在慢性原发性失眠患者中，昼夜节律类型与焦虑相关。
Chronotype and anxiety are associated in patients with chronic primary insomnia.
作者信息
Passos Giselle S, Santana Marcos G, Poyares Dalva, D'Aurea Carolina V, Teixeira Alexandre A, Tufik Sergio, de Mello Marco T
机构信息
Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Programa de Mestrado em Ciências Aplicadas à Saúde, Universidade Federal de Goiás (UFG), Regional Jataí, Jataí, GO, Brazil.
出版信息
Braz J Psychiatry. 2017 Apr-Jun;39(2):183-186. doi: 10.1590/1516-4446-2016-2007. Epub 2017 Jan 9.
OBJECTIVE
: To assess the interaction of chronotype with anxiety in patients with chronic primary insomnia.
METHODS
: Sixty-four patients (50 women) with mean age 43.9±8.1 years were investigated with the Horne and Östberg Morningness-Eveningness Questionnaire (MEQ) and State-Trait Anxiety Inventory (STAI).
RESULTS
: Significant negative correlations of chronotype-MEQ score with STAI state-anxiety (r = -0.40, p < 0.05), STAI trait-anxiety (r = -0.40, p < 0.05), and STAI pre-sleep state anxiety (r = -0.30, p < 0.05) were observed. Eveningness preference was associated with higher trait, state, and pre-sleep state anxiety.
CONCLUSIONS
: These results suggest that chronotype may be an important parameter to identifying the origin and significance of a vicious anxiety-insomnia-depression cycle in patients with chronic primary insomnia.
目的
评估慢性原发性失眠患者的昼夜节律类型与焦虑之间的相互作用。
方法
采用霍恩和奥斯特伯格晨型-夜型问卷（MEQ）及状态-特质焦虑量表（STAI）对64例患者（50名女性）进行调查，患者平均年龄为43.9±8.1岁。
结果
观察到昼夜节律类型-MEQ得分与STAI状态焦虑（r = -0.40，p < 0.05）、STAI特质焦虑（r = -0.40，p < 0.05）以及STAI睡前状态焦虑（r = -0.30，p < 0.05）之间存在显著负相关。夜型偏好与更高的特质焦虑、状态焦虑和睡前状态焦虑相关。
结论
这些结果表明，昼夜节律类型可能是识别慢性原发性失眠患者焦虑-失眠-抑郁恶性循环的起源和意义的一个重要参数。
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