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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Autores principales: Liao J, Zhu S, Li X
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Publicado: Dove Medical Press 2018
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Sleep disorders
psychological comorbidity
stress
paradoxical insomnia
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle 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
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