Norrbrink Budh C, Hultling C, Lundeberg T
Spinalis SCI unit, Karolinska University Hospital, Stockholm, Sweden.
Spinal Cord. 2005 Feb;43(2):85-95. doi: 10.1038/sj.sc.3101680.
A cross-sectional descriptive study of self-reported quality of sleep in individuals with a spinal cord injury (SCI).
To assess and describe subjective quality of sleep in patients with SCI, with and without pain.
Spinalis SCI unit, Stockholm, Sweden.
A total of 230 patients with an SCI were mailed a questionnaire containing queries about pain intensities, pain unpleasantness, mood, and sleep quality (Basic Nordic Sleep Questionnaire) to assess quality of sleep in patients with SCI with and without pain.
Of the 192 questionnaires that were returned (response rate 83.4%), 191 were analysed. Patients were divided into three groups: (1) those who reported no pain (n=50), (2) those who reported intermittent pain (n=42), and (3) those who suffered from continuous pain (n=99). Patients suffering from continuous pain rated pain intensity and unpleasantness significantly higher than those who only suffered from intermittent pain. The group with continuous pain also reported the poorest quality of sleep and the highest ratings of anxiety and depression of the three groups. Anxiety, together with pain intensity and depression, were the main predictors for poor sleep quality.
Poor subjective sleep quality was associated with higher ratings of pain intensity, anxiety, and depression. It is possible that melatonin serves as a modulator of these different aspects.
一项关于脊髓损伤（SCI）患者自我报告睡眠质量的横断面描述性研究。
评估和描述有或无疼痛的脊髓损伤患者的主观睡眠质量。
瑞典斯德哥尔摩的Spinalis脊髓损伤单元。
向总共230名脊髓损伤患者邮寄了一份问卷，其中包含有关疼痛强度、疼痛不适感、情绪和睡眠质量（北欧基本睡眠问卷）的问题，以评估有或无疼痛的脊髓损伤患者的睡眠质量。
在返回的192份问卷中（回复率83.4%），对191份进行了分析。患者被分为三组：（1）报告无疼痛的患者（n = 50），（2）报告间歇性疼痛的患者（n = 42），以及（3）遭受持续性疼痛的患者（n = 99）。遭受持续性疼痛的患者对疼痛强度和不适感的评分明显高于仅遭受间歇性疼痛的患者。在这三组中，持续性疼痛组报告的睡眠质量最差，焦虑和抑郁评分最高。焦虑与疼痛强度和抑郁一起，是睡眠质量差的主要预测因素。
主观睡眠质量差与更高的疼痛强度、焦虑和抑郁评分相关。褪黑素有可能作为这些不同方面的调节因子。
