心理健康和睡眠习惯:印度Uttarkashi的道塌工人的经历
Kaustav Kundu1, Anindya Das2, Gaurav Kachhawaha1
1Department of Psychiatry & Division of Sleep Medicine, AIIMS Rishikesh, India.
Sleep medicine
|December 27, 2024
概括
道塌幸存者经历了独特的心理健康和睡眠问题,与其他灾难不同. 被破坏的光暗周期和时间偏差是影响他们的幸福感的关键因素.
科学领域:
- 心理学 心理学 心理学
- 灾难医学 灾难医学
- 睡眠科学 睡眠科学
背景情况:
- 灾难引发各种心理健康结果,洪水与焦虑/睡眠问题有关,泥石流与焦虑/情绪障碍有关,火山爆发与急性压力有关,地震与焦虑/抑郁/身体抱怨有关.
- 道崩塌灾难带来独特的情况,通常涉及健康的个人,没有财产损失或流离失所,可能导致不同的健康结果.
研究的目的:
- 为了调查17天被困后从塌的道中获救的工人经历的心理健康和睡眠相关问题.
- 为了比较道塌幸存者的心理和睡眠障碍与其他灾难类型中报告的情况.
主要方法:
- 33名从印度救出的道工人完成了自我管理的焦虑 (通用焦虑障碍-7),抑郁 (患者健康问卷-9),失眠 (失眠严重程度指数) 的衡量表.
- 进行了开放式采访,以探索17天的囚禁期间的日常生活,昼夜节律,时间定向和睡眠模式.
- 救援后评估了最初的身体和心理健康状况.
主要成果:
- 虽然大多数参与者在焦虑,抑郁和失眠方面得分低于临床截止值,但三分之一的人报告说,随着时间的推移,他们感到迷失方向.
- 时间失调与难以入睡和日间小睡增加相关,这反过来又与延迟醒来时间有关.
- 抑郁症患者经历了更严重的睡眠障碍,包括开始,维持和终止困难,并减少了总睡眠时间.
结论:
- 与其他灾难受害者相比,道塌幸存者表现出明显的心理健康和睡眠问题,部分原因是光暗周期中断和时间失调.
- 一小部分幸存者出现重大问题,突出需要有针对性的心理健康和睡眠干预措施以及有效的分类.
- 建议在未来的道崩场景中建立一个明暗循环,以减轻迷失方向并改善睡眠质量.
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