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| Study on sleep and mental characteristics of insomnia patients with sleep maintenance difficulties |
| WEN Qiao1 HE Qingyun2 WANG Dingnan2 MA Jie2 LI Feng2 |
1.Department of Encephalopathy, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
2.College of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China |
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Abstract Objective To compare the sleep and mental characteristics between sleep maintenance difficulty insomnia and other subtypes of insomnia. Methods From November 2022 to March 2023, patients with insomnia with sleep maintenance difficulties who were admitted to the general Clinic of the Third Affiliated Hospital of Beijing University of Chinese Medicine and the Sleep Disorder Clinic of the Department of Encephalopathy, the Famous Clinic of Beijing First Integrated Traditional and Western Medicine Hospital, the Traditional Chinese Medicine Hall of Beijing University of Chinese Medicine, the Huangjia Medical Circle Hospital of Traditional Chinese Medicine and the social recruitment through online posters were collected (observation group, 141 patients) and other subtypes of insomnia (60 patients in the control group). General information, insomnia severity index (ISI), Pittsburgh sleep quality index (PSQI), and its factor scores, self-rating anxiety scale (SAS), and self-rating depression scale (SDS) were compared between the two groups. Results There were significant differences in age, marital status, educational level, and thyroid disease between the two groups (P＜0.05). The sleep quality, time to fall asleep, sleep time, sleep efficiency, and hypnotic drugs in ISI, PSQI total score, and PSQI factor scores were compared between the two groups, and the differences were statistically significant (P＜0.05). The results of multiple linear regression showed that sleep maintenance difficulty insomnia was the influencing factor of sleep time, sleep efficiency, sleep disorder, and SDS scores in ISI and PSQI factors (P＜0.05). Conclusion Sleep maintenance difficulty insomnia can lead to similar levels of insomnia and depression and anxiety as the sum of other subtypes, and the clinical damage is more serious.
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