社区老年人睡眠与心理健康相关性研究

目的了解社区老年人睡眠与心理健康的关系。方法使用睡眠状态自评量表（SRSS）、症状自评量表（SCL-90）评定社区老年人41例。结果与SCL-90间具正相关的因子有：SRSS总分与强迫、抑郁、焦虑、敌对、阳性项目、SCL-90总分;失眠后反应与抑郁、焦虑、敌对、偏执、SCL-90总分;睡眠不稳与阳性均分;早醒与强迫、抑郁;恶梦夜惊与焦虑;药物与抑郁、焦虑、SCL-90总分。结论老年人抑郁、焦虑等心理障碍与睡眠障碍互相影响，提示对抑郁焦虑伴随的睡眠障碍可使用抗抑郁、焦虑药及认知治疗。注意睡眠卫生可以改善老年人心理健康，增进心理健康也会改善睡眠。

Relationship between the quality of sleep and the mental health of elder people in community

Objective　To study the relationship between the quality of sleep and the mental health of elder people in community.Method　 41 social elderly people were studied by using Self-rating Scale of Sleep (SRSS) and Symptom Checklist 90 (SCL-90).Results　There was a significant difference in the mean of total score of SRSS and obsessive-compulsive, depression, anxiety, hostility, total score of SCL-90 ; the response of insomnia and depression, anxiety, hostility, paranoid ideation, total score of SCL-90; inability to sleep soundly and wake early, obsessive-compulsive, depression; medicine and depression, anxiety, total score of SCL-90; frightening dream and anxiety Conclusion　 The results suggested depression and sleep disorder affeced each other in elderly people. We would treat sleep disorder with depression and anxiety using antidepressants,anti-anxiety drugs and cognitive therapy. Improving sleep states would have a beneficial effect on the mental health of the elder, and improving mental health would be benefit for sleep.