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首页> 外文期刊>Nordic journal of psychiatry. >Self-reported sleep lengths >= 9 hours among Swedish patients with stress-related exhaustion: Associations with depression, quality of sleep and levels of fatigue
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Self-reported sleep lengths >= 9 hours among Swedish patients with stress-related exhaustion: Associations with depression, quality of sleep and levels of fatigue

机译：自我报告的睡眠时间> = 9小时的瑞典压力相关性筋疲力尽患者：与抑郁症，睡眠质量和疲劳程度相关

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Background : Insomnia-type sleep disturbances are frequent among patients suffering from stress-related exhaustion disorder. However, clinical observations indicate that a subgroup suffer from sleep lengths frequently exceeding 9 hours, coupled with great daytime sleepiness. Aims : The aim of the present study was to investigate differences in socio-demographic variables, use of medications, sleep parameters, anxiety, depression and fatigue, between individuals with varying sleep lengths, in a sample of 420 Swedish patients (mean age 42 +/- 9 years; 77% women) referred to treatment for exhaustion disorder. Patients were allocated to the groups: "never/seldom >= 9 hours" (n = 248), "sometimes >= 9 hours" (n = 115) and "mostly/always >= 9 hours " (n = 57), based on their self-rated frequency of sleep lengths >= 9 hours. Methods : The design was cross-sectional and data was collected by means of questionnaires at pre-treatment. Results : Univariate analyses showed that patients in the "mostly/always >= 9 hours" group were more often on sick leave, and reported more depression and fatigue, better sleep quality and more daytime sleepiness, than patients in the other groups. Multivariate analyses showed that these patients scored higher on measures of fatigue than the rest of the sample independently of gender, use of antidepressants, sick leave, depression and quality of sleep. Conclusions : Patients suffering from exhaustion disorder and reporting excessive sleep seem to have a generally poorer clinical picture but better quality of sleep than their counterparts with shorter sleep lengths. The mechanisms underlying these differences, together with their prognostic value and implications for treatment remain to be elucidated in future studies.
机译：背景：患有压力相关性精疲力竭的患者经常出现失眠型睡眠障碍。但是，临床观察表明，该亚组的睡眠时间经常超过9小时，并且白天嗜睡。目的：本研究旨在调查420名瑞典患者（平均年龄42岁以上）在不同睡眠时间个体之间的社会人口统计学变量，药物使用，睡眠参数，焦虑，抑郁和疲劳之间的差异。 /-9岁; 77％的女性）曾提到过疲劳衰竭治疗。将患者分为以下几组：“从不/很少> = 9小时”（n = 248），“有时> = 9小时”（n = 115）和“几乎/总是> = 9小时”（n = 57），根据他们对睡眠时间> = 9小时的自我评估频率。方法：设计为横断面，在治疗前通过问卷调查收集数据。结果：单因素分析显示，“大部分/总是> = 9小时”组的病人休病假的频率更高，并且与其他两组相比，他们的抑郁和疲劳程度更高，睡眠质量更高，白天的嗜睡程度更高。多变量分析显示，与性别，使用抗抑郁药，病假，抑郁和睡眠质量无关，这些患者在疲劳程度方面得分高于其余样本。结论：精疲力竭并报告睡眠过多的患者似乎总体上较差的睡眠时间，但其睡眠质量优于睡眠时间较短的患者。这些差异的潜在机制，以及它们的预后价值和对治疗的意义在未来的研究中仍有待阐明。

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