Bailes Sally, Rizzo Dorrie, Baltzan Marc, Grad Roland, Pavilanis Alan, Creti Laura, Fichten Catherine S, Libman Eva
a Department of Psychiatry , Jewish General Hospital , Montreal , Canada.
b Department of Psychiatry , McGill University , Montreal , Canada.
Behav Sleep Med. 2016 Jul-Aug;14(4):429-41. doi: 10.1080/15402002.2015.1017098. Epub 2015 Oct 5.
The aims of this study were to examine the presence, type, and severity of insomnia complaints in obstructive sleep apnea (OSA) patients and to assess the utility of the Sleep Symptom Checklist (SSC) for case identification in primary care. Participants were 88 OSA patients, 57 cognitive-behavioral therapy for insomnia (CBT-I) patients, and 14 healthy controls (Ctrl). Each completed a sleep questionnaire as well as the SSC, which includes insomnia, daytime functioning, psychological, and sleep disorder subscales. Results showed that OSA patients could be grouped according to 3 insomnia patterns: no insomnia (OSA), n = 21; insomnia (OSA-I), n = 30, with a subjective complaint and disrupted sleep; and noncomplaining poor sleepers (OSA-I-NC), n = 37. Comparisons among the OSA, CBT-I, and Ctrl groups demonstrate distinct profiles on the SSC subscales, indicating its potential utility for both case identification and treatment planning.
本研究的目的是检查阻塞性睡眠呼吸暂停（OSA）患者失眠主诉的存在情况、类型和严重程度，并评估睡眠症状清单（SSC）在初级保健中用于病例识别的效用。参与者包括88名OSA患者、57名接受失眠认知行为疗法（CBT-I）的患者和14名健康对照者（Ctrl）。每个人都完成了一份睡眠问卷以及SSC，SSC包括失眠、日间功能、心理和睡眠障碍分量表。结果显示，OSA患者可根据3种失眠模式进行分组：无失眠（OSA），n = 21；失眠（OSA-I），n = 30，有主观主诉且睡眠中断；以及无主诉的睡眠不佳者（OSA-I-NC），n = 37。OSA组、CBT-I组和Ctrl组之间的比较显示在SSC分量表上有不同的概况，表明其在病例识别和治疗规划方面都有潜在效用。
