OSMAN MERMİ, FARUK KILIÇ, MEHMET GÜRKAN GÜROK, Seda YILMAZ, SEMA BAYKARA, FATİH CANAN, Murad ATMACA, Murat KULOĞLU

Habitual caffeine use in psychiatric patients: relationship with sleep quality and symptom severity

Amaç: Bu çalışmanın amacı, psikiyatri hastalarında kafein kullanımı örüntüsünü ve bir aylık kafein zehirlenmesi yaygınlığını sağlıklı kontrollerle karşılaştırmalı olarak incelemektir. Yöntem: Çeşitli tanılara sahip 401 psikiyatri hastası ile 150 sağlıklı gönüllü, bir aylık kafein zehirlenmesi açısından Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı, dördüncü baskısına göre tarandı. Tüm katılımcılardan Pittsburgh Uyku Kalitesi İndeksini (PUKİ) doldurmaları istendi. Hastalar, belirti şiddetlerini belirlemek amacıyla Klinik Global İzlenim Ölçeği (KGİÖ) ile değerlendirildi. Bulgular: Sağlıklı kontrollerin günlük kafein tüketim miktarı, hastalarınkinden daha yüksekti. Ancak sağlıklı kontrollerle karşılaştırıldığında (%2.7), hastalarda kafein zehirlenmesi yaygınlığı (%8) anlamlı olarak daha fazla bulundu. Hastalar arasında kafein tüketim miktarı ile yaş, KGİÖ ve PUKİ puanları arasında olumlu yönde anlamlı bir ilişki saptandı ki, bu daha yaşlı, daha kötü uyku kalitesine sahip ve belirti şiddeti daha fazla olan hastaların daha fazla kafein tükettiğine işaret etmekteydi. Sonuçlar: Kafein zehirlenmesi yaygınlığı psikiyatri hastalarında sağlıklı kontrollere göre daha yüksekti. Kafein tüketim miktarı hastalık şiddeti ile doğru, uyku kalitesi ile ters olarak ilişkiliydi. Psikiyatri hastalarında kafein tüketiminin düzenlenmesi ve bunun hastalık şiddetine etkisini araştıracak çalışmalara gereksinme vardır. (Anadolu Psikiyatri Derg 2016; 17(1):26-32)

Psikiyatri hastalarında kafein kullanma alışkanlığı: Uyku kalitesi ve belirti şiddeti ile ilişkisi

Objective: The purpose of this study was to investigate the patterns of caffeine use and the one-month prevalence of caffeine intoxication among psychiatric patients in comparison with healthy controls. Methods: Four hundred and one patients with various psychiatric disorders and 150 healthy controls were screened for current (one month) caffeine intoxication according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. All participants were asked to complete Pittsburgh Sleep Quality Index (PSQI). The patients were also assessed with the Clinical Global Impression Scale (CGI) to determine symptom severity. Results: The amount of daily caffeine consumption was statistically significantly higher in healthy control subjects than in patients. However, the prevalence of caffeine intoxication was greater among patients with a psychiatric disorder (8%) when compared with healthy controls (2.7%). In the patients, the amount of caffeine consumption correlated positively with age, CGI, and PSQI scores, indicating that patients with older age, poorer sleep quality, and more severe pathology consumed higher amounts of caffeine. Conclusions: Caffeine intoxication was more prevalent in psychiatric patients than in healthy subjects. The amount of caffeine intake was shown to be associated positively with the severity of pathology and inversely with sleep quality. Further studies are needed to investigate the effect of regulating caffeine consumption on severity of pathology and sleep quality among psychiatric patients. (Anatolian Journal of Psychiatry 2016; 17(1):26-32)

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