Müller Matthias J, Olschinski Christiane, Kundermann Bernd, Cabanel Nicole
Vitos Clinical Centre for Psychiatry and Psychotherapy, Giessen-Marburg, Germany; Justus-Liebig University of Giessen, Giessen, Germany.
Vitos Clinical Centre for Psychiatry and Psychotherapy, Giessen-Marburg, Germany.
Arch Psychiatr Nurs. 2017 Feb;31(1):77-82. doi: 10.1016/j.apnu.2016.08.008. Epub 2016 Aug 21.
Sleep complaints and sleep disturbances are common in depression; however, the association of sleep duration and subjective sleep quality has been rarely investigated. Thus, subjective sleep quality and sleep duration were analyzed in depressed inpatients. Questionnaire data comprising clinical and sleep-related questions were sampled over a one-year period from adult inpatients with depressive syndromes. Sleep duration and items related to sleep quality were analyzed by means of group comparisons (sleep duration categories) and correlation analyses. Data of 154 patients (age 58.2±17.0 years, 63.6% women) were analyzed. Mean sleep duration was 7.2±2.1 h (16.9% of patients were below and 7.1% above age-specific recommendations), 25-40% of patients reported almost always daytime sleepiness, non-restorative sleep, attention deficits, or memory complaints with significant correlations between all variables (P<0.05). Sleep duration and sleep quality indicators showed significant curvilinear associations (quadratic contrast, P<0.05); i.e. extremely low and high sleep durations were associated with unfavorable sleep quality and subjective cognitive impairment. Non-recommended low or high sleep durations occur in a substantial proportion of patients with depression, and both were associated with poor sleep quality and subjectively impaired cognitive functions. Clinicians should be aware of these relationships. During hospitalization, a more individualized sleep-wake schedule should be applied.
睡眠问题和睡眠障碍在抑郁症患者中很常见；然而，睡眠时间与主观睡眠质量之间的关联却鲜有研究。因此，我们对抑郁症住院患者的主观睡眠质量和睡眠时间进行了分析。我们从患有抑郁综合征的成年住院患者中，在一年的时间里收集了包含临床和睡眠相关问题的问卷数据。通过组间比较（睡眠时间类别）和相关分析，对睡眠时间和与睡眠质量相关的项目进行了分析。分析了154例患者的数据（年龄58.2±17.0岁，女性占63.6%）。平均睡眠时间为7.2±2.1小时（16.9%的患者低于特定年龄的建议睡眠时间，7.1%的患者高于该建议睡眠时间），25 - 40%的患者几乎总是报告白天嗜睡、睡眠无恢复感、注意力缺陷或记忆力问题，所有变量之间均存在显著相关性（P<0.05）。睡眠时间和睡眠质量指标显示出显著的曲线关联（二次对比，P<0.05）；即睡眠时间极低和极高均与不良睡眠质量和主观认知障碍相关。在相当比例的抑郁症患者中出现了不建议的低或高睡眠时间，且两者均与睡眠质量差和主观认知功能受损有关。临床医生应了解这些关系。在住院期间，应采用更个性化的睡眠 - 觉醒时间表。
