SLEEP IN NONDEPRESSED PATIENTS WITH PANIC DISORDER .1. SYSTEMATIC ASSESSMENT OF SUBJECTIVE SLEEP QUALITY AND SLEEP DISTURBANCE

被引:68
作者
STEIN, MB [1 ]
CHARTIER, M [1 ]
WALKER, JR [1 ]
机构
[1] UNIV MANITOBA,DEPT PSYCHIAT,ANXIETY DISORDERS RES PROGRAM,WINNIPEG,MB,CANADA
关键词
PANIC DISORDER; PITTSBURGH SLEEP QUALITY INDEX;
D O I
10.1093/sleep/16.8.724
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
To systematically assess sleep complaints in panic disorder (PD), the Pittsburgh Sleep Quality Index (PSQI) was administered to 34 untreated patients with DSM-III-R PD and 34 age-matched healthy controls (HC). PD patients reported significantly more impaired sleep than HC as indicated by higher global index scores on the PSQI (6.9+/-2.9 versus 3.1+/-2.0; p<0.0001) and on four of seven of its subscales; sleep was worst among those PD patients with a prior history of major depression. Sixty-eight percent of patients with PD reported moderately or severely impaired sleep compared to only 15% of HC (x(2)=17.5, p<0.0005). Twenty-six percent of PD patients but none of the HC-complained of frequent awakenings in the preceding month because they ''could not breathe comfortably'' (Fisher's exact test, p<0.00625). One-month prevalence of sleep panic in the patients was 18%; lifetime prevalence was 68%. Whereas these findings confirm previous reports of frequent sleep complaints in patients with PD, they also raise the possibility that some of the findings might be trait phenomena attributable to a history of mood disorder.
引用
收藏
页码:724 / 726
页数:3
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