Examination of Sleep Quality, Anxiety and Depression in Stroke Patients

Abstract

GİRİŞ ve AMAÇ: İnmeli hastalarda farklı düzeylerde uyku problemleri, depresyon ve anksiyete görülmektedir. Çalışmamızın amacı inmeli hastalarda uyku kalitesi, anksiyete ve depresyonu ve hastalık durasyonunun bu semptomlar üzerine etkisini incelemektir. YÖNTEM ve GEREÇLER: Çalışmaya Mustafa Kemal Üniversitesi Nöroloji Anabilim Dalı’na bir yıl içinde başvuran ve çalışmaya katılmayı kabul eden hemiplejik hastalar dahil edildi (n=30). Demografik bilgiler, hemiplejinin durasyonu kaydedildi. Hastaların uyku kalitesi, Pittsburgh Uyku Kalitesi Ölçeği ile; depresyon düzeyi, Beck Depresyon İndeksi ile; anksiyete, Genel Anksiyete Ölçeği ile; mental durum, Mini Mental Test ile değerlendirildi. BULGULAR: Hastaların %40’ının mental durumlarının normal olduğu, geri kalanının farklı düzeyde mental bozukluğu olduğu bulundu. Hastaların %33.3’ünün Genel anksiyete bozukluğu vardı ve hastaların sadece %10’unun depresyon durumları normaldi. Hastaların %53.3’ünün zayıf uyku kalitesi olduğu bulundu. Beck Depresyon İndeksi ile Pitspurg Uyku Kalitesi Ölçeği arasında anlamlı, pozitif ve orta düzeyde korelasyon vardı. Beck Depresyon İndeksi aynı zamanda Genel Anksiyete Bozukluğu ölçeği ile pozitif ve anlamlı orta düzeyde korelasyon bulundu. Diğer korelasyonlar zayıftı ve anlamlı değildi. Hastalığın durasyonunun anksiyete, uyku kalitesi, depresyon ve BMI’i etkilemediğini bulduk.TARTIŞMA ve SONUÇ: Uyku kalitesi ile depresyon ve depresyon ile anksiyete arasında ilişki olduğunu bulduk. Psikolojik durum uyku kalitesini, uyku kalitesi de psikolojik durumu etkiler. Hastalığın durasyonunun uyku kalitesi, depresyon, anksiyeteyi etkilemediğini ve kadın erkek arasında bu semptomlarda fark olmadığını bulduk.

Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients

“…In this study, based on Spearman's correlation test analysis, it was found that there was a significant correlation between depression and sleep quality (r = 0.706). This is consistent with a study conducted by Huzmeli et al, where post-stroke depression was significantly related to the PSQI score (r = 0.543, p <0.002) [19]. Patients with depression have a vulnerability to initiate, maintain sleep, often wake up in the middle of the night, hypersomnia, and decreased sleep duration.…”

Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients

“…In this study, based on Spearman's correlation test analysis, it was found that there was a significant correlation between depression and sleep quality (r = 0.706). This is consistent with a study conducted by Huzmeli et al, where post-stroke depression was significantly related to the PSQI score (r = 0.543, p <0.002) [19]. Patients with depression have a vulnerability to initiate, maintain sleep, often wake up in the middle of the night, hypersomnia, and decreased sleep duration.…”

Factors Affecting the Quality of Sleep and Social Participation of Stroke Patients

“…Although many studies have analyzed the correlations between depression and anxiety, stress, spasticity, sleep quality, and social participation in stroke patients [19,22,23,56], few have analyzed the direct and indirect pathways between individual variables. Thus, this study has clinical significance due to its analysis of direct and indirect effects via the path analysis of individual factors.…”

“…Studies have demonstrated the adverse effects of depression and anxiety on sleep quality and social participation [16,21], as well as the significant correlations between depression, anxiety, and stress in stroke patients [19,22,23]. However, little research has investigated the causal relationship between post-stroke psychosocial factors such as depression, anxiety, and stress; sleep quality; and social participation.…”

Evaluation of the Impacts of Surgical Removal of Impacted Teeth on Alterations of the Mood With Beck Depression Inventory

“…The total BDS scores, 0-10, were interpreted as no depression, 11-16 mild depression, 17-20 borderline clinical depression, 21-30 moderate depression, 31-40 severe depression, 41 and above severe depression. 16 However, since the diagnosis of depression was outside the scope of the study and required expertise in the field of psychiatry, the BDS total scores above 10 were used to evaluate alterations in the mood.…”

Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients

“…In this study, based on Spearman's correlation test analysis, it was found that there was a significant correlation between depression and sleep quality (r = 0.706). This is consistent with a study conducted by Huzmeli et al, where post-stroke depression was significantly related to the PSQI score (r = 0.543, p <0.002) [19]. Patients with depression have a vulnerability to initiate, maintain sleep, often wake up in the middle of the night, hypersomnia, and decreased sleep duration.…”

Factors Affecting the Quality of Sleep and Social Participation of Stroke Patients

“…Although many studies have analyzed the correlations between depression and anxiety, stress, spasticity, sleep quality, and social participation in stroke patients [19,22,23,56], few have analyzed the direct and indirect pathways between individual variables. Thus, this study has clinical significance due to its analysis of direct and indirect effects via the path analysis of individual factors.…”

“…Studies have demonstrated the adverse effects of depression and anxiety on sleep quality and social participation [16,21], as well as the significant correlations between depression, anxiety, and stress in stroke patients [19,22,23]. However, little research has investigated the causal relationship between post-stroke psychosocial factors such as depression, anxiety, and stress; sleep quality; and social participation.…”

Evaluation of the Impacts of Surgical Removal of Impacted Teeth on Alterations of the Mood With Beck Depression Inventory

“…The total BDS scores, 0-10, were interpreted as no depression, 11-16 mild depression, 17-20 borderline clinical depression, 21-30 moderate depression, 31-40 severe depression, 41 and above severe depression. 16 However, since the diagnosis of depression was outside the scope of the study and required expertise in the field of psychiatry, the BDS total scores above 10 were used to evaluate alterations in the mood.…”

Associations between Depression and Anxiety with Sleep Quality in Post Stroke Patients

“…In this study, based on Spearman's correlation test analysis, it was found that there was a significant correlation between depression and sleep quality (r = 0.706). This is consistent with a study conducted by Huzmeli et al, where post-stroke depression was significantly related to the PSQI score (r = 0.543, p <0.002) [19]. Patients with depression have a vulnerability to initiate, maintain sleep, often wake up in the middle of the night, hypersomnia, and decreased sleep duration.…”

Factors Affecting the Quality of Sleep and Social Participation of Stroke Patients

“…Although many studies have analyzed the correlations between depression and anxiety, stress, spasticity, sleep quality, and social participation in stroke patients [19,22,23,56], few have analyzed the direct and indirect pathways between individual variables. Thus, this study has clinical significance due to its analysis of direct and indirect effects via the path analysis of individual factors.…”

“…Studies have demonstrated the adverse effects of depression and anxiety on sleep quality and social participation [16,21], as well as the significant correlations between depression, anxiety, and stress in stroke patients [19,22,23]. However, little research has investigated the causal relationship between post-stroke psychosocial factors such as depression, anxiety, and stress; sleep quality; and social participation.…”

Evaluation of the Impacts of Surgical Removal of Impacted Teeth on Alterations of the Mood With Beck Depression Inventory

“…The total BDS scores, 0-10, were interpreted as no depression, 11-16 mild depression, 17-20 borderline clinical depression, 21-30 moderate depression, 31-40 severe depression, 41 and above severe depression. 16 However, since the diagnosis of depression was outside the scope of the study and required expertise in the field of psychiatry, the BDS total scores above 10 were used to evaluate alterations in the mood.…”