在2型糖尿病患者中,失眠与焦虑和抑郁的关联:一项横截面研究
Karlyghash Shinalieva1, Asemgul Kasenova1, Zauresh Akhmetzhanova1
1Department of Neurology, National Joint Stock Company, Medical University Astana, Astana, Kazakhstan.
Iranian journal of medical sciences
|October 3, 2023
概括
失眠与2型糖尿病患者的焦虑和抑郁有关. 睡眠质量不佳显著增加了T2DM患者这些心理状况的风险.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
背景情况:
- 2型糖尿病 (T2DM) 经常伴随着睡眠障碍.
- 睡眠障碍可以加剧心理状况,如焦虑和抑郁.
- 葡萄糖代谢受损,胰岛素敏感性降低,葡萄糖耐受性降低是睡眠不足的后果.
研究的目的:
- 调查在被诊断为T2DM的患者中失眠和焦虑和抑郁症的患病率之间的联系.
- 量化T2DM队列中与失眠严重程度相关的焦虑和抑郁症状的风险.
主要方法:
- 进行了一项涉及376名无补偿T2DM患者的横截面研究.
- 使用匹兹堡睡眠质量指数 (PSQI) 和失眠严重程度指数 (ISI) 评估失眠.
- 通过医院焦虑和抑郁量表 (HADS) 评估焦虑和抑郁,并通过多变量逻辑回归分析关联.
主要成果:
- 所有参与者都表现出睡眠障碍;分别在12.80%和12.20%的患者中存在焦虑和抑郁.
- 在PSQI,ISI和HADS上得分更高表明焦虑和抑郁症状的风险增加.
- 调整后的几率比率显示,失眠严重程度 (ISI) 与焦虑 (1.07,P=0.01) 和抑郁 (1.07,P=0.01) 之间存在显著的关联.
结论:
- 睡眠质量是T2DM患者心理健康的一个关键因素.
- 失眠与2型糖尿病患者焦虑和抑郁的几率增加显著相关.
- 监测和解决睡眠障碍可能对管理T2DM患者的心理健康至关重要.
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