阻塞性睡眠呼吸暂停的认知投诉:应对风格被忽视的作用
Tim J A Vaessen1, Ruth E Mark2, Sebastiaan Overeem3
1Department of Psychiatry and Medical Psychology, Spaarne Gasthuis, Haarlem, the Netherlands; Department of Cognitive Neuropsychology, Tilburg University, Tilburg, the Netherlands.
Sleep medicine
|July 24, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 患者报告比健康人更多的认知投诉,并使用更被动的应对方式. 应对策略显著影响OSA的认知投诉,表明心理干预可能有所帮助.
科学领域:
- 心理学 心理学 心理学
- 睡眠医学 睡眠医学
- 神经科学是一个神经科学.
背景情况:
- 在阻塞性睡眠呼吸暂停 (OSA) 中,认知投诉很普遍,但与客观认知缺陷缺乏相关性.
- 在OSA中这些主观认知问题的潜在机制仍然不清楚.
研究的目的:
- 为了比较OSA患者和健康对照者之间的应对方式.
- 检查OSA患者认知投诉和特定应对方式之间的关联.
主要方法:
- 一项横截面研究使用认知投诉 (CFQ,BRIEF-A) 和应对方式 (UCL) 的验证问卷对24名OSA患者和15名健康对照进行了比较.
- 统计分析包括皮尔森相关性和等级回归,以确定认知投诉的预测因素,控制OSA严重程度,睡眠质量和情绪症状.
主要成果:
- 与对照组相比,OSA患者表现出更高的认知投诉和更被动的应对方式.
- 减少主动解决问题的能力与认知投诉 (CFQ) 的增加有关,而逃避应对与OSA患者的执行功能投诉 (BRIEF-A) 相相关.
- 应对方式解释了认知投诉差异的很大一部分 (51%-59%).
结论:
- 心理因素,特别是不太适应应对的应对方式,对OSA的认知抱怨有显著的贡献.
- 这些发现独立于OSA的严重程度和并发性焦虑或抑郁症状.
- 针对应对技能的干预措施可能为经历认知困难的OSA患者提供治疗途径.
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