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Role of vitamin D in the association between pre-stroke sleep quality and post-stroke depression and anxiety      
Yazarlar (3)
Asuman ÇELİKBİLEK
Kırşehir Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi Aydan KÖYSÜREN Dr. Öğr. Üyesi Aydan KÖYSÜREN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Konar Naime Meric
Devamını Göster
Özet
Poor sleep quality, mood disorders, and vitamin D deficiency are common in stroke. We investigated the association between serum vitamin D levels and pre-stroke sleep quality and the occurrence of poststroke depression (PSD) and poststroke anxiety (PSA) in acute ischemic stroke (AIS). This prospective cross-sectional study included hospitalized patients with AIS and age- and sex-matched controls. Vitamin D levels were measured within 24 h of admission. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) at admission. The severity of depression and anxiety symptoms was evaluated according to Beck Depression Inventory and Beck Anxiety Inventory scores, respectively, within 72 h after admission. Comparing 214 AIS patients with 103 controls, patients had significantly higher scores of Beck Depression Inventory, Beck Anxiety Inventory, and PSQI and lower vitamin D levels (p < 0.001). Among AIS patients, Beck Depression Inventory (p = 0.004) and Beck Anxiety Inventory (p = 0.018) scores were significantly higher in bad sleepers (PSQI score ≥ 6) than in good sleepers (PSQI score ≤ 5). Correlation analysis revealed negative correlations between serum vitamin D levels and Beck Depression Inventory (r =  - 0.234; p < 0.001), Beck Anxiety Inventory (r =  - 0.135; p = 0.016), and PSQI (r =  - 0.218; p < 0.001) scores. Decreased serum vitamin D levels at admission are associated with a high risk for PSD and PSA in patients with poor pre-stroke sleep quality during the early stages of AIS.
Anahtar Kelimeler
Acute ischemic stroke | Anxiety | Depression | Sleep | Vitamin D
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Sleep and Breathing
Dergi ISSN 1520-9512 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler 1520-9512
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 05-2024
Cilt No 28
Sayı 2
Sayfalar 841 / 848
Doi Numarası 10.1007/s11325-023-02894-1
Makale Linki https://doi.org/10.1007/s11325-023-02894-1