失眠症患者心理社会因素分析

目的:探讨失眠症患者的应付方式,心理健康状况和社会支持状况.方法:采用应付方式问卷(CSQ)、症状自评量表(SCL-90)和社会支持量表(SSS)对失眠症患者和正常对照者各88例进行测评.结果:失眠症组自责、幻想和退避分量表的得分显著高于对照组,求助分量表的得分显著低于对照组(P＜0.01);失眠症组SCL-90总分及躯体化、抑郁、焦虑、睡眠障碍各因子分与对照组比较,有显著差异(P＜0.01).失眠症组社会支持总分、客观支持和对社会支持的利用度评分显著低于正常对照组(P＜0.05).失眠症组自责与躯体化症状、焦虑、抑郁等因子及总分呈显著正相关,而求助与焦虑、抑郁、偏执和总分呈显著负相关(P＜0.05).结论:失眠症患者多采用不成熟的应付方式,且有较多的心身症状,应付方式和身心健康有相关性.失眠症患者缺乏社会支持.

Analysis of factors of psychology and social support in patients with insomnia

Objective: To explore the coping styles,mental health status and social supports in patients with insomnia. Method:88 patients with insomnia and 88 normal controls were evaluated with coping style questionnaire (CSQ),symptom checklist-90 (SCL-90) and social support scale (SSS). Results: The scores of self-accusation, fantasy and wince were significant higher in insomnic patient group,while the scores of seeking-help lower than that in normal control group (P<0.01).There were significant differences in total score of SCL-90 and factor score of somatization,depression, anxiety and sleep disorder between insomnia group and normal control group(P<0.01).The total scores of social support and the utilization of objective support and social support in insomnia group were lower than that in control group (P<0.05). The score of self-accusation in insomnia group positively correlated with the total score of SCL-90 and factor score such as somatization, depression and anxiety.The score of seeking-help in insomnia group negatively correlated with the total score of SCL-90 and the factor scores such as anxiety, depression and prejudice(P<0.05). Conclusion:Patients with insomnia trend to adopt immature coping styles,with more symptoms,psychologically and mentally,which also relate to mental health status.These patients are short of social support.