临床失眠患者应对方式与焦虑、抑郁的相关性

目的探讨临床失眠患者应对方式与焦虑、抑郁的相关性,为临床治疗提供参考。方法采用方便抽样的方法选取2019年1月至4月大连市某三级甲等医院的130例失眠患者作为研究对象,应用一般资料调查表、中文版失眠严重程度指数(ISI-C)、简易应对方式问卷(SCSQ)、贝克抑郁问卷(BDI)和贝克焦虑问卷(BAI)进行调查。结果临床失眠患者失眠ISI-C评分为(17. 52±4. 53)分,积极应对SCSQ评分为(8. 96±6. 54)分,消极应对SCSQ评分为(9. 98±3. 73)分;焦虑BAI评分为(22. 73±8. 90)分,抑郁BDI评分为(24. 04±10. 18)分。积极应对与焦虑、抑郁呈负相关(r=-0. 19,P <0. 05;r=-0. 21,P <0. 05),消极应对与焦虑、抑郁呈正相关(r=0. 25,P <0. 05;r=0. 35,P <0. 05)。结论临床失眠患者失眠严重程度多处于轻、中度水平,积极应对可以减少其焦虑、抑郁等负性情绪的发生。医务人员应该重视临床患者的失眠症状,采取相应应对措施减缓其症状,进而改善患者的焦虑、抑郁症状,促进疾病的恢复。

Clinical associations of coping style with anxiety and depression in patients with insomnia

Objective To investigate the association of coping style with anxiety and depression in patients with clinical insomnia. Methods Convenience sampling method was used to select 130 patients with insomnia from a third-grade classA hospital in Dalian as study subjects. The general data questionnaire,Chinese version of insomnia severity index( ISI-C),Simplified coping style questionnaire( SCSQ),Beck depression inventory( BDI) and the Beck anxiety inventory( BAI) were used to investigate the patient’s status. Results ISI-C score of insomnia patients was 17. 52 ± 4. 53. The positive coping SCSQ and negative coping SCSQ scores were 8. 96 ± 6. 54 and 9. 98 ± 3. 73,respectively. BAI score was 22. 73 ± 8. 90,and BDI score was 24. 04 ± 10. 18. Positive coping was negatively correlated with anxiety and depression( r =-0. 19,P < 0. 05;r =-0. 21,P < 0. 05). Negative coping was positively correlated with anxiety and depression( r = 0. 25,P < 0. 05;r =0. 35,P < 0. 05). Conclusions In clinical insomnia patients,the severity of insomnia is at mild to moderate level. Active coping can reduce the occurrence of anxiety and depression. Medical staff should pay attention to the insomnia symptoms and take corresponding measures to alleviate their symptoms,so as to improve the anxiety and depression of patients and promote the recovery of the disease.