精神病患者的失眠和持续门诊治疗之间的关系
Yukinori Kamata1,2, Osamu Takashio1,2, Ryotaro Sato1,2
1Department of Psychiatry, Showa University School of Medicine, Tokyo, Japan.
Neuropsychiatric disease and treatment
|April 1, 2024
概括
失眠在精神病患者中很普遍,并影响治疗的继续. 改善睡眠可能会提高患者在门诊精神卫生保健中的参与度.
科学领域:
- 精神病学和神经病学的精神病学和神经病学
- 睡眠医学 睡眠医学
- 心理健康研究 心理健康研究
背景情况:
- 睡眠障碍,特别是失眠,经常被精神病室门诊机构的患者报告.
- 在各种精神疾病中,失眠,抑郁症状和治疗坚持之间确切的关系需要进一步调查.
- 有限的研究存在于失眠对门诊精神病治疗的连续性的具体影响.
研究的目的:
- 在患有各种精神疾病的患者中调查失眠和抑郁症状之间的相关性.
- 为了确定失眠是否会影响门诊精神病治疗的延续.
- 确定与失眠和正在进行的门诊护理利用相关的因素.
主要方法:
- 评估了参加精神病学和神经病学门诊的1106名患者的队列.
- 失眠和抑郁症状在初次访问和一年后使用雅典失眠量表 (AIS) 和自我评价抑郁量表 (SDS) 进行评估.
- 分析了与失眠和治疗延续相关的因素.
主要成果:
- 超过70%的患者在初次访问时报告了失眠.
- 在继续治疗一年的137名患者中,AIS分数显著改善 (9到5分).
- 通过SDS评估的抑郁情绪和失眠被确定为影响AIS改善的混因素.
结论:
- 睡眠状态是影响患者遵守门诊精神病治疗的关键因素.
- 解决精神病患者的失眠问题可能会改善治疗的连续性和结果.
- 需要进一步的研究来探索针对精神卫生保健机构睡眠障碍的干预措施.
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