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目的探讨中国人睡眠质量与精神障碍的关系及其相关因素,为各人群心理障碍预防和干预提供参考。方法随机整群抽样法,在全国18省市分层抽取健康人13 080人,发放中国睡眠障碍量表和中国精神疾病预测量表,数据采用SPSS 17.0分别进行描述性统计分析、独立样本t检验、相关分析、回归分析。结果城市人群个性内向、人格偏移因子分显著高于农村人群(P<0.05或0.01),其他心理健康因子分的城乡差异不显著(P>0.05);独生子女的心理健康各因子分显著低于非独生子女(P<0.01);已婚者的心理健康各因子分显著高于未婚者(P<0.01)。中国人睡眠质量与精神障碍显著正相关(P<0.01,r=0.339~0.541)。中国睡眠障碍量表的日间功能(SD1)、失眠(SD2)、嗜睡(SD3)、运动性异样睡眠(SD4)及非运动性异样睡眠(SD5)等5个因子均进入中国精神疾病预测量表总分的回归方程(P=0.000),可解释中国人精神障碍变异的35.6%。结论不同人口学躯体的睡眠质量和精神障碍存在一定差异,睡眠质量对精神障碍有一定的预测作用。
Objective To explore the relationship between sleep quality and mental disorders in Chinese and its related factors so as to provide reference for the prevention and intervention of mental disorders in various populations. Methods A random cluster sampling method was used to select 1380 healthy subjects in 18 provinces and cities nationwide. The Chinese Sleep Disorder Scale and the Chinese mental illness prediction scale were distributed. The data were analyzed by SPSS 17.0 respectively. The independent sample t-test , Correlation analysis, regression analysis. Results Intrinsic personality index and personality deviation factor in urban population were significantly higher than those in rural population (P <0.05 or 0.01). There were no significant differences in other mental health factors between urban and rural areas (P> 0.05) (P <0.01). The scores of mental health of married people were significantly higher than those of unmarried children (P <0.01). There was a significant positive correlation between sleep quality and mental disorders in Chinese (P <0.01, r = 0.339 ~ 0.541). Five factors, including daytime function (SD1), insomnia (SD2), lethargy (SD3), SD4 (non-motor sleepiness) and nonsmovenous sleepiness (SD5) The regression equation of the total score (P = 0.000) explained 35.6% of the variation in mental disorders in China. Conclusion There is a certain difference between sleep quality and mental disorders in different demography body, and sleep quality has some predictive effects on mental disorders.