负性生活事件对初中生睡眠质量的影响：有调节的中介作用

目的：探讨负性生活事件对初中生睡眠质量的影响以及抑郁的中介作用和心理韧性的调节作用。方法：采用青少年生活事件量表(ASLEC)、匹兹堡睡眠指数量表(PSQI)、青少年心理韧性量表(RSCA)、儿童抑郁量表(CDI)对随机抽取的1440名初中生进行调查。结果：（1）负性生活事件能够显著负向预测初中生睡眠质量；（2）抑郁部分中介了负性生活事件与初中生睡眠质量之间的关系；（3）抑郁的中介作用受到心理韧性的负向调节，即中介效应对于心理韧性水平低的初中生更大。结论：负性生活事件通过抑郁影响初中生睡眠质量，且抑郁的中介作用受到心理韧性的调节。     

负性生活事件对大学生抑郁的影响：链式中介效应

目的:为探讨心理弹性、人际关系困扰在负性生活事件与抑郁之间的关系。方法:采用青少年生活事件量表、流调中心用抑郁量表、心理弹性量表和人际关系综合诊断量表对728名大学生进行调查。结果:皮尔逊相关分析结果表明负性生活事件与抑郁、人际关系困扰显著正相关(r=0.50,0.30;P0.01);负性生活事件与心理弹性评分呈显著负相关(r=-0.14,P0.01);抑郁与人际关系困扰评分呈显著正相关(r=0.54,P0.01),与心理弹性呈负相关(r=-0.45,P0.01);人际关系困扰与心理弹性评分呈负相关(r=-0.35,P0.01)。中介效应分析结果显示,心理弹性和人际关系困扰在负性生活事件影响抑郁的过程中起链式中介作用,中介效应占总效应的29.56%。结论:负性生活事件分别通过心理弹性、人际关系困扰的中介作用,以及心理弹性和人际关系困扰的链式中介作用影响大学生抑郁。     

脑卒中患者的生活质量与应对方式以及社会支持的相关性研究

目的：探讨脑卒中患者的生活质量、应对方式及其社会支持状况。方法：采用生活质量综合评定问卷（GQOLI）、医学应对问卷（MCMQ）及社会支持评定量表（SSAS）对60例脑卒中患者（观察组）及60名健康自愿者（对照组）进行测评。结果：①观察组生活质量总分及躯体功能、心理功能、社会功能3个维度评分均显著低于对照组（P〈0．01）；②观察组面对分量表评分显著低于对照组，而屈服分量表评分则显著高于对照组（P〈0．01）；③观察组社会支持总分及客观支持、主观支持、支持利用度评分均显著低于对照组（P〈0．01）；④脑卒中患者的生活质量总分及躯体功能、心理功能、社会功能3个维度评分与面对分量表评分及社会支持总分、客观支持、主观支持、支持利用度3个维度评分均呈显著性正相关，而与屈服分量表评分则呈显著性负相关（P〈0．05或P〈0．01）。结论：脑卒中患者的生活质量偏低，与应对方式及社会支持有关。     

高校退休老人家庭功能与自觉幸福度的相关性

目的了解高校退休老人家庭功能与幸福度之间的关系。方法采用家庭亲密度与适应性量表中文版(FACES Ⅱ-CV)和纽芬兰纪念大学幸福度量表(MUNSH)对河北联合大学107名退休老人进行调查。结果不同性别退休老人在幸福度、家庭亲密度和适应性方面无差异;高校退休老人的生活满意程度与幸福度总分存在显著差异(F=11.60,P<0.001),同时与适应性有显著差异(F=6.38,P<0.01),与亲密度有差异(F=3.61,P<0.05);家庭亲密度与老年人的负性情感,负性体验呈显著负相关(P<0.01);家庭适应性与老年人的正性情感显著正相关(P<0.01),与负性情感负相关(P<0.05)。结论老年人对生活满意程度越高,其主观幸福感越高。家庭亲密度和适应性越好,退休老人的自觉幸福度越高。     

中学生睡眠质量与生活事件及社交焦虑

目的探讨中学生睡眠质量的现状及睡眠质量与生活事件及社交焦虑的关系。方法采取分层整群随机抽样的方法,抽取长沙市和湘潭市2836名青少年学生,采用自制一般情况问卷、匹兹堡睡眠质量指数(PSQI)、青少年生活事件量表(ASLEC)和交际焦虑量表(IAS)进行调查。结果 1中学生睡眠质量PSQI总分为(4.88±2.527)分,有14.7%的人存在睡眠问题;2中学生睡眠质量的危险因素包括农村、高中、非独生子女、家庭经济情况较差、家庭暴力、负性生活事件及社交焦虑;3中学生睡眠质量与负性生活事件和社交焦虑呈强相关(r=0.132~0.381,P<0.01),有无睡眠问题中学生间负性生活事件和社交焦虑存在显著差异(t=11.927,4.437;P<0.01)。结论负性生活事件和社交焦虑均对中学生睡眠质量产生较大的负面影响,应引起重视。     

生命意义感在医学生负性生活事件与心理危机脆弱性间的作用

目的:探讨生命意义感在负性生活事件与心理危机脆弱性之间的作用机制。方法:采用青少年生活事件量表(ASLES)、生命意义感量表中文修订版(MLQ-C)、心理危机脆弱性量表对313名医学生进行问卷测量。结果:相关分析显示,负性生活事件与生命意义感呈显著负相关,与心理危机脆弱性呈显著正相关,生命意义感与心理危机脆弱性呈显著负相关。结构方程模型显示,生命意义感在负性生活事件和心理危机脆弱性之间的中介模型拟合度良好(χ~2/df=2.741,CFI=0.949,TLI=0.933,IFI=0.949,RMSEA=0.075),Bootstrap程序显示,生命意义感在负性生活事件与心理危机脆弱性之间起着部分中介效应,中介效应占总效应的比值为26.65%。结论:负性生活事件可通过生命意义感间接预测心理危机脆弱性。     

挫折对高校师范类大学生共情的影响:心理弹性的调节作用

目的:探讨挫折与心理弹性对高师大学生共情的影响机制.方法:采用"青少年生活事件量表"、"心理弹性量表"和"共情量表"对广东省575名高师大学生进行测查.结果:①高师大学生心理弹性与共情呈显著正相关(r = 0.21,P＜0.01),与负性生活事件呈显著负相关(r =-0.16,P＜0.01);②心理弹性在负性生活事件情...     

广东省武警官兵睡眠质量及其与生活质量状况的关系

目的:了解广东省武警官兵的睡眠质量及其与生活质量状况的关系。方法:采用随机整群抽样的方法,用匹兹堡睡眠质量指数量表(PSQI)及世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对广东省武警官兵1170人进行测试和分析。结果:广东省武警官兵睡眠质量总分为6.73±3.13分。武警官兵在生活质量生理领域、心理领域、社会领域和环境领域睡眠好者比睡眠一般者和睡眠差者得分高,差别有统计学意义(P<0.05)。武警官兵生活质量各领域得分与PSQI各成分得分均呈负相关关系。结论:睡眠质量好坏可影响生活质量,保障官兵的睡眠质量,有利于生活质量提高。     

骨肉瘤患者的疼痛、负性情绪、睡眠和生活质量及其相互关系

目的：探讨骨肉瘤患者的疼痛、负性情绪、睡眠和生活质量及其相互关系。方法：应用简式McGill疼痛问卷(SF-MPQ)、疼痛自我效能感问卷（PSEQ）、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、阿森斯失眠量表（AIS）、简式健康相关生活质量问卷（SF-12）对139名骨肉瘤患者和139名健康者的疼痛、情绪、睡眠和生活质量进行评估。结果：61.2%的骨肉瘤患者有中等以上强度的疼痛,PSEQ分与疼痛强度呈明显负相关（P<0.001）;骨肉瘤组在情绪、睡眠、生活质量等量表上的得分均明显高于正常对照组（P<0.01）;骨肉瘤组在疼痛、情绪、睡眠、生活质量等量表上的得分之间存在相关关系（P<0.05）。结论：骨肉瘤导致患者存在疼痛、抑郁、焦虑和睡眠问题,且这些问题相互影响,使得骨肉瘤患者生活质量降低。     

缓解期精神分裂症患者生活质量及其与社会支持等因素的相关研究

目的了解缓解期精神分裂症患者的生活质量及其社会支持等因素对缓解期精神分裂症患者生活质量的影响。方法采用生活质量综合评定问卷（GQOL-74）对50例缓解期精神分裂症综合评定并与50名正常人进行对照，对缓解期精神分裂症患者同时施测社会支持评定量表（SSAS）、阳性与阴性症状量表（PANSS）和药物不良反应量表（TESS）。结果①生活质量总分和社会功能维度分研究组显著低于对照组；②社会支持与生活质量总分及躯体功能、心理功能和社会功能维度存在显著正相关；⑧药物副反应与生活质量总分及躯体功能和心理功能雄度存在显著负相关；④阳性症状与生活质量总分及心理功能维度存在显著负相关，阴性症状与生活质量总分及物质生活、躯体功能、心理功能和社会功能维度均存在显著负相关。结论缓解期精神分裂症患者的生活质量低于正常对照组，并且与社会支持、药物副反应和精神症状密切相关。     

慢性精神分裂症照料者生命质量的调查

目的:调查慢性精神分裂症患者照料者的生命质量状况。方法:纳入符合ICD-10慢性精神分裂症患者照料者60例和与之匹配的健康对照组60例,采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、生活质量综合评定问卷(GQOLI-74)和领悟社会支持量表(PSSS)分别对两组进行评估。结果:慢性精神分裂症患者照料者的HAMD、HAMA评分高于健康对照组(t=8.218,6.144;P0.001),PSSS总分(t=6.242,P=0.000)和GQOLI-74各维度分(t=2.622,4.983,2.983,4.184,6.137;P0.05)低于对照组,差异有统计学意义。生活质量的心理功能维度与心理健康状况(HAMD,HAMA)呈负相关(r=-0.288,-0.312;P0.01),与家庭支持呈正相关(r=0.457,P0.01),总体生活质量因子分与抑郁情绪呈负相关(r=-0.167,P0.05),GQOLI-74的4个维度与社会支持总分呈正相关(r=0.157,0.281,0.414,0.164;P0.05或0.01)。结论:慢性精神分裂症患者照料者的心理健康状态、社会支持度、生活质量较健康对照组差,应引起重视。     

The relationship of subjective sleep quality, pain, and quality of life in advanced cancer patients

STUDY OBJECTIVES: Cancer patients have been reported to complain about poor quality of sleep. This study evaluated the quality of sleep in this group, utilizing demographic data and clinical features of the cancers as assessment criteria. A secondary aim was to evaluate the correlation between the self-rated questionnaire for the quality of sleep with other instruments used in measuring pain and quality of life. DESIGN: A total of 102 patients with stage IV cancer completed the study and were subsequently followed for up to 10 months. Self-rated questionnaires were administered for the evaluation of quality of sleep (PSQI), quality of life Medical Outcomes Study 12-item short-form (SF-12) questionnaire, the Mental Component Summary (MSC) and the Physical Component Summary (PCS), and pain (VAS Pain). The mediation analysis model was also used to evaluate how quality of life can influence the quality of sleep through its relation to pain, the performance status of patients and analgesics (Opioids). PATIENTS: The mean age of the study participants was 62.8 (range: 26.0-87.0) years old. The majority (70.6%) of the patients presented with ECOG score between 2 and 3 and with metastasis (58.8%). RESULTS: Mean Global Sleep Quality score was 12.0+/-4.6. The use of the PSQI questionnaire in cancer patients demonstrated that these subjects were prone to sleep poor quality. However, the various demographic variables and clinical features of the cancers did not affect quality of sleep. Global Sleep Quality scores from the PSQI correlated with the scores obtained from the SF-12 questionnaire and with the VAS Pain results, indicating a relationship between quality of sleep, quality of life and pain. However, only the SF-12 questionnaire had predictive value on quality of sleep. Mediation analysis showed that quality of life influences quality of sleep both directly and indirectly by its effect on pain. In addition, some of the effect of quality of life on sleep quality was mediated by the use of opioids. CONCLUSIONS: Quality of sleep in patients suffering from stage IV cancer was significantly decreased. Demographic data and clinical variables of cancers did not affect the PSQI Global Sleep Quality score. The use of the mediation model also provides evidence that quality of sleep, quality of life, pain, and opioids are strictly correlated each other.     

军校学员睡眠质量现状分析

目的:了解在校军校学员的睡眠质量现状及所存在的问题,并客观分析、研究,指明改善睡眠质量的方法,帮助和引导建立良好的睡眠。方法:采用匹兹堡睡眠质量指数调查表(PSQI)对712名军校学员进行整群抽样。结果:军校大学生匹兹堡睡眠质量平均得分为(6.29±3.13),睡眠障碍发生率为32.16%,5个年级学员睡眠障碍发生率差异具有统计学意义(χ2=22.45,P0.05)。结论:军校学员睡眠障碍发生率较高,学校应采取适当措施改善学员的睡眠质量,促进身心健康。     

汶川地震后18个月都江堰地区青少年睡眠问题共患PTSD、抑郁、焦虑状况

目的:考查汶川地震后18个月青少年睡眠问题共患PTSD、抑郁、焦虑状况及其影响因素。方法:采用便利取样,抽取都江堰地区青少年1287人,应用匹兹堡睡眠质量指数、创伤后应激障碍自评量表、儿童抑郁障碍自评量表、儿童焦虑性情绪障碍自评量表、青少年自评生活事件量表、儿童青少年社会支持评定量表等对其进行评估。结果:采用PSQI总分8作为划界分,震后18个月都江堰地区青少年睡眠问题的检出率为28.2%;睡眠问题共患PTSD、抑郁、焦虑的检出率分别为7.5%、15.6%、17.9%。睡眠质量总分与PTSD(r=0.397)、抑郁(r=0.504)、焦虑总分(r=0.463)显著正相关。在检出有睡眠问题的青少年中,有26.4%检出PTSD,有55.4%检出抑郁,有63.4%检出焦虑。多元Lo-gistic回归表明地震中有亲人伤亡、对支持的利用度低、震后较多负性生活事件是睡眠问题共患PTSD的危险性因素;女性、客观支持少、主观支持少、对支持的利用度低和震后较多负性生活事件是睡眠问题共患抑郁的危险性因素;女性、主观支持低、对支持的利用度低和震后较多继发负性生活事件是睡眠问题共患焦虑的危险性因素。结论:震后18个月睡眠问题共患PTSD、抑郁、焦虑较高,评估及干预青少年的睡眠问题对预防精神健康问题有重要意义。     

Quality of life in patients with an idiopathic rapid eye movement sleep behaviour disorder in Korea

There have been few quality of life studies in patients with idiopathic rapid eye movement sleep behaviour disorder. We compared the quality of life in idiopathic rapid eye movement sleep behaviour disorder patients to healthy controls, patients with hypertension, type 2 diabetes mellitus without complication and idiopathic restless legs syndrome. Sixty patients with idiopathic rapid eye movement sleep behaviour disorder (24 female; mean age: 61.43 ± 8.99) were enrolled retrospectively. The diagnosis was established based on sleep history, overnight polysomnography, neurological examination and Mini‐Mental State Examination to exclude secondary rapid eye movement sleep behavior disorder. All subjects completed questionnaires, including the Short Form 36‐item Health Survey for quality of life. The total quality of life score in idiopathic rapid eye movement sleep behaviour disorder (70.63 ± 20.83) was lower than in the healthy control group (83.38 ± 7.96) but higher than in the hypertension (60.55 ± 24.82), diabetes mellitus (62.42 ± 19.37) and restless legs syndrome (61.77 ± 19.25) groups. The total score of idiopathic rapid eye movement sleep behaviour disorder patients had a negative correlation with the Pittsburg Sleep Quality Index (r = −0.498, P < 0.001), Insomnia Severity Index (r = −0.645, P < 0.001) and the Beck Depression Inventory‐2 (r = −0.694, P < 0.001). Multiple regression showed a negative correlation between the Short Form 36‐item Health Survey score and the Insomnia Severity Index (β = −1.100, P = 0.001) and Beck Depression Inventory‐2 (β = −1.038, P < 0.001). idiopathic rapid eye movement sleep behaviour disorder had a significant negative impact on quality of life, although this effect was less than that of other chronic disorders. This negative effect might be related to a depressive mood associated with the disease.     

广州妊娠期糖尿病孕妇生活事件与孕妇心理健康状况的关系

目的:探讨广州妊娠期糖尿病孕妇(GDM)生活事件与心理健康的关系。方法:采用孕妇生活事件问卷和症状自评量表(SCL-90)对111名妊娠期糖尿病孕妇进行调查分析。结果:孕妇生活事件总分为(188.99±147.92)分,客观事件的得分比主观事件的分数高,负性事件比正性事件得分高;排名前10名生活事件为受到家人更多关心、担心胎儿发育会受到工作影响(如噪音、放射线等)、睡眠、饮食、穿着等生活习惯的改变等;在各维度中,孕妇生活事件总分与焦虑维度的相关系数最高(r=0.288,P0.05),主观事件与抑郁维度系数最高(r=0.271,P0.05),负性事件(r=0.323,P0.05)、客观事件(r=0.279,P0.05)与焦虑维度存在正相关。结论:妊娠期糖尿病孕妇生活事件和孕妇心理健康状况有关。采取有效的措施,减少负性、主观事件的发生,帮助妊娠期糖尿病孕妇更好地应对妊娠和顺利分娩。     

Subjective sleep quality in perimenopausal women and its related factors

Objective: To evaluate the sleep quality and its related factors among perimenopausal women. Methods: A self-designed questionnaire was administered to 506 perimenopausal women. The questionnaire included the influencing factors on the sleep quality, the Pittsburgh Sleep Quality Index (PSQI), the Zung Self-Rating Depression Scales (SDS), the Zung Self-Rating Anxiety (SAS) and the Modified Kupperman Index (KI). Data were analyzed by SPSS11.5. Results: The mean PSQI was 5.97±4.30.Twenty-four percent of perimenopausal women reported poor sleep. Age and perimenopausal symptoms were significantly correlated with sleep quality. The sleep quality of the 45～49 age group was the poorest and the 40～44 age group was the best. The women who had higher Kupperman index were more likely to be poor sleepers. There was no significant correlation between occupation and sleep quality. Night sweat, depression, anxiety, hot flash, stressful life event, and regular exercise were significantly and independently related with sleep quality. Among them, regular exercise was a protective factor of sleep quality. Conclusion:High incidence of poor sleep quality exists among perimenopausal women. Some effective interventions should be taken to improve the sleep quality of perimenopausal women.     

某医药院校大学生睡眠质量与考试焦虑的关系研究

目的了解大学生睡眠质量情况及其与考试焦虑的关系,为提高大学生睡眠质量提供科学依据。方法采用匹兹堡睡眠质量指数(PSQI)和考试焦虑测验量表,对416名大学生进行问卷调查。结果匹兹堡睡眠质量总平均得分为(4.675±2.848)分,有59人(14.18%)的大学生在睡眠质量上存在问题;考试焦虑量表(TAI)的平均得分(38.387±7.462),有21名被试存在较严重的考试焦虑情绪,且考试焦虑与睡眠质量之间存在显著正相关(r=0.243,P0.001)。结论大学生睡眠质量存在问题的比例较高,并且存在较严重的考试焦虑问题,考试焦虑在一定程度上影响到学生的睡眠质量。     

大学生睡眠质量与焦虑抑郁状况及其相关性分析

目的 分析睡眠障碍与焦虑、抑郁的相关性,以期为改善大学生睡眠质量提供一定参考依据。方法 2018年3月应用匹兹堡睡眠量表（PSQI）、焦虑自评量表（SAS）和抑郁自评量表（SDS）对我校4个专业827名大学生进行睡眠质量和心理状态评估。结果 827名大学生PSQI平均总分为（5.73±2.41）分,SAS平均总分为（43.83±9.11）分,SDS平均总分为（41.93±7.71）分。高年级学生、医学类大学生PSQI、SAS、SDS总分高于低年级学生、非医学类大学生PSQI、SAS、SDS总分,差异具有统计学意义（P＜0.05）;PSQI≥8大学生的SDS得分和SAS得分高于5≤PSQI≤7大学生、高于PSQI≤4大学生,SAS≥50分大学生的PSQI总分高于SAS＜50分大学生的PSQI总分,SDS≥53分大学生的PSQI总分高于SDS＜53分大学生的PSQI总分,差异具有统计学意义（P＜0.05）。结论 我校大学生睡眠质量不容乐观,睡眠质量与焦虑、抑郁情绪关系密切,应引起学校管理者及老师的重视。     

Triamcinolone acetonide aqueous nasal spray improves nocturnal rhinitis-related quality of life in patients treated in a primary care setting: the Quality of Sleep in Allergic Rhinitis study.

BACKGROUND: Sleep disturbances due to allergic rhinitis can contribute to daytime fatigue, impair mood, and decrease daytime functioning. OBJECTIVE: To measure allergic rhinitis patients' nocturnal rhinitis-related quality of life using a new, validated disease-specific instrument, the Nocturnal Rhinoconjunctivitis Quality of Life Questionnaire (NRQLQ). METHODS: This open-label study was conducted in a primary care setting. Adult patients with seasonal or perennial allergic rhinitis rated nocturnal rhinitis-related quality of life using the NRQLQ and sleep disturbances using the Pittsburgh Sleep Quality Index (PSQI) at baseline and after 3 weeks of treatment with triamcinolone acetonide aqueous nasal spray (TAA AQ), 220 microg/d. Changes from baseline in overall and individual domain scores for both the NRQLQ and PSQI were evaluated using t tests for paired differences. RESULTS: The majority of the patients (N = 651) were female (58%), were white (85%), and shared a bed with a partner (63%). Mean +/- SD patient age was 45.7 +/- 15.5 years. TAA AQ treatment was associated with significant improvements in overall NRQLQ score (mean +/- SD change, -1.5 +/- 1.3; P < .001) and in individual domain scores (P < .001 for sleep problems, symptoms during sleep, symptoms upon waking in morning, and practical problems). Similarly, overall and individual PSQI domain scores were statistically significantly improved (P < .001). There were strong correlations between NRQLQ and PSQI scores (all comparisons P < .001). CONCLUSIONS: Treatment with TAA AQ for 3 weeks resulted in statistically significant improvements in nocturnal rhinitis-related quality of life and sleep quality in allergic rhinitis patients treated in a primary care setting.