评估阻塞性睡眠呼吸暂停风险和慢性精神分裂症的预测因素:一个横截面研究
Yu-Chin Ma1, Shiou-Rung Lin2, Jiin-Ling Jiang1
1Department of Nursing, Tzu Chi University, Hualien City, Taiwan.
International journal of psychiatry in medicine
|December 2, 2025
概括
超过一半的慢性精神分裂症患者患有阻塞性睡眠呼吸暂停 (OSA) 的风险较高. 失眠严重程度和中心肥胖是关键预测因素,突出显示了对这一群体进行查和干预的需要.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 精神分裂症是一种慢性精神疾病,具有显著的身体健康并发症.
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍,在精神病患者群体中可能被诊断不足.
研究的目的:
- 为了确定慢性精神分裂症患者中阻塞性睡眠呼吸暂停 (OSA) 风险的患病率.
- 在这个患者群体中确定OSA风险的预测因素.
主要方法:
- 对441名患有慢性精神分裂症的住院患者进行了横截面调查.
- 参与者填写了经过验证的问卷,包括失眠严重程度指数 (ISI),爱普沃思睡眠度量表 (ESS) 和STOP-Bang问卷 (SBQ).
- 后勤回归分析确定了与增加OSA风险相关的因素 (SBQ分数≥3).
主要成果:
- 超过一半的参与者 (53.5%) 被确定为患有OSA的风险.
- 增加的腰围 (OR = 1.08每厘米) 和更高的失眠严重程度得分 (OR = 1.09每点) 与增加的OSA风险显著相关.
- 中心肥胖和失眠严重程度成为OSA风险的主要相关因子.
结论:
- 患有慢性精神分裂症的患者表现出高患病率的OSA风险.
- 失眠严重程度和中心肥胖是这一群体中OSA风险的重要预测因素.
- 常规的OSA查,持续监测和综合护理对于管理精神分裂症患者的OSA至关重要.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
450
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
450
Sleep Apnea
452
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
452
Biological Causes of Schizophrenia
467
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
467
Schizophrenia
685
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
685
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
1.8K
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
1.8K


