门诊失眠患者焦虑、抑郁情况及影响因素分析

目的分析门诊患者失眠、焦虑及抑郁的影响因素。方法采用一般资料及阿森斯失眠量表、焦虑与抑郁自评量表的调查问卷,对257例失眠患者进行调查分析。结果失眠平均得分(13.63±4.03)分,失眠得分18分以下者占86.0%。失眠合并焦虑或抑郁者分别占37.7%和34.6%。失眠合并抑郁及焦虑者占24.9%,失眠与焦虑、抑郁呈正相关(P<0.01)。受教育程度为失眠的影响因素,体质量指数、生活习惯为焦虑的影响因素,体质量指数为抑郁的影响因素。结论失眠与焦虑、抑郁相互影响,受教育程度低者失眠得分较高,低体质量指数为焦虑、抑郁的影响因素,不规律的生活习惯是焦虑的影响因素。

Research on anxiety and depression condition of the outpatients with insomnia and its influencing factors

Objective To investigate the insomniac status of the outpatients and the status of symptoms of anxiety or depression by general data and several scales,and analyze the influencing factors of insomnia,anxiety and depression.Methods General data,Athens insomnia scale,self-rating anxiety scale,and self-rating depression scale were used for the questionnaire survey.257 patients with insomnia were involved.Results The average score of insomnia was（13.63 ± 4.03） points and the patients with point less than 18 accounted for 86.0% of all patients.Insomnia combining with anxiety and depression accounted for 37.7% and 34.6% respectively.Patients had insomnia as well as depression and anxiety accounted for 24.9%.Insomnia and anxiety or depression were positively correlated with each other（P〈0.01）,education level was the influencing factors of insomnia.The influencing factors of anxiety were body mass index and living habits.Body mass index was also the influencing factors of depression.Conclusion Insomnia,anxiety and depression interact with each other.The patients with low education level have higher insomnia scores.Low body mass index is the influencing factor of anxiety and depression.Irregular living habits are the influencing factors of anxiety.