Komasi Saeid, Soroush Ali, Khazaie Habibolah, Zakiei Ali, Saeidi Mozhgan
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Lifestyle Modification Research Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ann Card Anaesth. 2018 Oct-Dec;21(4):388-392. doi: 10.4103/aca.ACA_210_17.
The assessment of a dream and its mechanisms and functions may help us to percept cognitions, emotions, and complex behaviors of patients. Hence, the present study aimed to assess (i) the rate of perceived dream and its emotional load and content and (ii) the relationship between functions of dream with anxiety and depression.
In this cross-sectional study, 167 cardiac patients who had undergone rehabilitation in the western part of Iran were assessed during May-October 2016. Research instrument included Beck depression inventory, Beck anxiety inventory, Schredl's dream emotions manual, and content analysis of dreams manual. The findings were analyzed through Pearson's correlative coefficient and multiple regression analysis.
The mean age of participants (66.5% men) was 59.1 ± 9 years. The results indicated that the emotional content of patients' dreams included happiness (49.1%), distress (43.1%), sad (13.8%), fear (13.2%), and anger (3%). Although women report more sad dreams than men (P = 0.026), there was no difference between them in terms of other components of dreams, anxiety, and depression. Regression models showed that anxiety and depression were significantly able to predict perceived dream rates (P = 0.030) and emotionally negative dreams (P = 0.019).
The increased rates of depression, especially anxiety, are related to increasing perceived dreams with negative and harmful emotional load. Regarding severity and negative content of dreams are reflexes of stressful emotional daily experiences, the management of experienced psychological symptoms such as depression and anxiety is concerned as an undeniable necessity.
对梦及其机制和功能的评估可能有助于我们理解患者的认知、情绪和复杂行为。因此，本研究旨在评估：（i）感知梦的发生率及其情感负荷和内容；（ii）梦的功能与焦虑和抑郁之间的关系。
在这项横断面研究中，于2016年5月至10月对167名在伊朗西部接受康复治疗的心脏病患者进行了评估。研究工具包括贝克抑郁量表、贝克焦虑量表、施雷德尔梦的情感手册和梦的内容分析手册。通过皮尔逊相关系数和多元回归分析对研究结果进行分析。
参与者的平均年龄为59.1±9岁，男性占66.5%。结果表明，患者梦境的情感内容包括快乐（49.1%）、痛苦（43.1%）、悲伤（13.8%）、恐惧（13.2%）和愤怒（3%）。虽然女性报告的悲伤梦境比男性多（P = 0.026），但在梦境的其他成分、焦虑和抑郁方面，她们之间没有差异。回归模型显示，焦虑和抑郁能够显著预测感知梦的发生率（P = 0.030）和情感上消极的梦境（P = 0.019）。
抑郁尤其是焦虑发生率的增加与带有负面和有害情感负荷的感知梦的增加有关。鉴于梦境的严重程度和负面内容是日常压力性情感体验的反映，对抑郁和焦虑等经历的心理症状进行管理是一项不可否认的必要措施。
