대한불안의학회지 (Anxiety and mood)

  • 제12권2호
  • /
  • Pages.97-102
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  • 2016
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  • 2586-0151(pISSN)
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  • 2586-0046(eISSN)
대한불안의학회 (Korean Academy of Anxiety Disorders)
권호 표지

직장인들의 수면 양상이 우울 및 불안에 미치는 영향

The Sleep Characteristics of Employees and Its Influence on Depression and Anxiety

  • 이우형 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 김은진 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 오강섭 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 신동원 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 신영철 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 임세원 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실)
  • Lee, Woo Hyung (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Eun Jin (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Oh, Kang Seob (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Dong Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Young Chul (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lim, Se Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2016.04.04
  • 심사 : 2016.07.27
  • 발행 : 2016.10.30
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초록

직장인에서 수면의 장애는 우울, 불안과 연관성이 높은 것으로 보이며, 수면 양상에 대한 여러 평가 항목 중에서도 주관적 수면의 질과 주간 기능장애가 가장 큰 연관성을 나타냈다. 이러한 결과는 총 수면 시간이나 입면 잠복 시간보다 환자가 느끼는 전반적인 주/야간의 만족도가 정동에 많은 영향을 미칠 수 있음을 뜻하며, 이를 고려한 수면 양상의 평가가 직장인뿐 아니라 일반인구나 환자에서도 중요할 수 있겠다.

Objective : This study aimed to quantify the degrees of insomnia, depression and anxiety felt by employees, and to understand which components of insomnia affect depression and anxiety. Methods : One thousand employees who had medical checkups from January to December 2014 in the Workplace Mental Health Institute of Kangbuk Samsung Medical Center were selected randomly. Sleep quality, depression, and anxiety were rated using the Pittsburgh Sleep Quality Index (PSQI), the Center for Epidemiologic Studies Depression scale (CES-D), and the Beck Anxiety Inventory (BAI), respectively. Good and poor sleepers were divided into two groups according to their total PSQI score : ${\leq}5$ for good sleepers or >5 for poor sleepers. Results : Of 998 employees, 742 (74.35%) had PSQI total scores below 5, and 256 (25.65%) had scores over 5. Multivariate linear regression analysis using the 7 components of PSQI versus BAI, and CES-D scores revealed that subjective sleep quality, daytime dysfunction, sleep disturbance, sleep latency and sleep duration components were significantly associated with both BAI and CES-D. Conclusion : Among the components of insomnia, subjective sleep quality and daytime dysfunction were most strongly associated with depression and anxiety.

키워드

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