Anxiety and depression in paradoxical insomnia: a case–control study
Jingping Liao,1,* Shichao Zhu,1,2,* Xiaolin Li1 1Department of Nursing, 2Department of Infection Control, West China Hospital, Sichuan University, Chengdu, People’s Republic of China *These authors contributed equally to this work Purpose: To compare anxiety and depression among patient...
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Dove Medical Press
2018
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oai:doaj.org-article:4bac2e80f84f42f0b1235617e2ac9e602021-12-02T07:29:49ZAnxiety and depression in paradoxical insomnia: a case–control study1178-2021https://doaj.org/article/4bac2e80f84f42f0b1235617e2ac9e602018-01-01T00:00:00Zhttps://www.dovepress.com/anxiety-and-depression-in-paradoxical-insomnia-a-case-control-study-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Jingping Liao,1,* Shichao Zhu,1,2,* Xiaolin Li1 1Department of Nursing, 2Department of Infection Control, West China Hospital, Sichuan University, Chengdu, People’s Republic of China *These authors contributed equally to this work Purpose: To compare anxiety and depression among patients with paradoxical insomnia (Para-I), patients with psychophysiological insomnia (Psy-I), and normal sleepers (NS).Patients and methods: A cross-sectional case–control study was conducted in patients with Para-I (n=63), patients with Psy-I (n=63), and NS (n=63) from southwest China. The three groups were matched for age (mean age: 42.0±10.30 years), gender (per group: male =22; female =41), educational level, and nature of occupation. Anxiety and depression were evaluated using the Self-Rating Anxiety Scale and Self-Rating Depression Scale and compared among the groups.Results: Concerning anxiety, patients with Para-I had a significantly higher mean Self-Rating Anxiety Scale score (P<0.05) and significantly higher incidence of anxiety compared to NS (P<0.0167). There were no significant differences between the two insomnia groups on anxiety measures. Concerning depression, patients with Para-I had a significantly higher mean Self-Rating Depression Scale score than patients with Psy-I and NS (both, P<0.05), as well as a significantly higher incidence of moderate to severe depression than in the Psy-I group and NS (both, P<0.0167).Conclusion: Both Psy-I and Para-I patients had significantly higher anxiety and depression than NS. Compared to Psy-I, Para-I patients had slightly (but not significantly) lower anxiety and significantly higher depression. Keywords: sleep disorders, psychological comorbidity, stress, paradoxical insomniaLiao JZhu SLi XDove Medical PressarticleSleep disorderspsychological comorbiditystressparadoxical insomniaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 231-238 (2018) |
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Sleep disorders psychological comorbidity stress paradoxical insomnia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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Sleep disorders psychological comorbidity stress paradoxical insomnia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Liao J Zhu S Li X Anxiety and depression in paradoxical insomnia: a case–control study |
description |
Jingping Liao,1,* Shichao Zhu,1,2,* Xiaolin Li1 1Department of Nursing, 2Department of Infection Control, West China Hospital, Sichuan University, Chengdu, People’s Republic of China *These authors contributed equally to this work Purpose: To compare anxiety and depression among patients with paradoxical insomnia (Para-I), patients with psychophysiological insomnia (Psy-I), and normal sleepers (NS).Patients and methods: A cross-sectional case–control study was conducted in patients with Para-I (n=63), patients with Psy-I (n=63), and NS (n=63) from southwest China. The three groups were matched for age (mean age: 42.0±10.30 years), gender (per group: male =22; female =41), educational level, and nature of occupation. Anxiety and depression were evaluated using the Self-Rating Anxiety Scale and Self-Rating Depression Scale and compared among the groups.Results: Concerning anxiety, patients with Para-I had a significantly higher mean Self-Rating Anxiety Scale score (P<0.05) and significantly higher incidence of anxiety compared to NS (P<0.0167). There were no significant differences between the two insomnia groups on anxiety measures. Concerning depression, patients with Para-I had a significantly higher mean Self-Rating Depression Scale score than patients with Psy-I and NS (both, P<0.05), as well as a significantly higher incidence of moderate to severe depression than in the Psy-I group and NS (both, P<0.0167).Conclusion: Both Psy-I and Para-I patients had significantly higher anxiety and depression than NS. Compared to Psy-I, Para-I patients had slightly (but not significantly) lower anxiety and significantly higher depression. Keywords: sleep disorders, psychological comorbidity, stress, paradoxical insomnia |
format |
article |
author |
Liao J Zhu S Li X |
author_facet |
Liao J Zhu S Li X |
author_sort |
Liao J |
title |
Anxiety and depression in paradoxical insomnia: a case–control study |
title_short |
Anxiety and depression in paradoxical insomnia: a case–control study |
title_full |
Anxiety and depression in paradoxical insomnia: a case–control study |
title_fullStr |
Anxiety and depression in paradoxical insomnia: a case–control study |
title_full_unstemmed |
Anxiety and depression in paradoxical insomnia: a case–control study |
title_sort |
anxiety and depression in paradoxical insomnia: a case–control study |
publisher |
Dove Medical Press |
publishDate |
2018 |
url |
https://doaj.org/article/4bac2e80f84f42f0b1235617e2ac9e60 |
work_keys_str_mv |
AT liaoj anxietyanddepressioninparadoxicalinsomniaacasendashcontrolstudy AT zhus anxietyanddepressioninparadoxicalinsomniaacasendashcontrolstudy AT lix anxietyanddepressioninparadoxicalinsomniaacasendashcontrolstudy |
_version_ |
1718399398720831488 |