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癌症住院患者的睡眠质量及其与神经质人格、负性情绪关系的中介效应分析
作者：王玉娜1  周霞1  李艺1  钟慧娟2  王小燕3  朱海霞4  李磊5 
单位：1. 连云港市第一人民医院 肿瘤科, 江苏 连云港 222000;
2. 南京鼓楼医院集团宿迁市人民医院 肿瘤科, 江苏 宿迁 223800;
3. 淮安市第一人民医院 肿瘤科, 江苏 淮安 223000;
4. 盐城市第一人民医院 肿瘤科, 江苏 盐城 224006;
5. 南京医科大学康达学院 附属连云港
关键词：癌症 睡眠质量 负性情绪 神经质人格 中介效应 
分类号：R73;R749.91
出版年·卷·期（页码）：2020·39·第五期（619-623）
摘要：

目的: 调查癌症住院患者睡眠、抑郁焦虑与神经质人格状况及负性情绪在神经质人格和睡眠紊乱间的中介作用。方法: 本研究采取横断面研究设计,以相关心理评定量表调查202例癌症住院患者的睡眠质量、抑郁焦虑等负性情绪及神经质人格,使用Kruskal-Wallis 秩和检验和Spearman相关分析睡眠质量的影响因素,进一步应用结构方程模型分析负性情绪在神经质人格和睡眠质量间的中介效应。结果: 住院癌症患者有睡眠障碍者161例(79.70%),抑郁、焦虑和神经质人格与睡眠质量显著相关(r=0.54~0.64, P<0.001)。纳入这些因素的假设模型拟合良好,负性情绪有显著中介效应,占总体效应的78.95%(P<0.001)。结论: 癌症住院患者睡眠障碍较普遍,临床干预时应综合考虑神经质人格和抑郁焦虑等负性情绪。

Objective: To investigate sleep quality, negative emotion (such as depression and anxiety), and neuroticism personality among inpatients with cancer, and to explore negative emotion as mediator between neuroticism and sleep difficulty. Methods: A cross-sectional study design was recruited in this study, 202 cancer inpatients were recruited to finish a set of psychometric scales to estimate sleep, depression, anxiety, and neuroticism. Kruskal-Wallis rank sum test and Spearman correlation were used to analyse the effect factors of sleep quality. All significant effect factors were included into a theoretical model, and structural equation modeling (SEM) was used to confirm the mediation effect of negative emotion. Results: 161 of 202 cancer inpatients suffered sleep disorder. Depression, anxiety, and neuroticism significantly effected sleep quality(r=0.54-0.64,P<0.001). SEM indicated good fits of the theoretical model. Negative emotion had a significant mediation effect, which was 78.95% of total effect. Conclusion: Sleep disorders are common in cancer inpatients, neuroticism and negative emotion should be considered in clinical intervention.
参考文献：

[1] MERCADANTE S,ADILE C,FERRERA P,et al.Sleep disturbances in advanced cancer patients admitted to a supportive/palliative care unit[J].Support Care Cancer,2017,25(4):1301-1306.
[2] PALESH O G,ROSCOE J A,MUSTIAN K M,et al.Prevalence,demographics,and psychological associations of sleep disruption in patients with cancer:University of Rochester Cancer Center-Community Clinical Oncology Program[J].J Clin Oncol,2010,28(2):292-298.
[3] STEPHAN Y,SUTIN A R,BAYARD S,et al.Personality and sleep quality:evidence from four prospective studies[J].Health Psychol,2018,37(3):271-281.
[4] ORMEL J,JERONIMUS B F,KOTOV R,et al.Neuroticism and common mental disorders:meaning and utility of a complex relationship[J].Clin Psychol Rev,2013,33(5):686-697.
[5] NISHIURA M,TAMURA A,NAGAI H,et al.Assessment of sleep disturbance in lung cancer patients:Relationship between sleep disturbance and pain,fatigue,quality of life,and psychological distress[J].Palliat Supportive Care,2015,13(3):575-581.
[6] 卞崔冬,何筱衍,钱洁,等.患者健康问卷抑郁症状群量表在综合性医院中的应用研究[J].同济大学学报(医学版),2009,30(5):136-140.
[7] 王瑜,陈然,张岚.广泛性焦虑量表-7在中国综合医院住院患者中的信效度研究[J].临床精神医学杂志,2018,28(3):168-171.
[8] TSAI P S,WANG S Y,WANG M Y,et al.Psychometric evaluation of the Chinese Version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects[J].Qual Life Res,2005,14(8):1943-1952.
[9] 刘国庆,何壮,赵守盈.艾森克人格问卷的展开模型分析[J].贵州师范大学学报(自然科学版),2015,33(6):36-41.
[10] BAUMGARTNER H,HOMBURG C.Applications of structural equation modeling in marketing and consumer research:a review[J].Inter J Res Mark,1996,13(2):139-161.
[11] OTTE J L,CARPENTER J S,MANCHANDA S,et al.Systematic review of sleep disorders in cancer patients:can the prevalence of sleep disorders be ascertained?[J].Cancer Medicine,2015,4(2):183-200.
[12] FOX R S,ANCOLI-ISRAEL S,ROESCH S C,et al.Sleep disturbance and cancer-related fatigue symptom cluster in breast cancer patients undergoing chemotherapy[J].Support Care Cancer,2020,28(2):845-855.
[13] JIAO L,DUAN Z,SANGI-HAGHPEYKAR H,et al.Sleep duration and incidence of colorectal cancer in postmenopausal women[J].Br J Cancer,2013,108(1):213-221.
[14] CHANG W P,LIN C C.Correlation between rest-activity rhythm and survival in cancer patients experiencing pain[J].Chronobiol Int,2014,31(8):926-934.
[15] SIEFERT M L,HONG F,VALCARCE B,et al.Patient and clinician communication of self-reported insomnia during ambulatory cancer care clinic visits[J].Cancer Nurs,2014,37(2):E51-59.
[16] 黄雅梅,周仁来,吴梦莹.神经质人格的神经生理基础[J].心理科学进展,2015,23(4):602-613.
[17] CALKINS A W,HEARON B A,CAPOZZOLI M C,et al.Psychosocial predictors of sleep dysfunction:the role of anxiety sensitivity,dysfunctional beliefs,and neuroticism[J].Behav Sleep Med,2013,11(2):133-143.
[18] BAGLIONI C,NANOVSKA S,REGEN W,et al.Sleep and mental disorders:a meta-analysis of polysomnographic research[J].Psychol Bull,2016,142(9):969-990.
[19] SLAVISH D C,SLIWINSKI M J,SMYTH J M,et al.Neuroticism,rumination,negative affect,and sleep:examining between-and within-person associations[J].Pers Individ Dif,2018,123:217-222.
[20] ROBERTS R E,DUONG H T.The prospective association between sleep deprivation and depression among adolescents[J].Sleep,2014,37(2):239-244.
[21] ZHAI L,ZHANG H,ZHANG D.Sleep duration and depression among adults:a meta-analysis of prospective studies[J].Depress Anxiety,2015,32(9):664-670.
[22] DAHL R E,HARVEY A G.Sleep in children and adolescents with behavioral and emotional disorders[J].Sleep Med Clin,2007,2(3):501-511.
[23] BLAKE M J,TRINDER J A,ALLEN N B.Mechanisms underlying the association between insomnia,anxiety,and depression in adolescence:implications for behavioral sleep interventions[J].Clin Psychol Rev,2018,63:25-40.
[24] CHAUVIN B,THIBAULT-STOLL A,CHASSAGNON S,et al.Sleep-related cognitions mediate the impact of neuroticism on insomnia[J].Am J Health Behav,2015,39(5):623-631.
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