癫痫伴自杀意念患者的睡眠质量、抑郁和焦虑之间的关系。
The relationship between sleep quality, depression, and anxiety in patients with epilepsy and suicidal ideation.
作者信息
Wigg Cristina Maria Duarte, Filgueiras Alberto, Gomes Marleide da Mota
机构信息
Departamento de Psicometria, Instituto de Psicologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Laboratório de Análise de Dados, Núcleo de Neuropsicologia Clínica e Experimental, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
出版信息
Arq Neuropsiquiatr. 2014 May;72(5):344-8. doi: 10.1590/0004-282x20140017.
UNLABELLED
The relationships among suicidal ideation, sleep, depression, anxiety, and effects on epilepsy require more research.
OBJECTIVE
The aim of this study was to estimate the prevalence of suicidal ideation in outpatients with epilepsy, and relate this to sleep quality, daytime sleepiness, depression, and anxiety.
METHOD
Ninety-eight non-selected patients were evaluated. The subjects were classified as "suicidal ideators" or "non-ideators", based on their response to item 9 of the Beck Depression Inventory.
RESULTS
The prevalence of suicidal ideation was 13.3% (χ2=50.46, p<0.001). The differences between cases with or without suicidal ideation were statistically significant in relation to sleep quality (p=0.005) and symptoms of depression (p=0.001) and anxiety (p=0.002).
CONCLUSION
Our results revealed that depression and anxiety were associated with sleep quality, daytime sleepiness, and suicidal ideation and that depression and sleep disturbance were good predictors of suicide in subjects with epilepsy.
未标注
自杀意念、睡眠、抑郁、焦虑之间的关系以及对癫痫的影响需要更多研究。
目的
本研究旨在评估癫痫门诊患者自杀意念的患病率，并将其与睡眠质量、日间嗜睡、抑郁和焦虑相关联。
方法
对98例未经筛选的患者进行评估。根据患者对贝克抑郁量表第9项的回答，将其分为“有自杀意念者”或“无自杀意念者”。
结果
自杀意念的患病率为13.3%（χ2=50.46，p<0.001）。有或无自杀意念的患者在睡眠质量（p=0.005）、抑郁症状（p=0.001）和焦虑症状（p=0.002）方面的差异具有统计学意义。
结论
我们的结果显示，抑郁和焦虑与睡眠质量、日间嗜睡和自杀意念相关，并且抑郁和睡眠障碍是癫痫患者自杀的良好预测指标。
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