Yıl 2020, Cilt 10 , Sayı 1, Sayfalar 22 - 28 2020-01-31

The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior
Obstrüktif Uyku Apnesi’nin Şiddet İçeren ve İçermeyen Davranışlar Üzerine Etkisi

Pınar YILDIZ GÜLHAN [1] , Mehmet Fatih ELVERİŞLİ [2] , Şengül CANGÜR [3] , Ege GÜLEÇ BALBAY [4] , Bora BÜKEN [5]


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.

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.

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Bölüm Araştırma Makaleleri
Yazarlar

Orcid: 0000-0002-5347-2365
Yazar: Pınar YILDIZ GÜLHAN (Sorumlu Yazar)
Kurum: DUZCE UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF CHEST DISEASES
Ülke: Turkey


Orcid: 0000-0002-5103-4089
Yazar: Mehmet Fatih ELVERİŞLİ
Kurum: DUZCE UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF CHEST DISEASES
Ülke: Turkey


Orcid: 0000-0002-0732-8952
Yazar: Şengül CANGÜR
Kurum: DUZCE UNIVERSITY, FACULTY OF MEDICINE
Ülke: Turkey


Orcid: 0000-0002-1557-7019
Yazar: Ege GÜLEÇ BALBAY
Kurum: DUZCE UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF CHEST DISEASES
Ülke: Turkey


Orcid: 0000-0003-2768-5946
Yazar: Bora BÜKEN
Kurum: DUZCE UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF FORENSIC MEDICINE
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 31 Ocak 2020

Bibtex @araştırma makalesi { duzcesbed655994, journal = {Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi}, issn = {}, eissn = {2146-443X}, address = {}, publisher = {Düzce Üniversitesi}, year = {2020}, volume = {10}, pages = {22 - 28}, doi = {10.33631/duzcesbed.655994}, title = {The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior}, key = {cite}, author = {YILDIZ GÜLHAN, Pınar and ELVERİŞLİ, Mehmet Fatih and CANGÜR, Şengül and GÜLEÇ BALBAY, Ege and BÜKEN, Bora} }
APA YILDIZ GÜLHAN, P , ELVERİŞLİ, M , CANGÜR, Ş , GÜLEÇ BALBAY, E , BÜKEN, B . (2020). The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi , 10 (1) , 22-28 . DOI: 10.33631/duzcesbed.655994
MLA YILDIZ GÜLHAN, P , ELVERİŞLİ, M , CANGÜR, Ş , GÜLEÇ BALBAY, E , BÜKEN, B . "The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior". Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 (2020 ): 22-28 <https://dergipark.org.tr/tr/pub/duzcesbed/issue/52090/655994>
Chicago YILDIZ GÜLHAN, P , ELVERİŞLİ, M , CANGÜR, Ş , GÜLEÇ BALBAY, E , BÜKEN, B . "The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior". Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 (2020 ): 22-28
RIS TY - JOUR T1 - The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior AU - Pınar YILDIZ GÜLHAN , Mehmet Fatih ELVERİŞLİ , Şengül CANGÜR , Ege GÜLEÇ BALBAY , Bora BÜKEN Y1 - 2020 PY - 2020 N1 - doi: 10.33631/duzcesbed.655994 DO - 10.33631/duzcesbed.655994 T2 - Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi JF - Journal JO - JOR SP - 22 EP - 28 VL - 10 IS - 1 SN - -2146-443X M3 - doi: 10.33631/duzcesbed.655994 UR - https://doi.org/10.33631/duzcesbed.655994 Y2 - 2020 ER -
EndNote %0 Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior %A Pınar YILDIZ GÜLHAN , Mehmet Fatih ELVERİŞLİ , Şengül CANGÜR , Ege GÜLEÇ BALBAY , Bora BÜKEN %T The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior %D 2020 %J Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi %P -2146-443X %V 10 %N 1 %R doi: 10.33631/duzcesbed.655994 %U 10.33631/duzcesbed.655994
ISNAD YILDIZ GÜLHAN, Pınar , ELVERİŞLİ, Mehmet Fatih , CANGÜR, Şengül , GÜLEÇ BALBAY, Ege , BÜKEN, Bora . "The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior". Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 / 1 (Ocak 2020): 22-28 . https://doi.org/10.33631/duzcesbed.655994
AMA YILDIZ GÜLHAN P , ELVERİŞLİ M , CANGÜR Ş , GÜLEÇ BALBAY E , BÜKEN B . The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior. DÜ Sağlık Bil Enst Derg. 2020; 10(1): 22-28.
Vancouver YILDIZ GÜLHAN P , ELVERİŞLİ M , CANGÜR Ş , GÜLEÇ BALBAY E , BÜKEN B . The Effect of Obstructive Sleep Apnea on Violent and Non-violent Behavior. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2020; 10(1): 28-22.