Family members of people with severe mental illness during COVID-19 home quarantineAn observational study of sleep quality and mood symptoms
重性精神疾病患者家属 COVID-19 疫情居家隔离期间睡眠质量和情绪症状的观察研究

摘要

目的 调查重性精神疾病患者家属在新冠肺炎疫情居家隔离期间睡眠问题、抑郁和焦虑症状的发生 率。方法 采用广泛性焦虑量表（GAD-7），病人健康问卷抑郁量(PHQ-9)表和匹兹堡睡眠质量指数(PSQI)对 200 名重性精神疾病患者家属在新冠肺炎疫情居家隔离期间的焦虑抑郁症状和睡眠问题进行线上问卷调查。结果 重 性精神疾病患者家属在新冠肺炎疫情居家隔离期间的平均睡眠时间为 5.71±1.09 小时，睡眠潜伏期为 33.49±28.87 分钟。其中入睡困难、睡眠维持或早醒、噩梦和睡眠药物的检出率分别是 76.0%、80.5%、45.0%和 19.0%。另外， 60%的受试者睡眠质量差，46%和 40%的受试者检测出了抑郁和焦虑症状。睡眠质量和焦虑症状与抑郁症状显著 相关。结论 新冠肺炎疫情居家隔离管理期，睡眠紊乱、抑郁和焦虑症状在重性精神疾病患者家属中很常见，对 相应问题应采用综合措施进行干预，同时需要考虑到心理社会、个体行为等因素。

Abstract

Objective To investigate the incidence of sleep problems, depression and anxiety symptoms in family members of patients with severe mental illness during home isolation during COVID-19.
Methods The Generalized Anxiety Scale (GAD-7), Patient Health Questionnaire Depression Scale (PHQ-9) and Pittsburgh Sleep Quality Index (PSQI) were used to investigate the anxiety, depression symptoms and sleep problems of 200 family members of patients with severe mental illness during home isolation during COVID-19.
Results The mean sleep time of family members of patients with severe mental illness was 5.71±1.09 hours and the sleep incubation period was 33.49±28.87 minutes. The detection rates of difficulty falling asleep, sleep maintenance or early waking, nightmares and sleep drugs were 76.0%, 80.5%, 45.0% and 19.0%, respectively. In addition, 60 percent of the subjects had poor sleep quality, and 46 percent and 40 percent detected symptoms of depression and anxiety. Sleep quality and anxiety symptoms were significantly correlated with depressive symptoms.
Conclusion  s Sleep disorders, depression and anxiety symptoms are common in the family members of patients with severe mental illness during the period of home isolation management of COVID-19. Comprehensive intervention measures should be taken to address these problems, and psychosocial and individual behavior factors should be taken into account.