精神病患者的睡眠、疲劳和功能健康

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2013-01-01 Epub Date: 2013-04-30 DOI:10.1155/2013/425826
Flavie Waters, Neepa Naik, Daniel Rock
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引用次数: 39

摘要

本研究旨在探讨精神病患者睡眠、疲劳和功能健康之间的关系。参与者包括93名精神病住院患者(n = 67名精神分裂症患者),他们完成了Chalder疲劳量表(ChFS)、疲劳症状量表(FSI)、匹兹堡睡眠质量指数(PSQI)和SF36健康调查。根据患者在睡眠和疲劳方面的表现对其进行分类:60%的患者报告有明显的疲劳程度,67%的患者报告有明显的睡眠障碍。28.4%的人两者都有,这表明疲劳和睡眠功能障碍不一定同时发生。对睡眠模式的进一步研究表明,疲劳只与睡眠的定性方面有关,而与睡眠障碍的可量化方面无关。研究结果还显示,与只有睡眠问题或没有任何症状的患者相比,高度疲劳的患者的功能健康状况最低。回归分析进一步表明,疲劳对功能性健康的影响是睡眠功能障碍的两倍。总之,研究结果表明:(1)对睡眠的不满意——而不是睡眠本身——与疲劳症状有关;(2)无论是否存在睡眠功能障碍,疲劳对功能健康尤其有害。
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Sleep, fatigue, and functional health in psychotic patients.

This study sought to examine the association between sleep, fatigue, and functional health in psychotic patients. Participants included 93 psychotic inpatients (n = 67 with schizophrenia) who completed the Chalder Fatigue Scale (ChFS), the Fatigue Symptom Inventory (FSI), the Pittsburgh Sleep Quality Index (PSQI), and the SF36 Health Survey. Patients were classified on the basis of their performance on sleep and fatigue measures: 60% reported significant levels of fatigue and 67% significant sleep disturbances. 28.4% reported both, suggesting that fatigue and sleep dysfunctions do not necessarily cooccur. A closer examination of patterns showed that fatigue was only related to qualitative aspects of sleep and not quantifiable aspects of sleep disturbances. The results also showed that functional health was the lowest in patients with high levels of fatigue, compared to patients with sleep problems only or patients with neither symptom. A regression analysis further showed that the size of the contribution of fatigue onto functional health was twice as much as that of sleep dysfunctions. In conclusion, the results show that (i) dissatisfaction with sleep-and not sleep itself-is related to fatigue symptoms and that (ii) fatigue is particularly detrimental to functional health, regardless of the presence of sleep dysfunctions.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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