失眠患者焦虑和抑郁症状之间的关系:网络分析
Yu Liu1,2, Zirong Zhu2, Jiaran Yan3
1Department of Neurology, The Air Force Hospital of Northern Theater PLA, Shenyang, 110000, China.
Scientific reports
|July 11, 2025
概括
失眠患者经常经历焦虑和抑郁. 这项研究发现睡眠时间和习惯性睡眠效率之间存在密切联系,这表明有针对性的干预措施可以帮助管理这些同时出现的症状.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 临床心理学 临床心理学
背景情况:
- 在失眠患者中,焦虑和抑郁症状经常同时发生,表现出显著的双向关系.
- 在症状层面分析这些情况提供了比障碍层面的方法更细致的理解.
研究的目的:
- 通过网络分析,研究焦虑,抑郁和失眠之间的症状级关系.
- 在失眠患者中识别桥梁焦虑和抑郁的关键症状.
主要方法:
- 对1571名失眠患者的数据进行了网络分析.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠质量.
- 焦虑和抑郁症状分别使用汉密尔顿焦虑评分表 (HAM-A) 和抑郁评分表 (HAM-D) 进行测量.
主要成果:
- 抑郁症 (87.1%) 和焦虑症 (88.0%) 的患病率最高.
- 在"睡眠时间"和"习惯性睡眠效率" (r=0.91) 之间发现了最强的相关性.
- "睡眠时间"显示了最高的网络中心性,其次是"主观睡眠质量"",习惯性睡眠效率"",心理焦虑"和"焦虑/somatization. "
结论:
- 睡眠时间和主观睡眠质量等关键症状在失眠,焦虑和抑郁之间的相互作用中起着至关重要的作用.
- 识别这些桥梁症状为有针对性的临床干预提供了有希望的途径,以管理失眠患者同时出现的焦虑和抑郁症状.
相关概念视频
01:27Insomnia
132
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
132
01:18Depression: Overview
354
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
354
01:14CNS Depressants: Barbiturates and Benzodiazepines
475
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
475
01:18Anxiety: Overview
360
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
360
01:13Insufficient Sleep and Sleep Deprivation
222
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
222
01:19Management of Insomnia
324
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
324