they may be good predictors to distinguish CI patients from healthy peo-ple.Sleep reactivity,depression and anxiety were increased in CI patients,and were associated with increased arousal and decreased sleep efficiency in CI patients.
chronic insomniasleep reactivitydepression/anxietyobjective quality of sleep
NETL
NSTL
万方数据
维普
