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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >SF-36: evaluation of quality of life in severe and mild insomniacs compared with good sleepers.
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SF-36: evaluation of quality of life in severe and mild insomniacs compared with good sleepers.

机译：SF-36：重度和轻度失眠症患者与良好睡眠者的生活质量评估。

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OBJECTIVE: Despite many studies, the impact of chronic insomnia on daytime functioning is not well understood. The aim of our study was to detect this impact by evaluating quality of life (QoL) using a validated instrument, the 36-item Short Form Health Survey of the Medical Outcomes Study (SF-36), in three matched groups of severe insomniacs, mild insomniacs, and good sleepers selected from the general population. METHODS: Three matched groups of 240 severe insomniacs, 422 mild insomniacs, and 391 good sleepers were recruited from the general French population after eliminating those with DSM-IV criteria for anxiety or depression. All subjects were asked to complete the SF-36. Scores for each QoL dimension were calculated and compared statistically among the three groups. RESULTS: Severe insomniacs had lower QoL scores in eight dimensions of the SF-36 than mild insomniacs and good sleepers. Mild insomniacs had lower scores in the same eight dimensions when compared with good sleepers. No dimension was significantly more altered than the other. CONCLUSIONS: The mental health status and role of emotional QoL dimensions were worse in severe and mild insomniacs than in good sleepers. This result held even though we screened for psychiatric diseases, which shows a clear interrelation between insomnia and emotional state. General health status was also worse in severe and mild insomniacs than in good sleepers. However, we could conclude only that insomnia was related to a worse health status and not whether it was a cause or consequence of this worse health status. Finally, the degradation of QoL scores was correlated with the severity of insomnia.
机译：目的：尽管有许多研究，但对慢性失眠对白天功能的影响尚不清楚。我们研究的目的是通过使用经过验证的工具（医学成果研究的36项简短健康调查（SF-36））对三组严重失眠症患者进行评估，以评估其生活质量（QoL），以发现这种影响，轻度失眠者，以及选自普通人群的良好睡眠者。方法：在消除符合DSM-IV焦虑或抑郁标准的法国人群后，从法国普通人群中招募了三对匹配的组，分别为240名严重失眠，422名轻度失眠和391名良好睡眠者。要求所有受试者完成SF-36。计算每个QoL维度的得分，并在三组之间进行统计学比较。结果：严重失眠症患者在SF-36八个维度上的QoL得分均低于轻度失眠症患者和良好的睡眠者。与良好的睡眠者相比，轻度失眠者在相同的八个维度上得分较低。没有尺寸比其他尺寸有更大的改变。结论：重度和轻度失眠者的心理健康状况和情绪QoL维度的作用要比良好的睡眠者差。即使我们筛查了精神疾病，该结果仍然成立，这表明失眠与情绪状态之间存在明显的相互关系。重度和轻度失眠者的总体健康状况也比卧床不起者更差。但是，我们只能得出结论，失眠与健康状况恶化有关，而与它是否是这种不良健康状况的原因或后果无关。最后，QoL评分的下降与失眠的严重程度相关。

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