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Pain depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome a vicious cycle     
Yazarlar
Nermin Tanık
Bozok Üniversitesi, Türkiye
Umut Sarp
Prof. Dr. Mehmet UÇAR
Kocaeli Üniversitesi, Türkiye
Prof. Dr. Asuman ÇELİKBİLEK
Bozok Üniversitesi, Türkiye
Özlem Balbaloğlu
Bozok Üniversitesi, Türkiye
Prof. Dr. Hakan AK
Bozok Üniversitesi, Türkiye
Tugay Atalay
Bozok Üniversitesi, Türkiye
Arık Ho
Okyay My
Levent Ertuğrul İnan
Bozok Üniversitesi, Türkiye
Özet
Carpal tunnel syndrome (CTS) is a condition involving nerve entrapment that often leads to chronic neuropathic pain. We aimed to evaluate sleep quality and related parameters in diabetic and non-diabetic CTS patients. Method: This study included a total of 366 patients with chronic CTS. These patients' sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI) and depression using the Beck Depression Inventory (BDI). The severity of neuropathic pain was evaluated using the Douleur Neuropathique-4 (DN4) questionnaire and a visual analogue scale (VAS). Results: In the non-diabetic patient group, the total PSQI score was found to affect BDI and VAS, while in the diabetic patient group, the duration of symptoms affected VAS, BDI and fasting glucose levels. Conclusion: For diabetic patients, hyperglycemia depression and chronification of neuropathic pain may lead to deterioration of sleep quality. Therefore, consideration of these parameters in the treatment may break a vicious cycle.
Anahtar Kelimeler
carpal tunnel syndrome, neuropathic pain, sleep quality, depression, type 2 diabetes
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Arquivos de Neuro-Psiquiatria
Dergi ISSN 1678-4227
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 01-2016
Cilt No 74
Sayı 3
Sayfalar 207 / 211
Doi Numarası 10.1590/0004-282X20160020
Makale Linki http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000300006&lng=en&nrm=iso&tlng=en