Prevalence and Correlates of Frequent Nightmares: A Community-Based 2-Phase Study
Prevalence and Correlates of Frequent Nightmares: A Community-Based 2-Phase Study
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DOI：
10.1093/sleep/33.6.774
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发表时间：
2010-06-01
期刊：
影响因子：
5.6
通讯作者：
Wing, Yun Kwok
中科院分区：
文献类型：
--
作者：
Li, Shirley Xin;Zhang, Bin;Wing, Yun Kwok
研究目的：在一个大型的以社区为基础的中年香港华人队列中，确定频繁噩梦的患病率及其相关性。设计：一项2阶段设计，包括8558名受试者的横断面调查（男性，47.6%），平均年龄40.9岁（SD 5.5，范围20-78），随后对252名受试者的精神病理学和人格特征进行详细的临床评价。N/A.测量和结果：频繁做噩梦的患病率（定义为每周至少一次）为5.1%。女性、家庭月收入低、失眠症状、睡眠呼吸障碍症状和与睡眠相关的日间后果与噩梦频率显著相关。经常做噩梦的受试者患精神疾病的风险是其他受试者的5.74倍（95%置信区间2.03-16.26），尤其是情绪障碍（比值比= 15.57，95%置信区间3.77-64.37）。在排除伴随的精神疾病后，经常做噩梦的受试者在人格量表中的神经质得分仍显着较高（p < 0.05）。结论：经常做噩梦在一般人群中并不罕见，并与一系列因素相关，包括社会人口学特征和共病睡眠和精神疾病。此外，频繁的噩梦是独立相关的神经质人格特质，无论精神病诊断。应进行前瞻性研究，以调查各种诱发、诱发和持续的因素以及噩梦的相关影响。
Study Objectives: To determine the prevalence of frequent nightmares and their correlates in a large community-based cohort of middle-aged Hong Kong Chinese.Design: A 2-phase design involving a cross-sectional survey of 8558 subjects (men, 47.6%) with a mean age of 40.9 years (SD 5.5, range 20-78) and subsequently followed by a detailed clinical evaluation of the psychopathology and personality profile of 252 subjects.Setting: Community.Interventions: N/A.Measurements and Results: The prevalence of frequent nightmares, as defined by at least once per week, was 5.1%. Female sex, low monthly family income, insomnia symptoms, sleep-disordered breathing symptoms, and sleep-related daytime consequences were significantly associated with nightmare frequency. The risk of having a psychiatric disorder was 5.74 times greater for subjects with frequent nightmares (95% confidence interval 2.03-16.26), especially mood disorders (odds ratio = 15.57, 95% confidence interval 3.77-64.37). After exclusion of concomitant psychiatric morbidities, subjects with frequent nightmares still scored significantly higher on neuroticism in the personality scale (p < 0.05).Conclusions: Frequent nightmares were not uncommon in the general population and were associated with a constellation of factors, including sociodemographic characteristics and comorbid sleep and psychiatric disorders. Moreover, frequent nightmares were independently related to the neuroticism personality trait, irrespective of psychiatric diagnosis. Prospective studies should be conducted to investigate various predisposing, precipitating, and perpetuating factors and the associated repercussions of nightmares.