海洛因成癮者睡眠障礙及相關因子之研究

吳孟寰

3.238.136.36，Hello！

Close
Search Quick Search Advanced Search Publication Search	Personal Service Member Login Searching History Use Bonus Card SYMSKAN
Browse Browse by University of Graduate Thesis Browse by Pinyin of Graduate Thesis Browse by Conference Proceedings Topic Browse by Conference Proceedings Publisher Browse by Pinyin of Conference Proceedings Browse by eBook Category Browse by eBook Topic Browse by eBook Publisher
Customer Services Authorize Airiti Recommend a Journal

Search Symbol (Half-width)	Description of Search Symbols
Space	"AND" indicates the intertwining of key terms used in a search
Double Quotation Marks ("") ( " " )	Double quotation marks indicate the beginning and end of a phrase, and the search will only include terms that appear in the same order of those within the quotations. Example: "image process" ： " image process "
?	Indicates a variable letter. Entering two ? will indicate two variable letters, and so on. Example: "Appl?", search results will yield apple, apply… e , appl y … ( (often used to English word searches) )
*	Indicates an unlimited number of variable letters to follow, from 1~n. Example: Enter "appl*", search results will yield apple, apples, apply, applied, application…(often used in English word searches) e , appl es , appl y , appl ied , appl ication … ( (often used to English word searches) )
AND、OR、NOT	Boolean logic combinations of key words is a skill used to expand or refine search parameters. (1) AND (1) AND: Refines search parameters (2) OR (2) OR: Expands search parameters (3) NOT: Excludes irrelevant parameters

DOI stands for Digital Object Identifier （ D igital O bject I dentifier ） ,
and is the unique identifier for objects on the internet. It can be used to create persistent link and to cite articles.

Using DOI as a persistent link

To create a persistent link, add「http://dx.doi.org/」「 http://dx.doi.org/ 」 before a DOI.
For instance, if the DOI of an article is 10.5297/ser.1201.002 , you can link persistently to the article by entering the following link in your browser: http://dx.doi.org/ 10.5297/ser.1201.002 。
The DOI link will always direct you to the most updated article page no matter how the publisher changes the document's position, avoiding errors when engaging in important research.

Cite a document with DOI

When citing references, you should also cite the DOI if the article has one. If your citation guideline does not include DOIs, you may cite the DOI link.

DOIs allow accurate citations, improve academic contents connections, and allow users to gain better experience across different platforms. Currently, there are more than 70 million DOIs registered for academic contents. If you want to understand more about DOI, please visit airiti DOI Registration （ doi.airiti.com ）。

Data Source

Health & Medical Care > Medical Sciences
College of Medicine > Graduate Institute of Medicine

Bibliography Management Tool

Related Links

Report an Issue

Search in Library

Full-Text will be available on 2027/06/15 Authorization notice of subscription

海洛因成癮者睡眠障礙及相關因子之研究

Sleep Disturbance and Related Factors among Heroin-dependent Patients

吳孟寰 , Masters　　Advisor：丁化　　

繁體中文

海洛因成癮；睡眠障礙；憂鬱；生活品質； Heroin dependence ； Sleep disturbance ； Depression ； Quality of life

Abstract │ Reference (54) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Background/Objectives: Sleep disturbance is common and may adversely affect treatment outcome, mental health, and quality of life in heroin-dependent patients.
Participants in previous studies have focused upon patients receiving treatment. Less is known about patients before treatment, and the association between sleep disturbance and severity of dependence. We conducted a cross-sectional descriptive study and explored the 1-month prevalence of sleep disturbance and its associations with socio-demographic, substance-related characteristics, severity of dependence, depression, and quality of life.
Methods: The sample (n=514) comprised individuals with heroin dependence attending the methadone maintenance treatment program and the therapeutic community at a psychiatric center in Nantou, Taiwan between 2008 and 2014. Sleep quality was measured using Pittsburgh Sleep Quality Index (PSQI) with a global score greater than 5 indicating sleep disturbance. Centre for Epidemiologic Studies Depression Scale, Severity of Dependence Scale, and World Health Organization Quality of Life-BREF were also approached. T-test, chi-square tests, and multivariate logistic regression were performed to measure associations between variables and sleep disturbance.
Results: The 1-month prevalence of sleep disturbance (PSQI>5) was 76.3% among 514 subjects with heroin dependence. Heroin users with sleep disturbance had significantly more life events in the previous year, higher rate of unemployment, greater cigarette consumption, longer length of heroin use, higher rate of injectors, greater severity of dependence, greater severity of depression, and lower quality of life compared to those without sleep disturbance. Severity of dependence, severity of depression, and physical health domain of quality of life remained significantly associated with sleep disturbance after adjusting for other variables.
Conclusion: Heroin-dependent patients had a high 1-month prevalence of sleep disturbance, and which was associated with greater severity of dependence, depression, and poorer physical health-related quality of life. Early assessments and interventions for sleep disturbance among patients with heroin dependence are recommended.

Reference ( 54 ) 〈TOP〉

1. UNODC, United Nations Office on Drugs and Crime (UNODC).World Drug Report 2015. (United Nations publication, Sales No. E.15.XI.6). Vienna: UNODC, 2015.
連結：
2. Hsu, J., J.-J. Lin, and W.-I. Tsay, Analysis of drug abuse data reported by medical institutions in Taiwan from 2002 to 2011. Journal of Food and Drug Analysis, 2014. 22(2): p. 169-177.
連結：
3. Teesson, M., et al., Long-term mortality, remission, criminality and psychiatric comorbidity of heroin dependence: 11-year findings from the Australian Treatment Outcome Study. Addiction, 2015. 110(6): p. 986-93.
連結：
4. Stein, M.B., et al., Impairment associated with sleep problems in the community: relationship to physical and mental health comorbidity. Psychosom Med, 2008. 70(8): p. 913-9.
連結：
5. Walsh, J.K., et al., Nighttime insomnia symptoms and perceived health in the America Insomnia Survey (AIS). Sleep, 2011. 34(8): p. 997-1011.
連結：

Altmetrics

〈TOP〉

E-mail ：

When an article is available to download, a notice will be sent to your mailbox address.

E-mail ：