CAJ | 학술논문

目的：比较抑郁症与失眠症患者的睡眠个人信念和态度。方法：采用睡眠个人信念与态度量表简化版（ DBAS-16）和匹兹堡睡眠质量指数（ PSQI）对56例抑郁症患者和49例失眠症患者、42名正常对照者进行测评。结果：正常组PQSI总分及因子分均低于抑郁组和失眠组，差异均有统计学意义（P<0.05）；抑郁组PQSI日间功能因子分（2.59±0.78）高于失眠组（2.08±1.02），差异均有统计学意义（P<0.05），PQSI总分及其他因子分差异均无统计学意义（P>0.05）；正常组的DBAS总分及因子分均高于抑郁组，且正常组DBAS总分及成分因子“对失眠后果的估计”、“对睡眠的担忧”和“对药物的认知”3个因子分高于失眠组，差异均有统计学意义（ P均<0.01）；抑郁组与失眠组，DBAS总分及各因子分差异均无统计学意义（ P>0.05）；抑郁组和失眠组的DBAS总分及因子分与PQSI总分及因子分分别存在不同的相关性。结论：与正常组相比，失眠组与抑郁组均存在不良的睡眠信念与态度成分，但未发现抑郁症与失眠症患者的不合理睡眠认知之间有差异。
목적：비교억욱증여실면증환자적수면개인신념화태도。방법：채용수면개인신념여태도량표간화판（ DBAS-16）화필자보수면질량지수（ PSQI）대56례억욱증환자화49례실면증환자、42명정상대조자진행측평。결과：정상조PQSI총분급인자분균저우억욱조화실면조，차이균유통계학의의（P<0.05）；억욱조PQSI일간공능인자분（2.59±0.78）고우실면조（2.08±1.02），차이균유통계학의의（P<0.05），PQSI총분급기타인자분차이균무통계학의의（P>0.05）；정상조적DBAS총분급인자분균고우억욱조，차정상조DBAS총분급성분인자“대실면후과적고계”、“대수면적담우”화“대약물적인지”3개인자분고우실면조，차이균유통계학의의（ P균<0.01）；억욱조여실면조，DBAS총분급각인자분차이균무통계학의의（ P>0.05）；억욱조화실면조적DBAS총분급인자분여PQSI총분급인자분분별존재불동적상관성。결론：여정상조상비，실면조여억욱조균존재불량적수면신념여태도성분，단미발현억욱증여실면증환자적불합리수면인지지간유차이。
Objective:To analyze the differences in personal beliefs about and attitude to sleep between patients with depression and insomnia disorder. Method:56 depressive patients、49 insomniacs and 42 good sleepers were measured by dysfunctional beliefs and attitudes about sleep scale(DBAS-16)and Pittsburgh sleep quality index( PSQI). Results:The total and all factor scores of PQSI for the good sleepers were significantly lower than that for the patients with depression and insomnia(P<0. 05);then compared the depressive patients and insomniacs,the day function of PQSI for the depressive patients(2. 59 ± 0. 78)were significantly higher than that for the insomniacs(2. 08 ± 1. 02)(P<0. 05),the two groups showed no significant difference on PQSI total and the other factor scores(P>0. 05);the total and all factor scores of DBAS for the good sleepers were signifi-cantly higher than that for the patients with depression and insomnia(P<0. 05),the total score and the“conse-quences caused by insomnia”,“worries about sleep”,“the knowledge of drug”of DBAS were significantly high-er in good sleepers than insomniacs(P<0. 05);the depressive patients and insomniacs showed no significant difference on DBAS total and all factor scores(P>0. 05);The total and factor scores of PQSI and DBAS had different correlation in both the depressive patients and insomniacs. Conclusion:compared with good sleep-ers,patients with depression and insomnia have more wrong beliefs about and attitude towards sleep,but there were no significant differences on the sleep cognition between insomnia and depression group.