中国临床心理学杂志

福特应激失眠反应量表中文版评估应激性失眠易感性的实验研究

分类号：R395.1

出版年,卷(期):页码：2015,23(6):1032-1034

摘要：

目的:探讨福特应激失眠反应量表中文版(FIRST-C)评估应激性失眠易感性的临床价值。方法:依据FIRST-C评分将79名研究对象划分为高分组和低分组。两组接受相同的应激实验后使用多导睡眠仪(PSG)监测夜间睡眠情况。结果:与应激前比较,高分组睡眠潜伏期延长、总体睡眠时间缩短、睡眠效率下降、2期睡眠百分比增加、3-4期睡眠百分比与REM百分比减少(P <0.01或0.05);低分组睡眠潜伏期延长(P <0.01)。两组应激前后PSG各项指标变化值之间差异均有统计学意义(P 均< 0.01)。结论:FIRST-C可应用于应激性失眠易感性的临床评估。

Objective: To explore the clinical value of the Ford Insomnia Response to Stress Test Chinese Version (FIRST-C) in assessing the vulnerability to Stress-related Sleep Disturbance. Methods: A total of 79 good sleep healthy volunteers were recruited by“purposive sampling”technique. Every participant completed a survey that included Pitts-burgh Sleep Quality Index(PSQI) and FIRST-C before the experimentation. All participants were classified as high score group and low score group by FIRST-C. All participants suffered the same stressful situation experimentation, and the poly-somnography(PSG) was recorded during the night. Results: Compared with the PSG data of the first laboratory night, the high score group showed significantly increased latency to stage 1 sleep, shortened total sleep time and lower sleep efficien-cy, as well as a significantly increased percentage of stage 2 sleep, reduced percentage of stage 3-4 sleep and REM, while the low score group showed significantly increased latency to stage 1 sleep during the second laboratory night. There were significantly different of PSG changes before and after stress between the two groups. Conclusion: The data of PSG demon-strate the power of FIRST-C, suggesting FIRST-C can be tested in clinical evaluation of stress susceptibility insomnia.

基金项目：

河南省重点科技攻关项目(102102310434)

作者简介：

参考文献：

1 Ulmer CS, Edinger JD, Calhoun PS, et al. A multi-component cognitive-behavioral intervention for sleep disturbance in veterans with PTSD: A pilot study. Journal of Clinical Sleep Medicine, 2011, 7: 57-68
2 Drake C, Richardson G, Roehrs T, et al. Vulnerability to stress-related sleep disturbance and hyperarousal. Sleep,2004, 27: 285-291
3 高存友,甘景梨,赵兰民,等. 福特应激失眠反应量表的初步修订与应用. 临床精神医学杂志,2014,24(5):305-307
4 张作记. 行为医学量表手册. 北京:中华医学电子音像出版社,2005. 292-293
5 Maria Ga?uszko-W?gielnik, Katarzyna Jakuszkowiak-Wojten, Mariusz Stanis?aw Wiglusz. The efficacy of cognitive-behavioural therapy as related to sleep quality and hyperarousal level in the treatment of primary insomnia. Psychiatria Danubina, 2012, 24: 51-55
6 骆春柳,潘集阳,陈伟菊,等. 广东龙门县青少年失眠状况调查及相关因素分析. 中国临床心理学杂志,2012,20(3):401-403
7 Helena Petersen RN Msc, Göran Kecklund Assoc Prof, Paolo D'Onofrio MSc, et al. Stress vulnerability and the effects of moderate daily stress on sleep polysomnography and subjective ratings. J Sleep Res, 2013, 22(1): 50-57
8 Børge S, Siri O, Odd EH, et al. A comparison of actigraphy and polysomnography in older Adults treated for chronic primary insomnia. Sleep, 2006, 29(10): 1353-1358

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