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Yıl:2017; Cilt: 4; Sayı: 1>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2017;4(1):1-5
Huzursuz Bacaklar Sendromu Hastalarında Depresyon ve Uyku Kalitesi
ST Tuaç, S Özben, MK Bitnel, S Baybaş
Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Amaç: Huzursuz Bacaklar Sendromu (HBS) yaygın görülen bir nörolojik hastalık olup kişilerin uykusunu, duygu durumunu ve günlük yaşamını olumsuz etkilemektedir. Bu çalışmada HBS hastalarında uyku kalitesi, gündüz aşırı uykululuğu ve depresyon sıklığı ile bunların hastalık süre ve şiddetiyle ilişkisinin belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Merkezimizde primer HBS tanısı ile izlenmekte olan 41 hasta çalışmaya dahil edilmiştir. Hastalar, Uluslararası Huzursuz Bacaklar Sendromu Çalışma Grubu HBS şiddet skalasına göre hafif, orta, ciddi ve çok ciddi olmak üzere gruplara ayrılmış, tüm hastalara hastalık bilgilerini de içeren kimlik ve sosyo-demografik veri formu, Pittsburgh Uyku Kalitesi İndeksi, Epworth Uykululuk Ölçeği ve Beck Depresyon Ölçeği doldurulmuştur. Hastalık şiddetine göre belirlenmiş gruplar arasında istatistiksel analiz yapılmıştır. Hastalık süresinin depresif belirtiler ve uyku problemleri ile ilişkisi incelenmiştir. Bulgular: Çalışmaya 30’u (%73,2) kadın, 11’i (%26,8) erkek olmak üzere 41 hasta dahil edilmiştir. Çalışmaya katılan hastalardan 2’sinin (%4,9) HBS şiddet düzeyi hafif iken 7’sinin (%17,1) hastalık düzeyi çok ciddidir. On dört hasta (%34,1) orta, 18 hasta (%43,9) ciddi hastalık düzeyine sahiptir. HBS hastalarının %68,3’ünde (n=28) kötü uyku kalitesi, %14,6’sında (n=6) gündüz aşırı uykululuğu saptanmış, 3 hastada (%7,3) ciddi depresyon olmak üzere hastaların %29,3’ünde (n=12) depresif belirtiler izlenmiştir. Hastalık şiddeti arttıkça uyku kalitesinin bozulduğu ve depresif belirtilerin arttığı görülmüştür (p<0,01). Sonuç: HBS hastalarının büyük bir kısmında kötü uyku kalitesi, dikkate değer bir kısmında gündüz aşırı uykululuğu saptanmış, yaklaşık üçte birinde depresyon görülmüştür. Hastalığın süresi ve şiddeti arttıkça depresif belirtilerin yoğunluğu artmaktadır. Ciddi sonuçları olabileceği unutulmadan HBS’nin ve eşlik ettiğinde depresyonun etkin tedavisi zaman kaybetmeden planlanmalıdır.
Depression and Sleep Quality in Patients with Restless Legs Syndrome
Objective: Restless Legs Syndrome (RLS) is a common neurological disorder that affects patients’ sleep, emotional state and daily life negatively. In this study it was aimed to determine the sleep quality, daytime sleepiness and depression frequency in patients with RLS and their relation with duration and severity of illness. Materials and Methods: In our center, 41 patients with primary RLS diagnosis were included in the study. Patients were divided into groups as mild, moderate, severe and very severe, according to the RLS severity scale of the International Restless Legs Syndrome Study Group. Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Beck Depression Inventory were filled in by all the patients, including identity and sociodemographic data with illness information. Statistical analysis was performed among groups divided according to disease severity. Depressive symptoms of the disease duration and its relation with sleep problems were investigated. Results: In this study 41 patients, 30 (73.2%) female, 11 (26.8%) male, were included. Of the patients participating in the study, 2 patients (4.9%) had mild RLS while 7 (17.1%) were very severely ill. Fourteen patients (34.1%) had moderate disease and 18 (43.9%) had severe disease. Bad sleep quality was found in 68.3% (n=28) of patients with RLS, excessive daytime sleepiness in 14.6% (n=6) severe depression in 7.3% (n=3) and totally 29.3% of patients (n=12) depressive symptoms were observed. As the severity of illness increased, sleep quality deteriorated and depressive symptoms increased (p<0.01). Conclusion: Most of the RLS patients had poor sleep quality, a significant amount of daytime excessive sleepiness, and about one third of them had depression. As the duration and severity of the disease increases, the intensity of depressive symptoms increases. Remembering that RLS may have serious consequences and effective treatment of depression when accompanied should be planned without losing time.

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