Servikal Disk Hernisi Olan Hastalarda Depresyon, Anksiyete ve Uyku Kalitesi Skorlarının Değerlendirilmesi: Türkiye’de Yapılan Bir Araştırma

Year 2023, , 31 - 37, 28.04.2023

Alper Uysal , Murat Güntel

https://doi.org/10.29058/mjwbs.1220876

Abstract

Amaç: Boyun ağrısı en sık görülen tıbbi şikayetlerden biridir. Kronik ağrı durumları bireylerde depresyon,
anksiyete ve uyku sorunlarına yol açabilir. Böylece hem ağrının kendisi hem de yol açtığı psikiyatrik
sorunlar hastanın yaşam kalitesini bozmaktadır. Depresyon ve anksiyete de ağrı algısında değişikliklere
neden olabilir. Bu çalışmada kronik boyun ağrısına neden olan servikal disk hernisinin (SDH) boyun
özürlülük düzeyi, uyku kalitesi, depresyon ve anksiyete üzerine etkilerini araştırmayı amaçladık.
Gereç ve Yöntemler: Hastaların ağrı şiddeti, boyun özürlülük indeksleri, depresyon ve anksiyete
durumları ve uyku kaliteleri sırasıyla görsel analog skala (GAS), boyun özürlülük indeksi (BÖİ), Beck
Depresyon Envanteri (BDE), Beck anksiyete envanteri (BAE) ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ)
kullanılarak değerlendirildi.
Bulgular: SDH ile anksiyete, depresyon ve uyku kalitesi arasında istatistiksel olarak anlamlı bir ilişki
bulduk. Ayrıca uyku kalitesi düşük olan grupta daha yüksek düzeyde ağrı, anksiyete ve depresyon bulduk.
Sonuç: Kronik boyun ağrısı olan hastalarda optimal tedavi yaklaşımları için eşlik eden uyku bozukluğu,
depresyon ve anksiyete de değerlendirilmelidir.

Keywords

Boyun ağrısı, Servikal disk herniasyonu, Depresyon, Anksiyete, Uyku bozukluğu

Evaluation of Depression, Anxiety and Sleep Quality Scores in Patients with Cervical Disc Herniation: A Study Conducted in Turkey

Abstract

Aim: Neck pain is one of the most prevalent medical complaints. Chronic pain conditions can lead to
depression, anxiety and sleep problems in individuals. Thus, both the pain itself and the psychiatric
problems it causes impair the quality of life of the patient. Depression and anxiety can also cause changes
in the perception of pain. In this study, we aimed to investigate the effects of cervical disc herniation (CDH),
which causes chronic neck pain, on the level of neck disability, sleep quality, anxiety and depression.
Material and Methods: Patients’ pain intensity, neck disability indexes, depression and anxiety status,
and sleep quality were evaluated using a visual analog scale (VAS), the neck disability index (NDI),
Beck Depression Inventory (BDI), beck anxiety inventory (BAI) and the Pittsburgh Sleep Quality Index
(PSQI), respectively.
Results: We found a statistically significant relationship between CDH and anxiety, depression and sleep
quality. In addition, we found higher levels of pain, anxiety and depression in the group with poor sleep
quality.
Conclusion: For optimal treatment approaches of patients with chronic neck pain, accompanying sleep
disorder, depression and anxiety should also be evaluated.

Keywords

Neck pain, cervical disc herniation, Depression, Anxiety, Sleep disorder

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