The Relationship Between Insomnia And Dysfunctional Relief About Sleep/Resilience/Social Support

Objective:To study the effect of dysfunctional sleep belief,resilience and social support on insomnia,and to explore the protective effect of resilience and social support on insomnia.Methods:According to the convenient sampling,in the insomnia specialist clinic of the affiliated brain hospital of Nanjing Medical University,according to the inclusion criteria and exclusion criteria,86 subjects who were included in the study were insomnia(insomnia group: 30 patients with non-organic insomnia ? Secondary insomnia group: 56 patients with depression and generalized anxiety disorder with insomnia symptoms and 51 healthy individuals,all subjects enrolled in the general survey,Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Sleep Disorders and Attitudes Scale(DBAS),Mental Resilience Scale(RIS),and Social Support Rating Scale(SSRS).All research data were statistically analyzed using SPSS22.0 software,including descriptive analysis,t-test,analysis of variance,Pearson correlation analysis,logistic regression analysis and multilevel regression analysis.Results:(1)From the DBAS scores,the insomnia group,the secondary insomnia group and the healthy group had significant differences in the DBAS total score,the“worry”sub-scale and the “drug”sub-scale(P< 0.01).Further pairwise comparison,compared with the healthy control group,the insomnia group and the secondary insomnia grouphad significantly lower DBAS total scores and“worry”sub-scales(P<0.01),indicating that the insomnia patients had more dysfunctional cognition and concerns about sleep.On the “drug”sub-scale,there was a significant difference between the insomnia group and the healthy group,indicating that patients with non-organic insomnia had more dysfunctional knowledge of sleep drugs(P<0.01).(2)From the RIS scores,the insomnia group,the secondary insomnia group and the healthy group had significant differences in the RIS total scores,“subjective”and "toughness" sub-scales(P<0.01).Further pairwise comparison,there was no statistical difference between the insomnia group and the healthy group(P>0.05).But compared with the healthy group,the secondary insomnia group was significantly lower in the RIS total score(P<0.05),“subjective”(P<0.05)and “the toughness”(P<0.01)sub-scale,indicating that the level of resilience of patients with secondary insomnia was lower.(3)In terms of social support scores,Insomnia group,secondary insomnia group and healthy group had significant differences in SSRS total score,“subjective support”and “use of support”sub-scale(P<0.01).Further pairwise comparison,the insomnia group was significantly higher than the secondary insomnia group(P<0.05)and the healthy group(P<0.01)in the“subjective support”sub-scale,the“supportive utilization”of the DBAS and DBAS scores.the“supportive utilization”of the DBAS in the healthy group was significantly higher than that in the insomnia group and the secondary insomnia group(both P<0.05).the SSRS scores of the insomnia group were significantly higher than those of the secondary insomnia group(P<0.05).(4)There was a significant correlation between PSQI and HAMA,DBAS and SSRS in patients with insomnia(P<0.05),but the correlation with RIS psychological toughness was not significant(P>0.05).(5)By logistic regression analysis of all subjects,gender(B=-2.510,P=0.001),occupation(B=-1.169,P=0.045),and marital status(B=-3.732,P=0.000)were risk factors for insomnia.(6)In patients with insomnia,dysfunctional sleep belief(B=-0.092,P<0.05)had a negative predictive effect on sleep quality,and social support had a positive predictive effect on sleep quality(B=0.096,P<0.05);Resilience has a regulating effect between anxiety and insomnia,and anxiety had a partial mediating effect between social support and insomnia.Conclusion:(1)Compared with healthy people,insomnia patients had worse sleep quality,more bad sleep beliefs,lower psychological resilience,and less social support.(2)Gender,occupation and marital status are risk factors for insomnia(3)Dysfunctional beliefs about sleep and social support can directly affect sleep quality.Resilience can regulate the relationship between anxiety and sleep quality.Social support can also affect sleep quality by affecting anxiety.