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Yıl:2005; Cilt: 8; Sayı: 4>> Özet
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Klinik Psikiyatri Dergisi; 2005;8(4):172-179
Hipersomnia İle İlgili Belirtilerin Ankara'nın Kentsel Bir Bölgesinde Yaygınlığı
S Aslan, S Yetkin, FS Albayrak, Z Gülcat, I Maral, S Ayçan, L Sütcigil, F Özgen, H Aydın
Gazi Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı
Giriş: Bu çalışmada Ankara ili Gölbaşı ilçesinde toplumda hipersomnia, solunumla ilişkili uyku belirtileri, parasom-nia belirtilerinin incelenmesi ve 15-65 yaş aralığında son bir ay içinde görülme sıklığının belirlenmesi amaçlanmıştır. Yöntem: Bu araştırmada uyku bozukluklarının taranmasında kullanılmak üzere "Uyku Bozuklukları Genel Değerlendirme Anketi" geliştirilmiştir. Ankara Gölbaşı ilçesine bağlı iki mahallede toplam 1332 kişilik nüfusa ulaşılmış, 1034 kişi çalışmaya alınmıştır. Uyku Bozuklukları Genel Değerlendirme Anketi ve Epworth Uykululuk Ölçeği (EUÖ) alanda uygulanmıştır. Bulgular: Ankete katılan 1034 kişinin yaş ortalaması: 34,28 12,30 (Ort SS)'dur, katılanların %45.3'ü erkek, %54.7'si kadındır. Katılanların %6.9'u bir hipersomnia yakınması bildirmiştir (Gündüz sık uyuklama, aşırı gündüz uykusu, gece uykusunun 11 saat ve üzerinde olması). Katılanların %15.8'i Sürekli ve yüksek sesle horlama, %7.9'u uykuda nefes durmaları, %6.1'i uykuya dalarken bacaklarını hareket ettirme, %4.2'si gündüz sık uyuklama, %3.6'sı 11 saat ve üzerinde gece uykusu bildirmiştir. EUÖ bulgularına göre katılımcıların %2.3'ünde aşırı gündüz uykusu, bulunmuştur. 40 yaşın üzerindekilerde, kronik fiziksel hastalığı olanlarda ve BMI indeksi yüksek olanlarda daha fazla gündüz aşırı uyku yakınması bulunmuştur.Sonuç : Bulgularımız hipersomnia ile ilgili belirtilerin toplumumuzdaki kentsel bir örneklemde yaygınlığı üzerine bilgi oluşturmaktadır. İleri çalışmalarda uyku bozuklukları ile ilgili kesin sonuçlara varılması için tanısal değerlendirmenin yapılandırılmış klinik görüşme ve seçilmiş hastalarda uyku laboratuvarı çalışması ile desteklenmesi planlanmıştır.
Prevalence of Hypersomnia-Related Symptoms in an Urban District of Ankara
Objective: The characteristics and prevalence of hyper-somnia-related sleep problems in Turkey are not well established. The goal of this study was to determine the prevalence of hypersomnia-related symptoms in an urban district of Turkey. Method: Out of the 1332 people in the sample, 1034 subjects in the 15-65 [year]s age range were included in the study. Interviews were conducted according to the "Sleep Disorders Assessment Questionnaire" developed by the researchers, and the Epworth Sleepiness Scale (ESS) was administered to the subjects. Results: The mean age of the participants was 34.28 12.30 with a 45.3% male, 54.7% female distribution, 6.9% defined one or more hypersomnia symptoms (daytime somnolence or excessive daytime sleepiness or more than 11 hour night-time sleep). The distribution of the reported symptoms were as follows: daytime somnolence 4.2%, more than 11 hour night-time sleep 3.6%, restless legs while falling asleep %6.1, continuous loud snoring %15.8, and breathing cessation during sleep 7.9%. ESS revealed that 2.3% of the participants suffered from excessive daytime sleepiness. Subjects with chronic physical disorders, overweight subjects, and subjects older than 40 [year]s old had more excessive daytime sleepiness. Conclusion: This study collected information on the prevalence of hypersomnia related symptoms in an urban community sample in Turkey. Future studies should use a structured clinical interview and sleep laboratory studies on selected patients to establish a more reliable diagnosis of sleep disorders.

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