睡眠障碍如何影响我们对外部压力因素的反应:从COVID-19爆发中吸取教训
Gloria Castelletti1, Francesco Misirocchi2, Alessandro Zilioli2
1Sleep Disorders Center, Department of General and Specialized Medicine, University Hospital of Parma, Via Gramsci 14, 43126, Parma, Italy.
概括
由于COVID-19的流行,预先存在睡眠障碍的个体的睡眠质量明显恶化. 女性参与者报告了更严重的影响,强调睡眠障碍和性别是危险因素.
科学领域:
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 由于COVID-19大流行,造成了广泛的心理困扰,影响了相当一部分人口的睡眠模式.
- 虽然新出现的睡眠障碍在COVID-19后很常见,但对先前存在睡眠障碍的人的具体影响仍未得到充分研究.
研究的目的:
- 评估COVID-19疫情对已有睡眠障碍的成年患者的临床心理影响.
- 将这些效应与健康睡眠者的对照组进行比较.
主要方法:
- 研究了190名患有睡眠障碍的成年患者和265名健康睡眠者的队列.
- 数据收集涉及历史记录问题,梦境内容分析和验证的问卷,包括匹兹堡睡眠质量指数 (PSQI).
主要成果:
- 患有睡眠障碍的患者经历了更严重的睡眠质量下降,更长的睡眠延迟,睡眠效率降低和药物使用增加.
- 健康的睡眠者在睡眠习惯,持续时间和梦境内容上表现出更大的变化,情绪性增加和梦境重复.
- 两组女性参与者报告PSQI得分显著更高,这表明大流行对睡眠和整体健康的影响更大.
结论:
- 预先存在的睡眠障碍和女性被确定为显著的风险因素,加剧了在COVID-19流行病等重大危机期间的心理负担.
- 这些发现强调了在公共卫生紧急情况期间针对弱势群体提供有针对性的临床关注的必要性.
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