"...Not Just a Minor Thing, It Is Something Major, Which Stops You From Functioning Daily": Quality of Life and Daytime Functioning in Insomnia
"...Not Just a Minor Thing, It Is Something Major, Which Stops You From Functioning Daily": Quality of Life and Daytime Functioning in Insomnia
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DOI：
10.1080/15402002.2010.487450
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发表时间：
2010-01-01
影响因子：
3.1
通讯作者：
Morgan, Kevin
中科院分区：
文献类型：
--
作者：
Kyle, Simon D.;Espie, Colin A.;Morgan, Kevin
根据诊断手册，失眠是一种 24 小时紊乱，会损害白天功能的重要方面。然而，很少有发表的著作描述失眠对重要功能领域的影响，或者实际上描述每天长期睡眠不安的经历。这项研究招募了 11 名患有持续失眠症的志愿者，参加 3 场焦点小组讨论中的 1 场，探讨睡眠不佳的典型日间后果以及对生活质量 (QoL) 的影响。子样本 (n = 8) 还被要求保留 7 天的音频日记，以评估睡眠质量和随后的白天功能。对记录的解释性现象学分析 (IPA) 产生了 3 个最重要的主题：o 只是挣扎，o 孤立，感觉像个局外人，o 以及失眠作为理想自我的障碍。 o 参与者描述了日常认知、情感和身体功能方面的困难；这产生了降低工作绩效和社会参与以及限制生活愿望的累积效应。参与者还描述了由于他们的疾病而感到孤立。这是由于缺乏其他人的理解以及缺乏医疗保健提供者的经验而造成的。关于失眠的近端和远端影响的重要新数据表明，长期睡眠障碍会严重限制整体生活质量。
According to diagnostic manuals, insomnia is a 24-hr disorder, impairing important aspects of daytime functioning. There is, however, little published work describing the impact of insomnia on important areas of functioning or, indeed, the experience of living with chronically disturbed sleep on a daily basis. This study recruited 11 volunteers with persistent insomnia to take part in 1 of 3 focus-group discussions, exploring the typical daytime consequences of poor sleep and impact on quality of life (QoL). A sub-sample (n = 8) were also asked to keep an audio-diary for 7 daysappraising sleep quality and subsequent daytime functioning. Interpretative phenomenological analysis (IPA) of transcripts produced 3 superordinate themes: ojust struggle through,o oisolated, feeling like an outsider,o and oinsomnia as an obstruction to the desired self.o Participants described daily difficulties with cognitive, emotional, and physical functioning; this had the cumulative effect of reducing work performance and social participation, as well as limiting life aspirations. Participants also described feeling isolated because of their disorder; this was precipitated by a lack of understanding from others and experiences with health care providers. Important novel data were generated on the proximal and distal impact of insomnia, indicating that chronically disturbed sleep can seriously limit overall QoL.