摘要
目的:探讨深圳普通居民失眠与抑郁、焦虑的关系。方法:采用多阶段整群随机抽样方法于2020年6月至8月对深圳市龙岗区两个街道共10 434名≥18岁常住居民进行调查,采用失眠严重程度指数量表(ISI)、健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)分别评估其睡眠、抑郁及焦虑情况并分析。结果:ISI总分及各维度得分与PHQ-9、GAD-7得分均呈显著正相关(P均<0.001);不同ISI水平之间PHQ-9及GAD-7得分差异具有统计学意义(H=2266.08,P<0.001;H=2082.56,P<0.001),ISI得分较高的人群PHQ-9与GAD-7得分也越高,而有抑郁、焦虑的普通人群ISI总分分别高于无抑郁、无焦虑者(Z=-60.03,P<0.001;Z=-56.96,P<0.001);ISI中入睡困难、睡眠维持困难、早醒、睡眠满意度、日间功能障碍、继发情绪问题可以显著预测普通人群的抑郁症状(P均<0.05),而入睡困难、睡眠维持困难、早醒、日间功能障碍、继发情绪问题可以显著预测普通人群的焦虑症状(P均<0.001)。结论:深圳市普通人群失眠与抑郁、焦虑密切相关,失眠可以预测抑郁、焦虑症状的发生,应加强早期失眠干预。
Objective:To explore the relations of insomnia with depression and anxiety in Shenzhen general population.Method:A multi-stage cluster random sampling method was used to investigate and analyze 10434 permanent residents aged≥18 years from two streets in Longgang District,Shenzhen from June to August 2020.The Insomnia Severity Index(ISI),Patient Health Questionnaire(PHQ-9)and Generalized Anxiety Disorder(GAD-7)were adopted to evaluate sleep status,depression and anxiety,respectively.Results:All components and total score of ISI were significantly associated with PHQ-9 and GAD-7 scores(all P<0.001).There were significant differences in PHQ-9 and GAD-7 scores between different ISI levels(H=2266.08,P<0.001;H=2082.56,P<0.001),and with higher ISI scores,the PHQ-9 and GAD-7 scores were higher.The general population with depression and anxiety had higher ISI scores than those without depression and anxiety(Z=-60.03,P<0.001;Z=-56.96,P<0.001).Difficulty in initiating and maintaining sleep,early awakening,sleep satisfaction,daytime dysfunction and secondary emotional problems of ISI could significantly predicted depressive symptoms in the general population(all P<0.05),and difficulty in initiating and maintaining sleep,early awakening,daytime dysfunction and secondary emotional problems could significantly predict anxiety symptoms(all P<0.001).Conclusion:Insomnia is closely related to depression and anxiety among the general population in Shenzhen,and insomnia could predict future depression and anxiety.Early intervention for insomnia should be strengthened.
作者
刘惟蜻
王承敏
冀二妮
曾环思
杨星
李秀娟
杨策策
LIU Wei-qing;WANG Cheng-min;JI Er-ni;ZENG Huan-si;YANG Xing;LI Xiu-juan;YANG Ce-ce(Shenzhen Mental Health Center/Shenzhen Kangning Hospital,Shenzhen 518020,China)
出处
《临床精神医学杂志》
CAS
2023年第6期457-461,共5页
Journal of Clinical Psychiatry
基金
广东省医学科研基金项目(B2021035)
广东省高水平临床重点专科(深圳市配套建设经费)资助项目(SZGSP013)
深圳市医学重点学科建设经费资助项目(SZXK043)
深圳市龙岗区科技发展专项资金医疗卫生科技计划项目(LGWJ2021-123)。
关键词
失眠
抑郁
焦虑
普通居民
insomnia
depression
anxiety
general population
