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

Yıl 2020, Cilt: 10 Sayı: 1, 22 - 28, 31.01.2020

Pınar Yıldız Gülhan , Mehmet Fatih Elverişli , Şengül Cangür , Ege Güleç Balbay , Bora Büken

https://doi.org/10.33631/duzcesbed.655994

Öz

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.

Anahtar Kelimeler

Gündüz uykululuk hali, obstrüktif uyku apne, şiddet davranışı

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

Öz

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.

Anahtar Kelimeler

Daytime sleepiness, obstructive sleep apnea, violent behavior

Kaynakça

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