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主观性和心理生理性失眠:睡眠倾向与人格的考察

Subjective and psychophysiologic insomnia: an examination of sleep tendency and personality.

作者信息

Dorsey C M, Bootzin R R

机构信息

McLean Hospital/Harvard Medical School, Belmont, Massachusetts 02178, USA.

出版信息

Biol Psychiatry. 1997 Jan 15;41(2):209-16. doi: 10.1016/0006-3223(95)00659-1.

Abstract

The goal of this study was to compare insomniacs with and without objective verification, on the basis of sleep parameters, personality, and performance. An insomniac complaint group was subclassified as objective insomniac (OI) or subjective insomniac (SI) and compared to a non-complaint group. Groups did not differ on night sleep variables or daytime sleep latency measures; rather, a consistent sleep tendency was revealed for all three groups. The poorer the previous night sleep, the longer the daytime sleep latencies. Groups differed on subjective measures of conscious state during the day. SIs inaccurately estimated sleep/wake state in comparison to objective measures on the MSLT, whereas OIs were accurate in their estimations. Personality scores showed trends that suggested greater neuroticism for SIs and introversion for OIs. Results demonstrated subjective tendencies and related personality types that may help in the understanding of the complaint of insomnia with and without objective findings.

摘要

本研究的目的是基于睡眠参数、性格和表现,对有和没有客观验证的失眠症患者进行比较。将失眠主诉组进一步分为客观失眠症(OI)或主观失眠症(SI),并与无主诉组进行比较。各组在夜间睡眠变量或白天睡眠潜伏期测量方面没有差异;相反,三组均呈现出一致的睡眠倾向。前一晚睡眠质量越差,白天的睡眠潜伏期越长。各组在白天意识状态的主观测量方面存在差异。与多导睡眠潜伏期试验(MSLT)的客观测量相比,主观失眠症患者对睡眠/觉醒状态的估计不准确,而客观失眠症患者的估计则是准确的。性格得分显示出一些趋势,表明主观失眠症患者的神经质倾向更强,客观失眠症患者更内向。结果表明了主观倾向和相关的性格类型,这可能有助于理解有无客观检查结果的失眠主诉。

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