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成都市社区老年人睡眠障碍与抑郁症状的相关性研究
引用本文:李莎,赵琴,周笑楠,廖诗艺,王洋洋,吴月,万洋,邱培媛.成都市社区老年人睡眠障碍与抑郁症状的相关性研究[J].现代预防医学,2023,0(9):1689-1693.
作者姓名:李莎  赵琴  周笑楠  廖诗艺  王洋洋  吴月  万洋  邱培媛
作者单位:四川大学华西公共卫生学院/华西第四医院,四川 成都 610041
摘    要:目的 探讨成都市社区老年人睡眠障碍与抑郁症状发生之间的关联。方法 以成都市锦江区60岁及以上的老年人为研究对象,采用中文版匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评估社区老年人的睡眠障碍,包括主观睡眠质量、入睡时间、睡眠时长、睡眠效率、睡眠紊乱、日间功能障碍、催眠药物使用共7个睡眠维度。采用老年抑郁问卷自评版(the self-reported version of geriatric depression inventory,GDI-SR)评估老年人抑郁症状发生情况。采用二分类logistic回归分析社区老年人不同睡眠维度问题与抑郁症状之间的关系。结果 本研究共纳入587名社区老年人,抑郁症状检出率为16.0%,总体睡眠障碍率为39.5%。社区老年人主观睡眠质量(OR=2.738,95%CI:1.394~5.378)、睡眠紊乱(OR=2.351,95%CI:1.060~5.211)、日间功能障碍(OR=5.063,95%CI:2.911~8.805)、使用催眠药物(OR=2.521,95%CI:1.164~5.461)与抑郁症状...

关 键 词:社区  老年人  睡眠障碍  抑郁症状

Association between sleep disorders and depressive symptoms in the community older adults in Chengdu city
LI Sha,ZHAO Qin,ZHOU Xiao-nan,LIAO Shi-yi,WANG Yang-yang,WU Yue,WAN Yang,QIU Pei-yuan.Association between sleep disorders and depressive symptoms in the community older adults in Chengdu city[J].Modern Preventive Medicine,2023,0(9):1689-1693.
Authors:LI Sha  ZHAO Qin  ZHOU Xiao-nan  LIAO Shi-yi  WANG Yang-yang  WU Yue  WAN Yang  QIU Pei-yuan
Affiliation:West China School of Public Health/West China Fourth Hospital of Sichuan University, Chengdu, Sichuan 610041, China
Abstract:Objective To explore the relationships between sleep disorders and the occurrence of depressive symptoms in the community elderly in Chengdu city. Methods Community older adults aged 60 years old and above in Jinjiang District of Chengdu city were recruited in the study. The seven dimensions of sleep disorder, including subjective sleep quality, sleep onset time, sleep duration, sleep efficiency, sleep disturbance, daytime dysfunction, and use of hypnotic drugs were measured by the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). The self-reported Geriatric Depression Inventory (GDI-SR) was used to evaluate the occurrence of depressive symptoms in the community elderly. Binary logistic regression was used to analyze the correlations between different sleep problems and depressive symptoms in the community elderly. Results Among the 587 elderly people, the incidence rate of depressive symptoms was 16.0% and the overall sleep disturbance was 39.5%. The incidence of depressive symptoms was higher in older people and those with chronic diseases (P<0.05). The results of logistic regression analysis showed that subjective sleep quality (OR=2.738, 95%CI: 1.394-5.378), sleep disturbance (OR=2.351, 95%CI: 1.060-5.211), daytime dysfunction (OR=5.063, 95%CI: 2.911-8.805), and the use of hypnotic drugs (OR=2.521, 95%CI: 1.164-5.461) in community elderly were associated with depressive symptoms (P<0.05). Conclusion Poor subjective sleep quality, sleep disturbance, daytime dysfunction, and use of hypnotics are associated with depressive symptoms. Medical professionals should pay attention to older adults with sleep disorders and take effective interventions to reduce the occurrence of depressive symptoms.
Keywords:Community  Elderly  Sleep disorder  Depressive symptoms
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