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基层医疗中接受治疗的中国精神分裂症患者失眠症的患病率及其与临床和生活质量的相关性

Prevalence of Insomnia and Clinical and Quality of Life Correlates in Chinese Patients With Schizophrenia Treated in Primary Care.

作者信息

Hou Cai-Lan, Li Yan, Cai Mei-Ying, Ma Xin-Rong, Zang Yu, Jia Fu-Jun, Lin Yong-Qiang, Ungvari Gabor S, Chiu Helen F K, Ng Chee H, Zhong Bao-Liang, Cao Xiao-Lan, Tam Man-Ian, Xiang Yu-Tao

机构信息

Guangdong Mental Health Center, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.

Department of Psychiatry, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.

出版信息

Perspect Psychiatr Care. 2017 Apr;53(2):80-86. doi: 10.1111/ppc.12139. Epub 2015 Sep 21.

Abstract

PURPOSE

To describe the prevalence and clinical correlates of insomnia in schizophrenia patients treated in primary care.

DESIGN AND METHODS

Six hundred and twenty-three schizophrenia patients from 22 primary care services were recruited.

FINDINGS

The prevalence of at least one type of insomnia was 28.9% (180/623), while those of difficulty initiating sleep, difficulty maintaining sleep, and early morning wakening were 20.5%, 19.6%, and 17.7%, respectively. Only 53.3% of patients suffering from insomnia received treatment.

PRACTICE IMPLICATIONS

Insomnia is common in Chinese patients with schizophrenia treated in primary care and the rate of treatment appears low.

摘要

目的

描述在初级保健中接受治疗的精神分裂症患者失眠的患病率及其临床相关因素。

设计与方法

招募了来自22个初级保健机构的623名精神分裂症患者。

研究结果

至少有一种失眠类型的患病率为28.9%(180/623),而入睡困难、睡眠维持困难和早醒的患病率分别为20.5%、19.6%和17.7%。仅有53.3%的失眠患者接受了治疗。

实践意义

在中国初级保健机构接受治疗的精神分裂症患者中,失眠很常见,且治疗率似乎较低。

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