Britvić Dolores, Antičević Vesna, Klepac Nataša
Clinical Department of Psychiatry, Split University Hospital Center and School of Medicine, Split, Croatia
University of Split, University Department for Health Studies, Split, Croatia
Acta Clin Croat. 2016 Sep;55(3):396-401. doi: 10.20471/acc.2016.55.03.07.
The aim of this study was to explore differences in the intensity of depressiveness, sleep disturbances and sleepiness between post-traumatic stress disorder (PTSD) patients and patients with depression. A total of 170 patients were examined, including 120 PTSD patients and 50 patients with depression. All participants completed the Beck Depression Inventory, Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. The results showed difference in the subjective assessment of sleep quality between the war veterans with PTSD and civilians with depression, without significant differences between them in the level of depressiveness and sleepiness. Considering the fact that insomnia can occur as an early, covert sign of both PTSD and depression and that differences in the intensity of sleep disturbances between the groups were established, the use of these and similar instruments for the assessment of sleep quality can be useful in distinguishing patients with PTSD and depression, treatment of their sleep disturbances, and prevention of more severe symptoms in both diagnostic categories.
本研究的目的是探讨创伤后应激障碍（PTSD）患者与抑郁症患者在抑郁程度、睡眠障碍和嗜睡方面的差异。共检查了170名患者，其中包括120名PTSD患者和50名抑郁症患者。所有参与者均完成了贝克抑郁量表、匹兹堡睡眠质量指数和爱泼华嗜睡量表。结果显示，患有PTSD的退伍军人与患有抑郁症的平民在睡眠质量的主观评估上存在差异，但在抑郁程度和嗜睡程度上无显著差异。鉴于失眠可能是PTSD和抑郁症的早期隐性症状，且已确定两组在睡眠障碍强度上存在差异，使用这些及类似工具评估睡眠质量有助于区分PTSD患者和抑郁症患者，治疗他们的睡眠障碍，并预防这两种诊断类别中更严重的症状。
