强迫症状对强迫症患者睡眠的影响

目的了解无共病强迫症患者睡眠持续性和睡眠结构。方法采用随机数字表法选择2013年5月-2015年3月在无锡市精神卫生中心住院和门诊治疗的强迫症患者20例,同时纳入健康对照组20例,使用美国Embla多导睡眠监测仪监测研究对象睡眠持续性和睡眠结构。结果与对照组比较,强迫症患者非快速眼动睡眠4期时间减少(P0.05),快速眼动睡眠潜伏期缩短(P0.05),两组总睡眠时间、觉醒时间、快速眼动睡眠、睡眠效率等差异均无统计学意义(P均0.05)。OCD组Y-BOCS评分与总睡眠时间、睡眠效率呈负相关(r=-0.492,-0.543,P均0.05)。结论强迫症患者存在睡眠结构损害,强迫症状严重程度影响患者总睡眠时间和睡眠效率。

Effects of obsessive - compulsive symptoms on sleep disturbance of obsessive - compulsive disorder patients

Objective To examine the sleep time and sleep structure of obsessive - compulsive disorder patients. Methods Twenty OCD patients and twenty healthy controls were random drawn into our study from Wuxi Mental Health Center. We measured the sleep duration and structure of all subjects by Embla Sleep PSG/ EEG Recorder. Results Compared with healthy controls,the time of non - rapid eye movement sleep 4 and rapid eye movement latency were reduced in OCD patients( P < 0. 05). There were no difference between patients and controls in total sleep time,awakening time and rapid eye movement sleep and sleep efficiency (P > 0. 05). Within the OCD group,total scores on the Yale - Brown Obsessive Compulsive Scale( Y - BOCS)were negatively correlated with total sleep time and sleep efficiency(r = - 0. 492, - 0. 543,P < 0. 05). Conclusion OCD patients have sleep structure impairment,and there are negative association between symptoms and total sleep time,sleep efficiency.