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Independent and interactive effects of psychological distress on sleep quality心理困擾對睡眠質(zhì)量的獨立和交互影響

本問卷分為兩部分,大約耗時3-5分鐘,所有回復(fù)均以匿名方式收集。This questionnaire is divided into two parts. Approximately takes 3-5 minutes. All responses are collected anonymously.
本問卷分為兩部分,大約耗時3-5分鐘,所有回復(fù)均以匿名方式收集。This questionnaire is divided into two parts. Approximately takes 3-5 minutes. All responses are collected anonymously.
1. 您的性別 /Your gender
2. 您的年齡(e.g. 20) / Your age(e.g.20)
Part1: DASS-21 
指導(dǎo)語/Instructions: 仔細(xì)閱讀下面每個句子,"過去一周"您是否出現(xiàn)過這些情況,請選擇適合您的選項。
Please read each statement below and indicate how much it applied to you over the past week. Select the option that best suits you.

評價程度/Rating Scale:

  • 0 不符合 / Did not apply to me at all

  • 1 有時符合 / Applied to me to some degree, or some of the time

  • 2 常常符合 / Applied to me a considerable degree, or a good part of the time

  • 3 總是符合 / Applied to me very much, or most of the time


3.
  1. 我覺得很難讓自己安靜下來。 / I found it hard to wind down.

4.
  1. 我感到口干舌燥。 / I was aware of dryness of my mouth.

5.
    1. 我好像一點都沒有感覺到任何愉快、舒暢。 / I couldn't seem to experience any positive feeling at all.

6.
  1. 我感到呼吸困難(例如:氣喘或透不過氣來)。 / I experienced breathing difficulty (e.g., excessively rapid breathing, breathlessness in the absence of physical exertion).

7.
    1. 我感到很難主動去開始工作。 / I found it difficult to work up the initiative to do things.

8.
    1. 我對事情往往做出過敏反應(yīng)。 / I tended to over-react to situations.

9.
    1. 我感到顫抖(例如:手抖)。 / I experienced trembling (e.g., in the hands).

10.
  1. 我覺得自己消耗了很多精力。 / I felt that I was using a lot of nervous energy.

11.
    1. 我擔(dān)心一些可能讓自己恐慌或出丑的場合。 / I was worried about situations in which I might panic and make a fool of myself.

12.
    1. 我覺得自己對不久的將來沒有什么可期盼的。 / I felt that I had nothing to look forward to.

13.
    1. 我感到忐忑不安。 / I found myself getting agitated.

14.
    1. 我感到很難放松自己。 / I found it difficult to relax.

15.
  1. 我感到憂郁沮喪。 / I felt down-hearted and blue.

16.
    1. 我無法容忍任何阻礙我繼續(xù)工作的事情。 / I was intolerant of anything that kept me from getting on with what I was doing. 


17.
    1. 我感到快要崩潰了。 / I felt I was close to panic. 


18.
    1. 我對任何事情都不能產(chǎn)生熱情。 / I was unable to become enthusiastic about anything.

19.
  1. 我覺得自己不怎么配做人。 / I felt I wasn't worth much as a person.

20.
    1. 我發(fā)覺自己很容易被觸怒。 / I felt that I was rather touchy.

21.
  1. 即使在沒有任何明顯的體力活動時,我也感到心律不正常。 / I was aware of the action of my heart in the absence of physical exertion (e.g., sense of heart rate increase, heart missing a beat).

22.
    1. 我無緣無故地感到害怕。 / I felt scared without any good reason.

23.
    1. 我感到生命毫無意義。 / I felt that life was meaningless.

Part 2:PSQI-9
指導(dǎo)語/Instructions: 下面一些問題是關(guān)于您最近1個月的睡眠情況,請選擇或填寫最符合您近1個月實際情況的答案。請回答下列問題。
Please answer the following questions based on your sleep situation over the past month. Select or fill in the answer that best matches your actual situation in the past month.
24. Q1 
在過去一個月中,您通常幾點上床睡覺?
During the past month, what time have you usually gone to bed at night?
___:_____
25. Q2 單行填空題
在過去一個月中,您通常需要多長時間才能入睡?(分鐘)(e.g. 5;15;45;70 )
During the past month, how long (in minutes) has it usually taken you to fall asleep each night?(e.g. 5;15;45;70 )
26. Q3 
在過去一個月中,您通常早上幾點起床?
During the past month, what time have you usually gotten up in the morning?
___:___
27. Q4 單行填空題
在過去一個月中,您每晚實際睡眠時間大約是多少小時?(不等于臥床時間)(以0.5為單位,e.g. 7.0 ; 8.5 ; 6.5)
During the past month, how many hours of actual sleep did you get at night? (In units of 0.5, e.g. 7.0 ; 8.5 ; 6.5)
28. Q5 矩陣題
在過去一個月中,您有多經(jīng)常因為以下原因而睡眠困難?
During the past month, how often have you had trouble sleeping because you…
  • 無 / Not during the past month
  • 每周<1次 / Less than once a week
  • 每周1–2次 / Once or twice a week
  • 每周≥3次 / Three or more times a week
(a) 無法在30分鐘內(nèi)入睡 (Cannot fall asleep within 30 minutes)
(b) 半夜或清晨醒來 (Wake up in the middle of the night or early morning)
(c) 夜間需要起床上廁所 (Have to get up to use the bathroom)
(d) 呼吸不暢 (Cannot breathe comfortably)
(e) 咳嗽或打鼾響 (Cough or snore loudly)
(f) 感覺太冷 (Feel too cold)
(g) 感覺太熱 (Feel too hot)
(h) 做惡夢 (Have bad dreams)
(i)疼痛不適(Pain or discomfort)
(j) 其他原因 (Other reasons that disturbed your sleep)
29. Q6 
在過去一個月中,您總體上如何評價自己的睡眠質(zhì)量?
During the past month, how would you rate your overall sleep quality?
0 = 很好 / Very good
1 = 比較好 / Fairly good
2 = 比較差 / Fairly bad
3 = 很差 / Very bad
30. Q7 
在過去一個月中,您是否服用助眠藥物?(包括處方或非處方藥)
During the past month, how often have you taken medicine to help you sleep (prescribed or “over the counter”)?
0 = 無 / Not during the past month
1 = 每周1次以下 / Less than once a week
2 = 每周1–2次 / Once or twice a week
3 = 每周≥3次 / Three or more times a week
31.

Q8 
在過去一個月中,您有多經(jīng)常在白天因為困倦而難以保持清醒(例如開會、吃飯或開車時)?
During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?

選項:
0 = 無 / Not during the past month
1 = 每周1次以下 / Less than once a week
2 = 每周1–2次 / Once or twice a week
3 = 每周≥3次 / Three or more times a week

32.

Q9 
在過去一個月中,您在白天保持足夠精力完成事情的程度如何?
During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done?

0 = 毫無問題 / No problem at all

1 = 輕度問題 / Only a very slight problem
2 = 中度問題 / Somewhat of a problem
3 = 嚴(yán)重問題 / A very big problem

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