Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia

ÇARKUNGÖZ, Ender; Kırlı, Selçuk; Bora, İbrahim Hakkı; AKKAYA, Cengiz; KOTAN, Ozan Vahap; BİCAN DEMİR, AYLİN

Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia

AYLİN BİCAN DEMİR, (Uludağ Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Bursa, Türkiye)

Ozan Vahap KOTAN, (Uludağ Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Bursa, Türkiye)

İbrahim BORA, (Uludağ Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Bursa, Türkiye)

Cengiz AKKAYA, (Uludağ Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Bursa, Türkiye)

Ender ÇARKUNGÖZ, (Uludağ Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Bursa, Türkiye)

Selçuk KIRLI (Uludağ Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Bursa, Türkiye)

Türk Nöroloji Dergisi

6 1

Yıl: 2010 Cilt: 16 Sayı: 2 Sayfa Aralığı: 86 - 94 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia

Öz:

AMAÇ: Distimi hastalarında uyku bozuklukları, genellikle hastalığın bir parçası olarak değerlendirilmekte, tedavi edilebilir farklı sebepleri çoğunlukla atlanmakta ve uyku sorunları distimi hastalarının yaşamlarının bir parçası haline gelmektedir. Çalışmamızda bu amaçla, hastaların psikiyatrik semptomlarını, uyku değerlendirmesini ve eşlik eden bir uyku bozukluğu olup olmadığını gün içi uykululuk testleri ve polisomnografi ile belirlemeyi amaçladık. Çalışmamızda kronik uykusuzluğu olan distimik kadınlara, Epworth uykululuk testi (ESS) ve polisomnografik inceleme yaptık. YÖNTEMLER: Çalışmamıza Uludağ Üniversitesi Tıp Fakültesi Psikiyatri Kliniğinde en az iki yıldır distimi tanısıyla takip edilen ve kronik uykusuzluğu olan 20 kadın hasta ve kontrol grubu olarak 18-65 yaş arası 20 kadın alındı. BULGULAR: Distimik hasta ve kontrol grubu arasında ESS ve uyku evreleri arasında anlamlı farklılıklar gözlendi. Distimi hastalarında ESS değerinin daha yüksek olduğu, uyku evrelerinden REM, non-REM-1 (evre 1), non-REM-2 (evre 2) daha yüksek oranda, non-REM-3-4 (evre 3-4) daha düşük oranda olduğu görüldü SONUÇ: Bu çalışma bulguları, distimik hastalarda da yapısal uyku değişikliklerinin olduğunu akla getirmekte olup, uyku değişkenlikleri ve depresif durumlarının arasında hiçbir direkt bağlantı olmadığını göstermektedir.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Kronik uykusuzluğu olan distimik kadınlarda epworth uykululuk ölçeğinin ve polisomnografinin değerlendirilmesi

Öz:

OBJECTIVE: In patients with dysthymic disorder (DD), sleep problems are assessed as a part of their depressive state, and different treatable conditions, such as other primary sleep disorders, are often skipped. We aimed to determine symptoms related to daytime sleepiness and polysomnographic findings in dysthymic women with chronic insomnia and to find out whether or not there is an accompanying sleep disorder. We suggest that pathologies that can lead to sleep problems in dysthymic patients should be searched, and to this end, application of the Epworth sleepiness scale (ESS) and polysomnography examination should be used much more frequently METHODS: We included 20 female dysthymic patients with complaints of chronic sleep problems who had been under follow-up at Uludag University Hospital Psychiatry Outpatient Clinic for at least the last two years. Twenty healthy female volunteers, aged 18-65 years, were included in the study as the control group. ESS and polysomnography examination were applied in all patients. RESULTS: When patients with DD and healthy controls were compared, significant differences in ESS scores and ratios of sleep phases were determined between groups. DD patients had higher ESS scores and higher ratios of rapid eye movements (REM), non-REM-1 (Stage 1), non-REM-2 (Stage 2) phases and lower ratios of slow wave sleep (Stage 3 + Stage 4). CONCLUSION: The findings of our study suggest that there are structural sleep changes in dysthymic patients, but no direct connection between sleep variables and depressive states is evident.

Anahtar Kelime:

Konular: Nörolojik Bilimler

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	BİCAN DEMİR A, KOTAN O, Bora İ, AKKAYA C, ÇARKUNGÖZ E, Kırlı S (2010). Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. , 86 - 94.
Chicago	BİCAN DEMİR AYLİN,KOTAN Ozan Vahap,Bora İbrahim Hakkı,AKKAYA Cengiz,ÇARKUNGÖZ Ender,Kırlı Selçuk Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. (2010): 86 - 94.
MLA	BİCAN DEMİR AYLİN,KOTAN Ozan Vahap,Bora İbrahim Hakkı,AKKAYA Cengiz,ÇARKUNGÖZ Ender,Kırlı Selçuk Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. , 2010, ss.86 - 94.
AMA	BİCAN DEMİR A,KOTAN O,Bora İ,AKKAYA C,ÇARKUNGÖZ E,Kırlı S Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. . 2010; 86 - 94.
Vancouver	BİCAN DEMİR A,KOTAN O,Bora İ,AKKAYA C,ÇARKUNGÖZ E,Kırlı S Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. . 2010; 86 - 94.
IEEE	BİCAN DEMİR A,KOTAN O,Bora İ,AKKAYA C,ÇARKUNGÖZ E,Kırlı S "Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia." , ss.86 - 94, 2010.
ISNAD	BİCAN DEMİR, AYLİN vd. "Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia". (2010), 86-94.

APA	BİCAN DEMİR A, KOTAN O, Bora İ, AKKAYA C, ÇARKUNGÖZ E, Kırlı S (2010). Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. Türk Nöroloji Dergisi, 16(2), 86 - 94.
Chicago	BİCAN DEMİR AYLİN,KOTAN Ozan Vahap,Bora İbrahim Hakkı,AKKAYA Cengiz,ÇARKUNGÖZ Ender,Kırlı Selçuk Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. Türk Nöroloji Dergisi 16, no.2 (2010): 86 - 94.
MLA	BİCAN DEMİR AYLİN,KOTAN Ozan Vahap,Bora İbrahim Hakkı,AKKAYA Cengiz,ÇARKUNGÖZ Ender,Kırlı Selçuk Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. Türk Nöroloji Dergisi, vol.16, no.2, 2010, ss.86 - 94.
AMA	BİCAN DEMİR A,KOTAN O,Bora İ,AKKAYA C,ÇARKUNGÖZ E,Kırlı S Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. Türk Nöroloji Dergisi. 2010; 16(2): 86 - 94.
Vancouver	BİCAN DEMİR A,KOTAN O,Bora İ,AKKAYA C,ÇARKUNGÖZ E,Kırlı S Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia. Türk Nöroloji Dergisi. 2010; 16(2): 86 - 94.
IEEE	BİCAN DEMİR A,KOTAN O,Bora İ,AKKAYA C,ÇARKUNGÖZ E,Kırlı S "Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia." Türk Nöroloji Dergisi, 16, ss.86 - 94, 2010.
ISNAD	BİCAN DEMİR, AYLİN vd. "Epworth sleepiness scale and polysomnographic evaluation of dysthymic women with chronic insomnia". Türk Nöroloji Dergisi 16/2 (2010), 86-94.