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[原发性失眠患者白天疲劳与过度觉醒的关系]

[Relationship of daytime fatigue and hyperarousal in patients with primary insomnia].

作者信息

Wang Jihui, Wei Qinling, Liang Wenjing

机构信息

Department of Psychiatry, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.

Department of Psychiatry, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China; Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2015 Aug 4;95(29):2355-8.

PMID:26711069
Abstract

OBJECTIVE

To study the relationship between daytime fatigue and hyperarousal in patients with primary insomnia.

METHODS

One hundred and sixty eighty patients with primary insomnia as research group and 149 healthy people as control group were recruited during November 2013 to December 2014 in the psychiatry department of the Third Affiliated Hospital, Sun Yat-sen University. The Hyperarousal Scale (HAS), Pre-Sleep Arousal Scale (PSAS), Fatigue scale-14 (FS-14) and a visual analogue scale (VAS) were used to evaluate the symptom of hyperarousal trait, pre-sleep arousal, daytime fatigue and self reported sleep quality respectively.

RESULTS

The participants in research group had more severe symptoms of hyperarousal trait [(41.9±9.7) vs (27.6±7.0)], pre-sleep arousal [(42.0±7.3) vs (22.1±4.7)], daytime fatigue [(9.2±3.1) vs (3.0±0.7)] than those in control group. According the multiple linear regressions, the daytime fatigue in research group was positively related not only to sleep quality, but also to hyperarousal trait and pre-sleep arousal.

CONCLUSION

Hyperarousal is an important factor which could affect the daytime fatigue in patients with primary insomnia and should be given more attention to.

摘要

目的

研究原发性失眠患者白天疲劳与高度觉醒之间的关系。

方法

2013年11月至2014年12月,在中山大学附属第三医院精神科招募了168例原发性失眠患者作为研究组,149例健康人作为对照组。采用高度觉醒量表(HAS)、睡前觉醒量表(PSAS)、疲劳量表-14(FS-14)和视觉模拟量表(VAS)分别评估高度觉醒特质、睡前觉醒、白天疲劳和自我报告的睡眠质量症状。

结果

研究组参与者的高度觉醒特质症状[(41.9±9.7)vs(27.6±7.0)]、睡前觉醒症状[(42.0±7.3)vs(22.1±4.7)]、白天疲劳症状[(9.2±3.1)vs(3.

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