在患有肌肌节关关节障碍的妇女中,睡眠误解
Christy Chan1, Boris Dubrovsky1,2,3, Maude Bouchard1
1Department of Psychology, The City College of New York, New York, New York.
概括
患有关节疾病 (TMD) 的女性误解他们的睡眠质量,经历了显著的睡眠状态误解. 客观短睡眠时间 (SSD) 也在TMD病例中更常见,独立于其他因素.
科学领域:
- 睡眠医学 睡眠医学
- 部部疾病 (TMDs) 是一种疾病.
- 精神病体医学是一种精神病体医学.
背景情况:
- 部疾病 (TMD) 经常与自我报告的睡眠质量差有关.
- 客观的睡眠评估往往不能证实主观的抱怨,这表明TMD患者对睡眠状态的误解.
- 了解主观和客观睡眠测量之间的关系对于有效的TMD管理至关重要.
研究的目的:
- 为了调查与对照组相比,肌肌关节TMD的妇女的睡眠状态误解.
- 检查睡眠状态误解与客观短睡眠持续时间 (SSD),抑郁,白天嗜睡和耳鼻面部疼痛之间的相关性.
- 为了将TMD和对照组之间的客观SSD进行比较.
主要方法:
- 在124名患有肌筋肌痛的女性和46名对照女性中利用了多睡眠学 (PSG) 和匹兹堡睡眠质量指数 (PSQI).
- 将PSG衍生睡眠参数 (总睡眠时间,睡眠延迟,睡眠效率) 与PSQI衍生变量进行比较.
- 采用一般线性模型和回归分析来评估睡眠测量,抑郁,嗜睡和疼痛之间的关系.
主要成果:
- 与对照组相比,TMD病例显示了对睡眠效率 (SE) 的重大误解 (P = .02).
- 抑郁症症状解释了SE的误解,并调解了疼痛对感知睡眠质量的影响 (P = .002).
- 客观短睡眠持续时间 (SSD) 在TMD病例中几乎是三倍的频率 (P = .02),但与主观睡眠测量,抑郁,嗜睡或疼痛没有相关性.
结论:
- 患有TMD的女性表现出明显的睡眠状态误解,特别是在睡眠效率方面,这受抑郁症状的影响.
- 客观短睡眠持续时间 (SSD) 在TMD病例中更为普遍,但似乎独立于主观睡眠感知,抑郁或疼痛.
- 睡眠状态误解和客观SSD在TMD的背景下代表着不同的睡眠障碍.
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