失眠与心理韧性和社会支持的关系研究
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南京医科大学附属脑科医院

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The Relationship between Insomnia and Resilience,Social Support
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The Affiliated Brain Hospital of Nanjing Medical University JiangSu Nanjing 210029

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    摘要:

    目的:为了探讨失眠与心理韧性和社会支持的关系。方法:选择符合国际疾病分类第十版中相应诊断标准的非器质性失眠患者30例(失眠组)、56例伴有失眠症状的抑郁症及焦虑症组(简称继发失眠组)施测心理韧性量表(RIS)、社会支持评定量表(SSRS)及匹兹堡睡眠质量指数量表(PSQI),并以汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评定抑郁、焦虑症状。结果:PSQI评分与HAMA评分(r=-0.317,P=0.003)、社会支持评分(r=-0.226,P=0.036)存在相关关系;心理韧性在HAMA焦虑情绪和失眠间存在调节效应;焦虑情绪不仅能直接对失眠产生影响,而且能通过社会支持的中介作用影响失眠。结论:焦虑情绪和失眠的关系不仅受到心理韧性的调节作用,而且还受到社会支持的中介效应。在失眠的治疗中可着力改善心理韧性和社会支持。

    Abstract:

    Objective:To explore the relationship between insomnia and resilience,social support.Methods:Thirty primary insomnia patients,fifth six depressive or anxiety patients with insomnia symptoms were enrolled in the research.The diagnoses were made according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision criteria.The resilience scale,the social support rate scale (SSRS) and the Pittsburgh Sleep Quality Index(PSQI) were used for insomnia patients.The Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA) were used to assess the severity of depression and anxiety.Results:The total scores of PSQI were significantly correlated with total scores of HAMA(r=-0.317,P=0.003) and the scores of social support(r=-0.226,P=0.036).The resilience showed a significantly moderating effect between anxiety and insomnia.(P=0.011).The anxiety not only had a direct effect on insomnia,but also could affect insomnia by the mediating role of social support.Conclusion:The relationship between anxiety and insomnia not only was affected by the moderating role of resilience,but also through the mediating role of social support.It is essential to focus on the improvement of resilience and social support during the insomnia treatment.

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  • 收稿日期:2019-03-15
  • 最后修改日期:2019-04-30
  • 录用日期:2019-07-01
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