2型糖尿病中的失眠：患病率、心理相关因素及其与血糖控制的关系
Insomnia in Type 2 Diabetes Mellitus: Prevalence, Psychological Correlates, and Association With Glycemic Control.
摘要(中文译文)
目的 本研究旨在评估成人2型糖尿病患者中失眠的患病率及其与糖化血红蛋白的关联。方法 在这项横断面研究中，就诊于糖尿病门诊的患者完成了失眠严重程度指数和医院焦虑抑郁量表（HADS）。糖化血红蛋白值由参与者根据其最近一次实验室检查结果自我报告。采用逻辑回归和线性回归分析评估失眠的人口学及心理预测因素，以及失眠与糖化血红蛋白之间的关系。结果 具有临床意义的失眠症状患病率为37.7%。较高的HADS总分与失眠独立相关，而年龄、性别和糖化血红蛋白并非显著的预测因素。失眠状态与糖化血红蛋白水平无显著关联（系数=0.04；p=0.28）。然而，年龄、性别和糖化血红蛋白均各自独立预测HADS总分（均p<0.01），提示人口学、代谢和心理因素之间存在多方面的相互作用。结论 失眠影响超过三分之一的成人2型糖尿病患者，但与糖化血红蛋白无独立关联。常规的睡眠和心理健康筛查，尤其是在较年轻患者中，可能有助于改善健康状况和2型糖尿病管理。
Abstract
Purpose This study aimed to assess the prevalence of insomnia in adults with type 2 diabetes mellitus and its association with glycated hemoglobin. Methods In this cross-sectional study, patients attending a diabetes clinic completed the Insomnia Severity Index and the Hospital Anxiety and Depression Scale (HADS). Glycated hemoglobin values were self-reported by participants based on their most recent laboratory result. Logistic and linear regression analyses evaluated demographic and psychological predictors of insomnia and the relationship between insomnia and glycated hemoglobin. Results The prevalence of clinically significant insomnia symptoms was 37.7%. Higher HADS total scores were independently associated with insomnia, while age, sex, and glycated hemoglobin were not significant predictors. Insomnia status was not significantly associated with glycated hemoglobin levels (coef.=0.04; p=0.28). However, age, sex, and glycated hemoglobin each independently predicted total HADS score (all p<0.01), suggesting a multifaceted interplay among demographic, metabolic, and psychological factors. Conclusions Insomnia affects over a third of adults with type 2 diabetes mellitus, but was not independently associated with glycated hemoglobin. Routine sleep and mental health screening, especially in younger patients, could improve well‑being and type 2 diabetes mellitus management.
如何引用
AMA
Carlos Siopa, Ana Duarte, João Revez Lopes, Diogo Telles Correia, Filipa Novais. Insomnia in Type 2 Diabetes Mellitus: Prevalence, Psychological Correlates, and Association With Glycemic Control.. Cureus. 2026; doi:10.7759/cureus.106629.
APA
Carlos Siopa, Ana Duarte, João Revez Lopes, Diogo Telles Correia, Filipa Novais (2026). Insomnia in Type 2 Diabetes Mellitus: Prevalence, Psychological Correlates, and Association With Glycemic Control.. Cureus. https://doi.org/10.7759/cureus.106629
GB/T 7714
Carlos Siopa, Ana Duarte, João Revez Lopes, Diogo Telles Correia, Filipa Novais. Insomnia in Type 2 Diabetes Mellitus: Prevalence, Psychological Correlates, and Association With Glycemic Control.[J]. Cureus, 2026 doi:10.7759/cureus.106629.
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