Objective To anslysis the satatus of anxiety or depression symptoms in outpatients with insomnia and its influencing factors. Methods The outpatients with sleep disorders in neurology clinic from July 2013 to May 2014 were analyzed by the plittsburgh sleep qulity index.Then which consistent with the diagnosis of insomnia were assessed the severity of anxiety and de-pression by Hamilton anxiety scale (HAMA)and Hamilton depression scale (HAMD),and also analyzed the gender, age,occupation, educaton, income and so on. Results A total of 317 cases meet the diagnosis of insomnia ,of which 195 cases with anxiety or de-pression, accounted for 61.5% .The number of both with anxiety and depression was 72, accounted for 22.7%. The incidence of anxiety or/and depression in female,outoccupation, low educaton and income patients were significantly higher than those in male , inoccupation,highly educated and income patients. Conclusion The incidence of anxiety or/and depression was higher in outpa-tients with insomnia, much attention should be paied to the clinical diagnosis and treatment.At the same time, health education and knowledge of sleep should be popularized in order to provide effective prevention and treatment for insomnia,anxiety and depres-sion.%目的：分析就诊于神经内科门诊的失眠患者中焦虑抑郁的发生情况及其影响因素。方法采用匹兹堡睡眠质量指数对2013年7月—2014年5月来该院神经内科门诊就诊的睡眠障碍患者进行失眠评定，对符合失眠症诊断者行汉密顿焦虑和抑郁量表测定，并同时对性别、年龄、职业、受教育程度、收入状况等进行分析。结果符合条件的失眠症患者共317例，伴发焦虑或抑郁者195例，发生率为61.5%；同时伴发焦虑和抑郁者72例，发生率为22.7％。女性、无业、低学历、低收入的失眠患者伴发焦虑或/和抑郁的发生率显著高于男性、在职、高学历、高收入的患者，差异具有统计学意义。结论门诊失眠患者伴发焦虑或/和抑郁的发生率较高，在临床诊断及治疗时应予以重视，同时对患者进行健康宣教，普及睡眠相关知识，为失眠、焦虑及抑郁的发生提供有效的预防和治疗措施。
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