摘要
目的 探讨觉醒过度、性格特点及应对策略等因素对应激性失眠易患性的影响情况.方法 以345名睡眠良好的健康志愿者为研究对象,采用自编一般资料问卷、福特应激失眠反应量表（FIRST）、睡前觉醒状态量表（PSAS）、大五人格问卷（NEOPI-R）、压力应对方式调查问卷（CISS）、心率变异度（HRV）评估研究对象心理及生理变化特点.使用FIRST将研究对象分为应激性失眠高风险组（高风险组,n=172）和应激性失眠低风险组（低风险组,n=173）.结果 与低风险组比较,高风险组年龄偏小[（27.91±8.22）岁vs（24.82±7.73）岁],女性所占比例较高（34.7％ vs 53.4％）,差异有统计学意义（P＜0.01或0.05）.高风险组PSAS总分[（30.11±6.22）分]、睡前认知觉醒因子分[（17.73±4.51）分]、睡前生理觉醒因子分[（12.78±3.23）分],NEOPI-R神经质因子分[（3.13±0.51）分],CISS情感指向因子分[（48.98±10.54）分],HRV指标LF/HF值（1.51±0.19）高于低风险组[（28.52±5.82）分,（16.32±4.32）分,（11.41±2.75）分,（2.87±0.47）分,（46.23±11.21）分,（1.17±0.11）],差异有统计学意义（P＜0.01或0.05）;NEOPI-R外倾性因子分[（2.96±0.54）分],HRV指标HF值[（311.21±72.32） ms2/Hz]、LF值[（469.49±85.67） ms2/Hz]低于低风险组[（3.11±0.56）分,（490.43±91.74） ms2/Hz,（573.21±98.75） ms2/Hz],差异有统计学意义（P＜0.01或0.05）.线性回归方程分析显示性别、PSAS总分、睡前认知觉醒因子分、睡前生理觉醒因子分、神经质因子分、情感指向因子分、LF/HF值均与FIRST评分显著相关（P＜0.01或0.05）.结论 认知-生理觉醒过度、神经质性格特征可能是个体易患应激性失眠的病前特征,不良的压力应对策略促进了失眠症的发展.
Objective To explore the influence factors of hyperarousal,personality characteristics and coping strategies on the vulnerability to stress-related sleep disturbance.Methods A total of 345 sleep good healthy volunteers were recruited by ＂ purposive sampling＂ technique.Every participant completed an extensive survey that included the general condition questionnaire,Ford Insomnia Response to Stress Test （FIRST）,PreSleep Arousal Scale （PSAS）,NEO Personality Inventory-Revised （NEOPI-R）,Coping Inventory for Stressful Situations （CISS） and Heart Rate Variability（HRV）.All participants were classified as ＂High risk group＂ and ＂ Low risk group＂ by using the FIRST criterion.Results The high risk group was younger than the low risk group （27.91±8.22 vs 24.82±7.73,P〈0.01）,and had a higher percentage of females （34.7% vs 53.4%,P〈0.05）.The high risk group showed significantly higher scores in PSAS total （30.11±6.22）,pesleep cognitive arousal （17.73± 4.51）,presleep somatic arousal （12.78 ± 3.23）,neuroticism （3.13 ± 0.51）,emotion oriented （48.98 ± 10.54）,but lower score in extraversion （2.96±0.54）,then those indicators of the low risk group （28.52±5.82,16.32±4.32,11.41±2.75; 3.11±0.56,2.87±0.47,46.23±11.21,3.11±0.56,P〈0.01 or 0.05）.There were significant difference between the two group in LF/HF （1.51 ±0.19 vs 1.17±0.11,P〈0.01）,HF（（311.21 ±72.32） ms2/Hz vs （490.43 ± 91.74）ms2/Hz,P〈0.01）,LF（（469.49±85.67）ms2/Hzvs （573.21±98.75） ms2/Hz,P〈0.01） in HRV.Results of linear regression analysis showed that gender,and scores of PSAS total,cognitive arousal,presleep cognitive arousal,presleep somatic arousal,neuroticism,emotion oriented and LF/HF were significant correlation with FIRST score （P〈0.01 or 0.05）.Conclusion Presleep cognitive and somatic arousal,neurotic character may be the premorbid characteristics of stress-related sleep disturbance,and bad stress coping strategies are easy to promote the dev
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2015年第2期162-165,共4页
Chinese Journal of Behavioral Medicine and Brain Science
基金
河南省重点科技攻关项目（102102310434）
关键词
应激性失眠
易患性
觉醒过度
压力应对方式
Stress-related sleep disturbance
Vulnerability
Hyperarousal
Stress coping strategy
