Investigation of Stress, Anxiety, Depression and Sleep Quality in Patients with Ankylosing Spondylitis during the COVID-19 Pandemic

Abstract

Objective: The aim of this study was to determine stress, anxiety, depression, and sleep disturbance in patients with ankylosing spondylitis (AS) during the COVID-19 pandemic and to examine the relationship between these psychiatric symptoms and disease activity/function. Material and Method: A total of 54 patients with AS (29 males) were included in this cross-sectional study. The Bath AS Disease Activity Index (BASDAI) was used to assess disease activity, the Bath AS Functional Index (BASFI) was used to assess function, and the Bath AS Metrology Index (BASMI) was used to assess spinal mobility. Perceived stress of the patients was evaluated with the Perceived Stress Scale, anxiety and depression were evaluated with the Hospital Anxiety and Depression Scale, and sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Results: It was determined that 50% of the patients had anxiety and 33.3% had depression. The PSQI score of the patients was 8.35 ± 0.58, and 68.5% had poor sleep quality. No relationship was found between BASDAI and stress, anxiety, depression, and sleep quality. There was a poor-moderate correlation between BASFI and sleep quality (r= 0.306, p=0.025). Conclusion: During the COVID-19 pandemic, the rates of patients with AS who experienced various psychiatric problems such as stress, anxiety, depression, and sleep disorders were high. No relationship was found between disease activity and psychiatric symptoms. There was only a relationship between BASFI and sleep quality.

Keywords

• COVID-19
• ankylosing spondylitis
• stress
• anxiety
• depression
• sleep quality

COVID-19 Pandemisinde Ankilozan Spondilit Hastalarında Stres, Anksiyete, Depresyon ve Uyku Kalitesinin İncelenmesi

Abstract

Amaç: Bu çalışmanın amacı COVID-19 pandemisi sırasında ankilozan spondilit (AS) hastalarında stres, anksiyete, depresyon ve uyku bozukluğunun belirlenmesi ve bu psikiyatrik semptomlar ile hastalık aktivitesi/fonksiyon arasındaki ilişkinin incelenmesidir. Gereç ve Yöntem: Kesitsel tipteki bu araştırmaya toplam 54 AS hastası (29 erkek) dahil edildi. Hastalık aktivitesinin değerlendirilmesinde Bath AS Hastalık Aktivite İndeksi (BASDAI), fonksiyonun değerlendirilmesinde Bath AS Fonksiyonel İndeksi (BASFI), spinal mobilitenin değerlendirilmesinde Bath Ankilozan Spondilit Metroloji İndeksi (BASMI) kullanıldı. Hastaların algıladıkları stres Algılanan Stres ölçeği ile, anksiyete ve depresyon Hastane Anksiyete ve Depresyon Ölçeği ile ve uyku kalitesi Pittsburgh Uyku Kalite İndeksi (PUKİ) ile değerlendirildi. Bulgular: Hastaların %50’sinde anksiyete, % 33,3’ünde depresyon belirtileri olduğu tespit edildi. Hastaların ortalama PUKİ puanı 8,35 ± 0,58 idi ve % 68,5’i kötü uyku kalitesine sahipti. BASDAI ile stres, anksiyete, depresyon ve uyku kalitesi arasındaki ilişki incelendiğinde bir ilişki bulunmadı. BASFI ile uyku kalitesi arasında düşük-orta derecede korelasyon vardı (r= 0,306, p=0,025). Sonuç: COVID-19 pandemisi sürecinde stres, anksiyete, depresyon ve uyku bozuklukları gibi çeşitli psikiyatrik belirtileri gösteren AS hastalarının oranlarının yüksek olduğu gözlendi. Hastalık aktivitesi ile psikiyatrik semptomlar arasında bir ilişki bulunmadı, yalnızca BASFI ile uyku kalitesi arasında bir ilişki vardı.

Keywords

• COVID-19
• ankilozan spondilit
• stres
• anksiyete
• depresyon
• uyku kalitesi

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