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

Öz

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.

Anahtar Kelimeler

• 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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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