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精神分裂症患者的失眠:患病率和生活质量。

Insomnia in Schizophrenia Patients: Prevalence and Quality of Life.

机构信息

Nou Barris Mental Health Center, 08016 Barcelona, Spain.

Social Inclusion Chair, Rovira i Virgili University, 43002 Tarragona, Spain.

出版信息

Int J Environ Res Public Health. 2020 Feb 19;17(4):1350. doi: 10.3390/ijerph17041350.

DOI:10.3390/ijerph17041350
PMID:32093111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068578/
Abstract

Sleep disorders are often not regarded as an important health problem, despite their impact on heath. Insomnia is the most frequent sleep disorder in mental health. The aim is to quantify the prevalence of insomnia in a population with schizophrenic disorder and assess its influence on quality of life. This is a descriptive, analytical and cross-sectional study conducted in a sample of 267 schizophrenic patients over 18 years of age using consecutive non-probabilistic sampling. The variables of interest were collected by means of the "Cuestionario Oviedo de Sueño," "Insomnia Severity Index" and EuqoQol-5D. The estimation of insomnia in our schizophrenic population according to the International Classification of Disease (ICD-10) criteria was 23.2%. The likelihood of insomnia when there are problems in the quality of life is significant in all its dimensions: mobility OR: 3.54 (95% CI 1.88- 6.65), self-care OR: 2.69 (95% CI 1.36-5.32), usual activities OR: 3.56 (95% CI 1.97-6.44), pain/discomfort OR: 4.29 (95% CI 2.37-7.74) and anxiety/depression OR: 3.01 (95% CI 1.61-5.65). The prevalence of insomnia fluctuates depending on the diagnostic criteria; however, the schizophrenic population shows high prevalence in some clinical characteristics. People with insomnia have a lower quality of life.

摘要

睡眠障碍通常不被视为一个重要的健康问题,尽管它们对健康有影响。失眠是精神健康中最常见的睡眠障碍。目的是量化精神分裂症患者人群中失眠的患病率,并评估其对生活质量的影响。这是一项描述性、分析性和横断面研究,在一个年龄在 18 岁以上的 267 名精神分裂症患者样本中进行,使用连续非概率抽样。通过使用“奥维多睡眠问卷”、“失眠严重程度指数”和 EuqoQol-5D 收集感兴趣的变量。根据国际疾病分类(ICD-10)标准,我们的精神分裂症人群中失眠的估计患病率为 23.2%。当生活质量出现问题时,失眠的可能性在所有维度上都是显著的:行动能力 OR:3.54(95%CI 1.88-6.65)、自我护理 OR:2.69(95%CI 1.36-5.32)、日常活动 OR:3.56(95%CI 1.97-6.44)、疼痛/不适 OR:4.29(95%CI 2.37-7.74)和焦虑/抑郁 OR:3.01(95%CI 1.61-5.65)。失眠的患病率取决于诊断标准;然而,精神分裂症患者在某些临床特征中表现出较高的患病率。失眠患者的生活质量较低。

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