目的:睡眠障碍是精神分裂症患者最常见的问题,可导致不良预后,低存活率和攻击性行为,对社会安全稳定构成重大威胁。这项研究的目的是探讨抑郁症在社区精神分裂症患者睡眠障碍与攻击行为之间的关系中的中介作用。以及家庭亲密度和适应性的调节作用。这些发现,反过来,为解决这些患者的身心健康问题提供理论依据和建设性建议。
方法:2020年9月至2021年8月,采用便利抽样法,从彭州市第四人民医院参加随访的社区精神分裂症患者中选择,中国。研究人员以明星问卷的形式进行了调查。调查包括有关一般人口统计数据和疾病相关问卷的问题:匹兹堡睡眠质量指数(PSQI),修订后的过度侵略量表(MOAS)的中文版,抑郁自评量表(SDS),以及家庭适应性和凝聚力量表,第二版。使用FACES-II和SPSS21.0对数据进行整理和分析。
结果:共有818名居住在社区的精神分裂症患者参加了调查,最终收集了785份有效问卷,有效率为95.97%。多变量分析结果表明,性别,使用的精神药物数量,门诊随访,精神障碍和睡眠障碍的住院史是影响攻击行为的因素.抑郁症在睡眠障碍和攻击行为之间起部分中介作用,间接效应大小为0.043(占总数的57.33%)。除了睡眠障碍,家庭亲密度(β=-0.009,P<0.01)和适应性(β=-0.145,P<0.001)可显著预测抑郁。
结论:研究结果表明,社区精神分裂症患者的睡眠障碍是攻击行为的危险因素,抑郁在睡眠障碍之间的关系中起部分中介作用,攻击性行为和家庭亲密。此外,适应性在抑郁与睡眠障碍之间的关系中起着调节作用。
OBJECTIVE: Sleep disturbance is the most common concern of patients with schizophrenia and can lead to a poor prognosis, a low survival rate and aggressive behaviour, posing a significant threat to social security and stability. The aim of this study was to explore the mediating role of depression in the relationship between sleep disturbance and aggressive behaviour in people with schizophrenia living in the community, as well as the regulatory role of family intimacy and adaptability. These findings, in turn, may provide a theoretical basis and constructive suggestions for addressing the physical and mental health problems of these patients.
METHODS: From September 2020 to August 2021, a convenience sampling method was used to select schizophrenia patients from the community attending follow-up appointments at the Fourth People\'s Hospital of Pengzhou City, China. The researchers conducted a survey in the form of a star questionnaire. The survey included questions about general demographic data and disease-related questionnaires: the Pittsburgh Sleep Quality Index (PSQI), the revised Chinese version of the Modified Over Aggression Scale (MOAS), the Self-Rating Depression Scale (SDS), and the Family Adaptability and Cohesion Scale, Second Edition. FACES-II and SPSS 21.0 were used to organize and analyse the data.
RESULTS: A total of 818 schizophrenia patients living in the community participated in the survey, and 785 valid questionnaires were ultimately collected, for a response rate of 95.97%. The results of multivariate analysis indicated that sex, number of psychiatric medications used, outpatient follow-up, history of hospitalization for mental disorders and sleep disturbances were factors influencing aggressive behaviour. Depression played a partial mediating role between sleep disturbance and aggressive behaviour, and the indirect effect size was 0.043 (57.33% of the total). In addition to sleep disturbance, family intimacy (β=-0.009, P < 0.01) and adaptability (β=-0.145, P < 0.001) can significantly predict depression.
CONCLUSIONS: The findings indicate that sleep disturbance in schizophrenia patients in the community is a risk factor for aggressive behaviour, and depression plays a partial mediating role in the relationship among sleep disturbance, aggressive behaviour and family intimacy. In addition, adaptability plays a regulatory role in the relationship between depression and sleep disturbance.