Characteristics of the sleep structures of patients with both chronic insomnia and obstructive sleep apnea in plateau area / 中华健康管理学杂志

Objective:To explore the characteristics of the sleep structures of patients with both chronic insomnia and obstructive sleep apnea (OSA) in plateau area.Methods:Polysomography Alice 5 was applied to 23 patients with primary chronic insomnia [insomnia group, age (48.2±9.9) years], 22 patients with both chronic insomnia and OSA [comorbidity group, age (46.8±8.9) years], who both came from Qinghai Red Cross Hospital between January, 2014 to June, 2015 and 20 subjects with normal sleep [healthy group, age (46.2±7.1) years] in plateau area (mainly in Xining, altitude 2 250 meters or above) to compare and explore their sleep structures by the whole night sleep monitoring in the sleep monitoring room. The sleep structures were compared according to the American Academy of Sleep Medicine (AASM) Manual for the Scoring of Sleep and Associated Events.Results:Compared to healthy group, insomnia group and comorbidity group both had significantly lower sleep efficiency [(62.4%±16.7%), (59.8%±16.0%) vs (80.9%±8.8%)], non-rapid eye movement (NREM) phase 2 sleep ratio [(37.9%±12.2%), (36.2%±12.5%) vs (49.7%±6.2%)] and rapid eye movement (REM) sleep ratio [(7.7%±4.0%), (6.5%±4.0%) vs (12.5%±4.6%)] (all P<0.05); comorbidity group had a significantly higher oxygen desaturation index than insomnia group and healthy group [(30.8±29.2) vs (7.9±7.5), (5.9±2.7) times/h] ( P<0.05); insomnia group′s sleep latency of NREM3 stage was significantly longer than comorbidity group and healthy group [(148.9±113.6) vs (89.3±51.8), (59.1±40.3) min] (both P<0.05). Conclusion:Patients with both chronic insomnia and OSA and patients with chronic insomnia only in plateau area have different sleep structures, and both of their sleep quality are lower than the people with normal sleep; patients with both chronic insomnia and OSA could enter deep sleep more quickly after sleep onset.

A Correlation Analysis Between Need-press on TAT and Themes on Sandplay of Borderline Personality Disorder / 中国临床心理学杂志

Objective:Sandplay themes and TAT stories of BPD's were deeply analyzed in order to explore the relationship between healing-trauma themes and need-pressure system.Methods:The healing-trauma themes of 30 BPD students' were compared with that of 30 non-BPD students'.A correlation analysis was done between healing-trauma themes and need-pressure system.Results:①Scores of trauma themes of BPD were significantly higher than those of normal participants(3.67?1.06/2.33?0.92,t=5.19,P

Object Relation of Borderline Personality Disorder in Thematic Appearance Test / 中国临床心理学杂志

Objective: To explore the object relation in the college students with borderline personality disorder(BPD) by thematic appearance test (TAT). Methods: The result of the social cognitive and object relation scale (SCORS) of BPD students was compared with that of the non-BPD students. Results: The BPD students got significantly lower scores in complexity of representations of people, affect-tone of relationship paradigms, and understanding of social causality. But there was no significant difference in the capacity for emotional investment in relationships and moral standards. Conclusion: The object relation of BPD students is different from that of the non-BPD students. The non-BPD students develop better in complexity of representations of people, affect -tone of relationship paradigms, and understanding of social causality.