Cepuch Gażyna, Gniadek Agnieszka, Gustyn Anna, Tomaszek Lucyna
Faculty of Health Sciences, Jagiellonian University Medical College, Kopernika 25, Kraków, Poland.
Folia Med Cracov. 2017;57(4):27-40.
The aim of the study was to evaluate level of anxiety, depression and aggression and the sleep quality among Polish adolescent and young adult suffering from cystic fibrosis including the evaluation of their FEV1. The study involved 70 patients both male and female aged between 14 and 25 and suffering from cystic fibrosis. Anxiety, depression and aggression were evaluated by means of Hospital Anxiety and Depression Scale and the quality of sleep was examined following Athens Insomnia Scale another aspect taken into consideration was patients' FEV1. The data analysis was carried out by means of Chi2, Kolmogorov-Smirnov test, Student's t-test, Fisher-Snedecor test, Pearson correlation coeficient. The level of statistical significance was set at p <0.05. Anxiety was observed in 27 (38.6%) cases, depression in 17 (24.3%) and aggression in 46 (65.7%) cases. Anxiety (p = 0.017) and aggression (p = 0.004) were significantly higher among women than among men. 37 (52.8%) patients reported sleep disorders. The findings proved that there is a connection between the quality of sleep and anxiety (r = 0.631; p = 0.000), depression (r = 0.621; p = 0.000) and aggression (r = 0.293; p = 0.014). No significant relationship was found between the quality of sleep and patients' expiratory volume. Emotional disorders such as anxiety, depression and aggression as well as sleep disorders are commonly reported in patients suffering from cystic fibrosis.
该研究的目的是评估患有囊性纤维化的波兰青少年和青年成人的焦虑、抑郁和攻击性水平以及睡眠质量,包括对其第一秒用力呼气容积(FEV1)的评估。该研究纳入了70名年龄在14至25岁之间、患有囊性纤维化的患者,男女均有。通过医院焦虑抑郁量表评估焦虑、抑郁和攻击性,按照雅典失眠量表检查睡眠质量,另一个考虑的方面是患者的FEV1。数据分析采用卡方检验、柯尔莫哥洛夫-斯米尔诺夫检验、学生t检验、费雪-斯内德克检验、皮尔逊相关系数。统计学显著性水平设定为p<0.05。观察到27例(38.6%)存在焦虑,17例(24.3%)存在抑郁,46例(65.7%)存在攻击性。女性的焦虑(p = 0.017)和攻击性(p = 0.004)显著高于男性。37例(52.8%)患者报告有睡眠障碍。研究结果证明睡眠质量与焦虑(r = 0.631;p = 0.000)、抑郁(r = 0.621;p = 0.000)和攻击性(r = 0.293;p = 0.014)之间存在关联。未发现睡眠质量与患者呼气容积之间存在显著关系。患有囊性纤维化的患者普遍存在焦虑、抑郁和攻击性等情绪障碍以及睡眠障碍。