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

Year 2023, Volume: 7 Issue: 1, 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

References

• 1. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: A systematic critical review of the literature. Eur Spine J 2006;15(6):834-848.
• 2. Secer E, Tanik F, Korucu TS, Gursan IN, Ucurum SG. The Relationship Between Pain Level and Sleep Quality, Quality of Life and Psychological Status in Patients with Chronic Neck Pain. J Basic Clin Health Sci 2020;4(3):258-263.
• 3. Hammer C, Heller J, Kepler C, editors. Epidemiology and pathophysiology of cervical disc herniation. Seminars in Spine Surgery; 2016: Elsevier.
• 4. Sharrak S, Al Khalili Y. Cervical disc herniation. StatPearls [Internet]. 2020.
• 5. Yeung JT, Johnson JI, Karim AS. Cervical disc herniation presenting with neck pain and contralateral symptoms: a case report. J Med Case Rep 2012;6(1):1-4.
• 6. Parikh PR, Amarnath TK. To study the relationship between neck pain and anxiety, depression in computer workers – a correlation study. Int J Health Sci Res 2021;11(6): 356-361.
• 7. Reed MD, Van Nostran W. Assessing pain intensity with the visual analog scale: a plea for uniformity. J Clin Pharmacol 2014;54(3):241-244.
• 8. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4(6):561-571.
• 9. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review 1988;8(1):77-100.
• 10. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988;56(6):893-897.
• 11. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28(2):193-213.
• 12. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991;14(7):409-415.
• 13. Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012;24(3):69- 71.
• 14. Lerman SF, Rudich Z, Brill S, Shalev H, Shahar G. Longitudinal associations between depression, anxiety, pain, and painrelated disability in chronic pain patients. Psychosom Med 2015;77(3):333-341.
• 15. Elbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, Hajjaj-Hassouni N. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. Pan Afr Med J 2016;24(1).
• 16. Liu F, Fang T, Zhou F, Zhao M, Chen M, You J, Jin Y, Xie J, Liu Z. Association of depression/anxiety symptoms with neck pain: a systematic review and meta-analysis of literature in China. Pain Res Manag 2018;2018.
• 17. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Do psychological states associate with pain and disability in chronic neck pain patients? J Back Musculoskelet Rehabil 2015;28(4):797-802.
• 18. Batcik OE, Ozdemir B. The Relationship Between Pain and Psychological and Cognitive Status in Patients with Acute Low Back Pain: A Cross-Sectional Study. Medical Bulletin of Haseki/Haseki Tip Bulteni 2021;59(3).
• 19. Talvari A, Nemati N, Sini ZK, Golsefidi FN, Varkiani ME. The association of neck pain with depression and anxiety symptoms in elderly. Procedia-Social and Behavioral Sciences 2013;82:366-368.
• 20. Blozik E, Laptinskaya D, Herrmann-Lingen C, Schaefer H, Kochen MM, Himmel W, Scherer M. Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice. BMC Musculoskelet Disord 2009;10(1):1-8.
• 21. Gerrits MM, van Oppen P, van Marwijk HW, Penninx BW, van der Horst HE. Pain and the onset of depressive and anxiety disorders. PAIN 2014;155(1):53-59.
• 22. Altındağ Ö, Altındağ A, Soran N. Kronik ağrılı hastalarda depresyon düzeyinin ağrı şiddeti ve süresi ile ilişkisinin araştırılması. New/Yeni Symposium Journal 2006;44(4):178- 181.
• 23. Yazıcı K, Yazıcı A, Biçer A, Tot Ş, Şahin G, Buturak V. Kronik ağrı hastalarında anksiyete ve depresyonun yaşam kalitesine etkisi. Klinik Psikofarmakoloji Bülteni 2003;13(2):72-77.
• 24. Sayilir S. Daytime sleepiness, functionality, and stress levels in chronic neck pain and effects of physical medicine and rehabilitation therapies on these situations. North Clin Istanb 2018;5(4):348.
• 25. Muñoz-Muñoz S, Muñoz-García MT, Alburquerque-Sendín F, Arroyo-Morales M, Fernández-de-las-Peñas C. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. J Manipulative Physiol Ther 2012;35(8):608-613.
• 26. Artner J, Cakir B, Spiekermann J-A, Kurz S, Leucht F, Reichel H, Lattig F. Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res 2013;6:1.
• 27. Auvinen JP, Tammelin TH, Taimela SP, Zitting PJ, Järvelin M-R, Taanila AM, Karppinen JI. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. Eur Spine J 2010;19(4):641-649.
• 28. Valenza MC, Valenza G, González-Jiménez E, De-la-Llave- Rincón AI, Arroyo-Morales M, Fernández-de-Las-Peñas C. Alteration in sleep quality in patients with mechanical insidious neck pain and whiplash-associated neck pain. Am J Phys Med Rehabil 2012;91(7):584-591.
• 29. de Heer EW, Gerrits MM, Beekman AT, Dekker J, Van Marwijk HW, De Waal MW, Spinhoven P, Penninx BWJH, van der Feltz- Cornelis CM. The association of depression and anxiety with pain: a study from NESDA. PLoS One 2014;9(10):e106907.
• 30. Yalcinkaya H, Ucok K, Ulasli AM, Coban NF, Aydin S, Kaya I, Akkan G, Tugrul Senay T. Do male and female patients with chronic neck pain really have different health‐related physical fitness, depression, anxiety and quality of life parameters? Int J Rheum Dis 2017;20(9):1079-1087.