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住院精神科患者的失眠:患病率及相关因素。

Insomnia in hospitalized psychiatric patients: prevalence and associated factors.

作者信息

Talih Farid, Ajaltouni Jean, Ghandour Hiba, Abu-Mohammad Ahmad Subhi, Kobeissy Firas

机构信息

Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.

Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

出版信息

Neuropsychiatr Dis Treat. 2018 Apr 10;14:969-975. doi: 10.2147/NDT.S160742. eCollection 2018.

Abstract

OBJECTIVES

To quantify and describe the prevalence of insomnia in hospitalized psychiatric patients and to investigate the associations between insomnia and demographic and clinical factors in hospitalized psychiatric patients.

METHODS

The participants included 203 individuals hospitalized for psychiatric treatment at an academic medical center. Demographic information, psychiatric diagnoses, current psychotropic medication use, and history of substance use were collected. Insomnia screening was performed using the Insomnia Severity Index. Depressive and anxiety symptoms were also evaluated using the Generalized Anxiety Disorder questionnaire and the Patient Health Questionnaire. Restless legs syndrome (RLS) symptoms were evaluated using the Restless Legs Syndrome Rating Scale (RLSRS). Statistical analysis was conducted to detect the prevalence of insomnia among the participants and to examine possible associations among psychiatric disorders, psychotropic medications, and RLS.

RESULTS

Out of the 203 participants that completed the survey, 67.4% were found to have insomnia and 14.3% were found to have RLS. The severity of insomnia was found to be associated with the presence of RLS, depressive and anxious symptomatology, suicidal ideation, use of selective serotonin reuptake inhibitors, and use of benzodiazepines.

摘要

目的

量化并描述住院精神科患者失眠的患病率,并调查住院精神科患者失眠与人口统计学及临床因素之间的关联。

方法

参与者包括在一家学术医疗中心因精神疾病接受治疗的203名个体。收集了人口统计学信息、精神疾病诊断、当前精神药物使用情况以及物质使用史。使用失眠严重程度指数进行失眠筛查。还使用广泛性焦虑症问卷和患者健康问卷评估抑郁和焦虑症状。使用不安腿综合征评定量表(RLSRS)评估不安腿综合征(RLS)症状。进行统计分析以检测参与者中失眠的患病率,并检查精神疾病、精神药物和RLS之间可能的关联。

结果

在完成调查的203名参与者中,67.4%被发现患有失眠,14.3%被发现患有RLS。发现失眠的严重程度与RLS的存在、抑郁和焦虑症状、自杀意念、选择性5-羟色胺再摄取抑制剂的使用以及苯二氮䓬类药物的使用有关。

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