Correlation Between Mental Health Status Of Insomniacs And TCM Constitution

Objective:To investigate the correlation between mental health status and TCM Constitution of insomnia patients,and to provide reference information for insomnia diagnosis and treatment.Methods:In accordance with the criteria of insomnia,patients fill in the personal information questionnaires to collect person evaluation scale,using Pittsburgh index scale(PSQI),Wang Qi nine Chinese Constitutional scale,SCL-90 scale,Self testing anxiety scale(SAS)and Depression Scale(SDS)for assessment on sleep quality in patients with insomnia,TCM Constitution,psychological status,evaluation using double independent evaluation,take the average score for the final score,to establish a database using the Epidata3.1 software,using SPSS 21 for statistical analysis.The statistical methods used include the normality test(Kruskal-Wallis,H test),Descriptive statistics,Frequency distribution statistics,Nonparametric test and other statistical methods.The correlation significance test is based on P<0.05.Result:1.301 insomnia patients were collected in the research.The youngest was 20 years old,the oldest was 75 years old,and the average age was 45.70 + 17.26 years old.The distribution of the 5 occupations is 124 intellectuals,accounting for 41.1%,which was the highest proportion;followed by 89 workers,accounting for 29.5%;15 farmers,accounting for 4.9%;6 administrative workers,accounting for 5.3%;service industry 57 people,accounting for 18.9%.The rate of insomnia was higher among intellectuals with higher education level,which indicated that insomnia was prone to higher education population.The interest tendency survey scale,showing that extensive interest for 19 people,accounting for 6.3%,wide for 89 people,accounted for 28.2%,in 151,the proportion was 50.1%,less interest for 46 people,accounted for 15.2%.It showed that a wide range of interest has some influence on the quality of sleep in patients with insomnia.Pittsburgh sleep quality scale results showed that qi deficiency,phlegm dampness,blood stasis and Qi Stagnation with higher scores,showed that the sleep quality of these four kinds poorer than other Constitution.2.The results of this survey were collected from 301 insomnia patients,including physical deficiency of 90 people,accounting for 29.9%;47 Yin deficiency constitution,Yang deficiency constitution accounted for 15.6%;43 people,accounting for 14.3%;blood stasis constitution of 22 people,accounting for 7.3%;phlegm dampness constitution of 32 people,accounting for 10.6%;and constitution of 29 people,accounting for 9.2%;Qi stagnation constitution of 17 people,accounting for 5.7%;damp heat constitution of 17 people,accounting for 5.7%,the specific endowment constitution of 4 people,accounting for 1.3%.The constitution of insomnia patients is characterized by qi deficiency constitution,yin deficiency constitution and yang deficiency constitution,phlegm dampness constitution.3.The results of SAS and SDS scales showed that the nine constitutions had anxiety,and the proportion of mild constitution was the least.More than half of the people with qi depression constitution had anxiety.From the SDS distribution table,we can see that the nine constitutions also have depression,and the proportion of depression and depression is still the highest.Anxiety and depression coexist in patients with a certain proportion in the nine constitutions,qi depression is still anxiety and depression coexist,patients occupy the most physical.4.Using the Pearson analysis PSQI and SCL-90 positive factors,the result showed that the sleep time of insomnia patients and somatic symptoms were related,compulsion,anxiety were positively correlated with sleep disorder,anxiety and depression was positively correlated with sleep efficiency,daytime dysfunction associated with paranoia(P<0.05).Conclusion:1.Most of the insomnia patients are Qi deficiency,yin deficiency,Yang deficiency and phlegm dampness.2.The common negative mood of insomnia patients is depression,anxiety and compulsion.Qi depression,Qi deficiency,phlegm dampness,blood stasis insomnia patients are more likely to suffer from anxiety and depression.3.Insomnia patients sleep time prong can occur somatization symptoms,sleep time shortened related with forced and anxiety,anxiety and depression can aggravate sleep daytime dysfunction,bigotry symptoms can affect sleep efficiency.