抑郁症的睡眠质量及其相关影响因素

目的了解保定市抑郁症睡眠质量特点及其相关影响因素。方法采用多阶段分层整群抽样方法随机抽取≥18周岁的人群，共10073名，用扩展的一般健康问卷（GHQ-12）将调查对象分为高、中、低危险组，以美国精神障碍诊断与统计手册-第四版（DSM—Ⅳ）轴Ⅰ障碍定式临床检查病人版（SCID—L／P）对调查对象进行抑郁症的诊断。以匹兹堡睡眠质量指数（PSQI）评定睡眠质量。结果8773人完成了TPSQI调查，抑郁症现患125例，睡眠障碍（PSQI总分〉7）的发生比率为68．8％；PSQI总分与有无支持群体、社会环境、教育、职业、住房、经济、卫生保健、法律与犯罪等社会心理与环境问题无相关。结论睡眠障碍是抑郁症的常见症状，受社会心理与环境问题的影响较小。

Sleep quality and related impact factors of major depressive disorder

Objective： To investigate sleep quality and related impact factors of major depressive disorder in Baoding. Methods： Stratified multi - stage cluster randomization was used to identify 10073 subjects aged 18 years or over in Baoding. An expanded version of the General Health Questionnaire （GHQ - 12） was used to classify subjects at high, moderate and low risk for having major depressive disorder, then diagnoses were made according to the fourth edition of Diagnostic and Statistical Manual of Mental Disorder （ DSM - Ⅳ ） criteria after conducting a Structured Clinical Interview for DSM - Ⅳ - TR Axis Ⅰ Disorders - Patient Edition （SCID -I/P）. The Pittsburgh Sleep Quality Index （PSQI） was used to assess the sleep quality and related impact factors. Results：Eight thousand seven hundred and seventy- three subjects completed PSQI screening. Sixty eight point eight percent of 125 current major depressive disorder patients comorbid with sleep disorders whose score of PSQI exceed 7. There was no correlation between the total scores of PSQI and support groups, social environment, education, employment, housing, economy, health care, legal / crime and other social psychological and environmental problems. Conclusion：Sleep disorder is a common symptom of major depressive disorder. The impact of sleep quality of major depressive disorder on the social psychological and environmental problems is little.