Lee Sang-Ahm, Han Su-Hyun, No Young-Joo, Jo Kwang-Deog, Kwon Jee-Hyun, Kim Jeong Yeon, Shin Dong-Jin
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Epilepsy Behav. 2015 Nov;52(Pt A):225-9. doi: 10.1016/j.yebeh.2015.09.011. Epub 2015 Nov 6.
We determined whether sleep hygiene is directly related to mood and quality of life (QoL) in people with epilepsy and, if not, documented the indirect effects of sleep hygiene through sleep quality.
Data were collected from 150 adults with epilepsy. The Sleep Hygiene Index (SHI), Quality of Life in Epilepsy-10 (QOLIE-10), Hospital Anxiety and Depression Scale (HADS), Sleep Problems Index-2 (SPI-2) of the Medical Outcomes Study-Sleep Scale, and Epworth Sleepiness Scale (ESS) were used. To determine the direct and indirect associations between SHI, mood, and QoL, multiple linear regression analyses and the Sobel test were performed.
Inadequate sleep hygiene behaviors were answered affirmatively by ≥15% of the participants represented by 6 out of 13 items of the SHI. A younger age was independently related to higher SHI scores (p=0.013). The higher SHI scores were directly related to lower QoL independent of sleep quality, anxiety, and depressive symptoms (p<0.05) but not independently related to anxiety and depressive symptoms. The Sobel test confirmed that the SHI scores were associated with anxiety and depressive symptoms through sleep quality (p<0.001).
Inadequate sleep hygiene is independently related to low QoL but indirectly related to anxiety and depressive symptoms through sleep quality. Patients of a younger age are at risk of poorer sleep hygiene.
我们确定了睡眠卫生是否与癫痫患者的情绪和生活质量（QoL）直接相关，如果不是，则记录了睡眠卫生通过睡眠质量产生的间接影响。
收集了150名成年癫痫患者的数据。使用了睡眠卫生指数（SHI）、癫痫生活质量-10（QOLIE-10）、医院焦虑抑郁量表（HADS）、医学结局研究睡眠量表的睡眠问题指数-2（SPI-2）以及爱泼沃斯思睡量表（ESS）。为了确定SHI、情绪和生活质量之间的直接和间接关联，进行了多元线性回归分析和索贝尔检验。
SHI的13个项目中有6个项目显示，≥15%的参与者肯定了睡眠卫生行为不足。年龄较小与较高的SHI得分独立相关（p=0.013）。较高的SHI得分与较低的生活质量直接相关，与睡眠质量、焦虑和抑郁症状无关（p<0.05），但与焦虑和抑郁症状并非独立相关。索贝尔检验证实，SHI得分通过睡眠质量与焦虑和抑郁症状相关（p<0.001）。
睡眠卫生不足与低生活质量独立相关，但通过睡眠质量与焦虑和抑郁症状间接相关。年龄较小的患者存在睡眠卫生较差的风险。
