摘要

摘要：
目的 探讨睡眠障碍患者执行功能与负性情绪、睡眠质量的相关性。

方法 纳入2023年12月-2024年12月85例睡眠障碍以及85例一般资料配对的志愿者为观察对象，分别设为睡眠障碍组以及对照组，比较两组执行缺陷综合征的行为学评价测试(behavioral assessment of dysexecutive syndrome, BADS)。将睡眠障碍组BADS≥中位数以及＜中位数的患者分别设为A组（37例）、B组（48例），比较两组匹兹堡睡眠指数(Pittsburgh sleep quality index, PSQI)、汉密尔顿抑郁量表(Hamilton depression scale, HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale, HAMA)，分析BADS评分与情绪、睡眠评分的相关性。

结果 睡眠障碍组规则转换、动作计划、动物园路线、寻找钥匙、时间判断、修订六元素评分以及总分均显著低于对照组，（P<0.05）；A组PSQI指数、HAMD 评分、HAMA评分显著低于B组，BADS评分显著高于B组，（P<0.05）；睡眠障碍患者BADS评分与PSQI指数、HAMD 评分、HAMA评分均呈显著负相关，（P<0.05）。

结论 睡眠障碍患者普遍存在执行功能损害，并且睡眠障碍、负性情绪与执行功能显著相关。

关键词：关键词：睡眠障碍；执行功能；负性情绪；睡眠质量

ABSTRACT

[Abstract]
Objective To explore the correlation between executive function, negative emotions, and sleep quality in patients with sleep disorders.

Methods Eighty-five cases of sleep disorders and 85 volunteers matched with general information from December 2023 to December 2024 were included as observation subjects. They were set as sleep disorder group and control group respectively. The behavioral assessment of dysexecutive syndrome (BADS) between Two Groups of Patients were compared. Patients with BADS ≥ median and ＜ median in the sleep disorder group were designated as Group A (37 cases) and Group B (48 cases) respectively. The two groups of Pittsburgh Sleep Quality Index (PSQI), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA) were compared. The correlation between BADS score and emotional and sleep scores were analyzed.

Results The sleep disorder group had significantly lower scores in the six elements of rule switching, action planning, zoo route, key searching, time judgment, revision, and overall score compared to the control group (P<0.05). The PSQI index, HAMD score, and HAMA score of Group A were significantly lower than those of Group B, while the BADS score was significantly higher than that of Group B (P<0.05). The BADS score of patients with sleep disorders is significantly negatively correlated with the PSQI index, HAMD score, and HAMA score (P<0.05).

Conclusion   Patients with sleep disorders generally have executive function impairment, and sleep disorders, negative emotions, and executive function are significantly correlated.

Key words: Key words Sleep Disorders; Execution Function; Negative Emotions; Sleep Quality