Effects of insomnia and sleep medication on health-related quality of life

Effects of insomnia and sleep medication on health-related quality of life
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DOI:
10.1016/j.sleep.2009.09.011
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发表时间:
2010-05-01
期刊:
影响因子:
4.8
通讯作者:
Matsushima, Eisuke
Matsushima, Eisuke
中科院分区:
医学2区
文献类型:
--
作者:
Sasai, Taeko;Inoue, Yuichi;Matsushima, Eisuke

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目的:本研究采用SF-8量表,对2822名农村人群(年龄20-97岁)的失眠和睡眠药物使用对生活质量(QOL)的影响进行了评估。与恶化的心理成分总结(MCS)评分和身体成分总结(PCS)scores.Methods:调查问卷询问参与者的基本信息,包括使用SF-8,匹兹堡睡眠质量指数(PSQI),和12项版本的流行病学研究中心抑郁量表的评估。PSQI结果支持睡眠良好者、使用睡眠药物的睡眠良好者、失眠症患者和使用睡眠药物的失眠症患者的分类。然而,睡眠药物的使用仅与低PCS评分相关。使用睡眠药物的睡眠良好者的MCS评分显著高于失眠症患者或使用睡眠药物的失眠症患者,但低于睡眠良好者。同样的失眠症患者使用睡眠药物,良好的睡眠者使用睡眠药物有显着降低PCS分数比无论是良好的睡眠者或失眠症患者。结论:睡眠药物是有用的,以提高心理生活质量。然而,这种用法可能会降低身体的QOL,可能是因为药物的副作用。(C)2010 Elsevier B. V.保留所有权利。
Objective: This study, using Short-Form 8 (SF-8), was undertaken to assess the effects of insomnia and sleep medication use on quality of life (QOL) in 2822 people (ages 20-97 years) in a rural population. Factors associated with deterioration of the mental component summary (MCS) score and physical component summary (PCS) score were investigated.Methods: Questionnaires asked participants' basic information and included assessments using SF-8, the Pittsburgh Sleep Quality Index (PSQI), and a 12-item version of the Center for Epidemiological Studies Depression scale. Results of PSQI supported the classification of subjects as good sleepers, good sleepers using sleep medication, insomniacs, and insomniacs using sleep medication.Results: Insomnia was associated with low scores of MCS and PCS. Nevertheless, sleep medication use was associated with low PCS scores only. Good sleepers using sleep medication had significantly higher MCS scores than either insomniacs or insomniacs using sleep medication, but lower scores than good sleepers. Similarly to insomniacs using sleep medication, good sleepers using sleep medication had significantly lower PCS scores than either good sleepers or insomniacs.Conclusions: Sleep medication was useful to improve mental QOL. That usage, however, might degrade the physical QOL, possibly because of the medication's adverse effects. (C) 2010 Elsevier B.V. All rights reserved.