Obstrüktif Uyku Apnesi’nin Şiddet İçeren ve İçermeyen Davranışlar Üzerine Etkisi

Abstract

Amaç: Obstrüktif uyku apne (OUA) üst hava yollarının uyku sırasında daralması ile karakterizedir ve bu durum oksijen desaturasyonu, sempatik aktivasyon, tekrarlayan arousallara neden olur. Uyku problemi yaşayan insanlar kendilerini agresif eğilimleri olan ve dürtüselliklerini daha az kontrol edebilen kişiler olarak düşünürler. Bu çalışmanın amacı OUA ve gündüz uykululuk halinin, şiddet içeren ya da içermeyen davranışlar üzerine etkilerini araştırmaktır.

Gereç ve Yöntemler: Düzce Üniversitesi Tıp Fakültesi Hastanesi Göğüs Hastalıkları Polikliniğine uyku bozuklukları nedeniyle başvuran 150 kişi çalışmaya dâhil edildi. Tüm hastalara polisomnografi (PSG) yapıldı. Tüm diğer testler [Beck depresyon ölçeği (BDÖ), Beck anksiyete ölçeği (BAÖ), Epworth uykululuk skalası (EUS) ve Şiddet içeren ve içermeyen suç davranışları ölçeği (ŞİSDÖ)]  katılımcılarla yüz yüze görüşme ile yapıldı.

Bulgular: Bu çalışmada OUA hastalarında ŞİSDÖ ile apne-hipopne indeksi (AHI) arasında anlamlı bir ilişki saptanmadı. OUA’li hastalarda toplam ŞİSDÖ skoru ile EUS arasında anlamlı bir ilişki bulundu (r=0,267 p=0,003). EUS ile BDÖ skoru (r=0,314 p <0,001) ve BAÖ skalası skoru (r=0,319 p <0,001) arasında anlamlı bir ilişki vardı.

Sonuç: AHI ile şiddet içeren ve şiddet içermeyen davranışlar arasında bir ilişki yoktu. Bununla birlikte ESS ile BDÖ, BAÖ, ŞİSDÖ arasında anlamlı bir ilişki vardı. Uyku ve şiddet davranışlarının ortak nörofizyolojik bir mekanizması olabilir. Çalışmamız gündüz uykululuk halinin artmasıyla şiddet eğiliminin arttığını göstermiştir. Uyku problemleri ile şiddet davranışlarının arasındaki ilişkiyi araştırmak için ileri çalışmalara ihtiyaç vardır.

Keywords

• Gündüz uykululuk hali,obstrüktif uyku apne,şiddet davranışı

The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior

Abstract

Aim: Obstructive sleep apnea (OSA) characterized by repetitive collapse of the upper airway during sleep and this condition leading to oxygen desaturation, sympathetic activation, and recurrent arousals. Patients who experience sleep problems consider themselves, less able to control impulsive, aggressive tendencies. The aim of this study was to investigate the effect of OSA and daytime sleepiness on violent and non-violent behaviors.

Material and Methods: Hundred fifty individuals who were admitted to the Chest Disease Polyclinic for Sleep Disorders of Duzce University, School of Medicine Hospital were included in the study. All patients underwent polysomnography (PSG). All tests [Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Epworth Sleepiness Scale (ESS) and Nonviolent and Violent Offending Behavior Scale (NVOBS)] were applied to all participants by face to face interview.

Results: In this study, no significant relationship was found between NVOBS and AHI in OSA patients. Patients with OSA; There was a significant relationship between total score of NVOBS and ESS (r=0.267 p=0.003). There was a significant relationship between the ESS score and the BDI score (r=0.314 p <0.001) and BDI scale (r=0.319 p <0.001) scores.

Conclusions: There was no significant relationship between violent and non-violent behaviors and AHI. However, there was a significant relationship between ESS and BDI, BAI and NVOBS. There may be common neurophysiological activation mechanisms of sleep and violence action. Today, violent behavior and sleep problems increase and further research is needed to investigate the relationship between sleep problems and violent behavior.

Keywords

• Daytime sleepiness,obstructive sleep apnea,violent behavior

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