Associations between Insomnia Symptoms and Anxiety Symptoms in Adults in a Community Sample of Southeastern Pennsylvania, USA.
Associations between Insomnia Symptoms and Anxiety Symptoms in Adults in a Community Sample of Southeastern Pennsylvania, USA.
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DOI：
10.3390/diseases10040092
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发表时间：
2022-10-18
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影响因子：
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中科院分区：
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尽管失眠确实与焦虑症状相关，但失眠的各个方面可能与一种焦虑症状和另一种焦虑症状的相关性有所不同。因此，针对失眠合并焦虑症的治疗可能会根据个体情况进行调整，以优化治疗反应。根据这一假设，我们分析了对 1007 名社区居住成年人的调查数据。失眠是使用失眠严重程度指数（ISI）来测量的，将项目分类为夜间干扰、白天功能障碍或自我感知的不满。焦虑症状通过广泛性焦虑症七项问卷（GAD-7）进行测量。使用线性和二项式逻辑回归并调整协变量。事后向前逐步分析确定了失眠的哪些组成部分导致了个体焦虑症状。调整协变量后，夜间干扰 (β = 0.88 [0.44, 1.3])、白天功能障碍 (β = 1.30 [0.81, 1.80])、不满意 (β = 1.20 [0.60, 1.7]) 和总 GAD-7 评分之间仍存在显着相关性。夜间不安与过度忧虑、不安、烦躁和对灾难的恐惧有关。白天功能障碍与除对灾难的恐惧之外的所有症状有关，而自我感知的不满与除烦躁之外的所有症状有关。逐步分析显示，白天功能障碍和不满与焦虑症状最一致。应更加关注失眠和焦虑患者的日间功能障碍，因为改善日间功能可能会改善焦虑。
Although insomnia is reliably associated with anxiety symptoms, aspects of insomnia may differentially relate to one anxiety symptom versus another. Therefore, treatment for insomnia comorbidity with anxiety might be individually tailored to optimize treatment response. Working from this hypothesis, we analyzed data from a survey of 1007 community-dwelling adults. Insomnia was measured using the Insomnia Severity Index (ISI), categorizing items as nighttime disturbances, daytime dysfunction, or self-perceived dissatisfaction. Anxiety symptoms were measured with the Generalized Anxiety Disorder 7-item questionnaire (GAD-7). Linear and binomial logistic regression were used and adjusted for covariates. Post hoc forward stepwise analyses determined which components of the insomnia contributed to individual anxiety symptoms. Significant associations between nighttime disturbance (β = 0.88 [0.44, 1.3]), daytime dysfunction (β = 1.30 [0.81, 1.80]), dissatisfaction (β = 1.20 [0.60, 1.7]) and total GAD-7 score were maintained after adjusting for covariates. Nighttime disturbance was associated with excess worrying, restlessness, irritability, and fear of catastrophe. Daytime dysfunction was associated with all symptoms except for fear of catastrophe, and self-perceived dissatisfaction was associated with all symptoms except irritability. Stepwise analyses revealed that daytime dysfunction and dissatisfaction were most consistently related to anxiety symptoms. Greater attention should be paid to daytime dysfunction in patients with insomnia and anxiety, as improving daytime functioning may improve anxiety.
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影响因子：
10.6
作者：
Frank, E;Swartz, HA;Kupfer, DJ
通讯作者：
Kupfer, DJ
影响因子：
4.7
作者：
Fairholme, Christopher P.;Manber, Rachel
通讯作者：
Manber, Rachel
DOI：
10.1016/s0962-1849(96)80013-8
发表时间：
1996-09-01
期刊：
APPLIED & PREVENTIVE PSYCHOLOGY
影响因子：
--
作者：
Morin, CM;Ware, JC
通讯作者：
Ware, JC
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
--
作者：
Jansson C;Alexanderson K;Kecklund G;Akerstedt T
通讯作者：
Akerstedt T