Gerilim Tipi Baş Ağrısı Olan Hastalarda Uyku Bozuklukları, Depresyon ve İlişkili Faktörlerin Değerlendirilmesi

Amaç: Gerilim tipi baş ağrısı (GTB) etiyolojisinde uyku bozukluğu önemlidir. Ağrı, uykunun birçok safhasına etki ederek uyku kalitesini bozmaktadır. Ayrıca, psikojenik etmenler de uyku kalitesini etkilemektedir. Bu nedenle GTB de uyku kalitesi, depresyon ve gündüz uykululuk durumu incelenmiştir. Gereç ve Yöntem: Çalışmaya 50 GTB hastası ve 40 kontrol alındı. Ağrı sıklığı, süresi, şiddeti, analjezik miktarı ve tedaviye cevap sorgulandı. Ağrı şiddeti için Görsel Ağrı Skalası (VAS) kullanıldı. Hastalarda yaş, cinsiyet, medeni durum, yaşam ortamı, sigara ve alkol kullanımı, eğitim, maddi durum, kilo ve boy değerlendirildi. Pittsburgh Uyku Kalitesi İndeksi (PUKİ), Beck Depresyon Ölçeği (BDÖ) ve Epworth Uykululuk Ölçeği (EUÖ) uygulandı. PUKİ 0-5, 6-10 ve 10 üzeri olarak 3 gruba ayrıldı. Veriler SPSS Windows 16 sürümü ile değerlendirildi. Bulgular: Çalışmada 50 (42 kadın, 8 erkek) hasta vardı. Ortalama±SD sonuçlar: yaş 37,92±14,18; boy 162,2±7,91; kilo 69,96±15,2; PUKİ 12,26±6,05; BDÖ 31,12±15,43 ve EUÖ 9,34±4,80 idi. Uyku süresi, latansı ve bozukluğu, ilaç sayısı ve PUKİ hastalarda daha yüksekti (p<0,01). Uyku kalitesi, gündüz uykululuğu, BDÖ ve EUÖ puanları benzerdi (p>0,05). Hastaların sosyodemografik özellikleri, ağrı şiddeti, analjezik kullanımı ile uyku bozukluğu arasında ilişki yoktu (p>0,05). BDÖ ile uyku bozukluğu ve gündüz uykululuk durumu arasında pozitif korelasyon vardı (p<0,05; r=0,57; 0,52). Sonuç: GTB hastalarında uyku bozukluğu daha fazladır. Depresif durum arttıkça uyku bozukluğu ve gündüz uykululuğu artmaktadır. Bu nedenle bu hastalarda uyku bozukluğu ve depresyonun da sorgulanması önemlidir.

Anahtar Kelimeler:

Baş ağrısı, uyku bozukluğu, depresyon

Evaluation of Sleep Disorders, Depression and Related Factors in Patients with Tension-type Headache

Objective: Sleep disorder is important in etiology of tension-type headache (TTH). Pain affects many stages of sleep and disrupts sleep quality. Also, psychogenic factors affect sleep quality. So, sleep quality, depression and daytime sleepiness were investigated in TTH. Material and Methods: Fifty TTH patients and 40 controls were included to study. Pain frequency, duration, severity, amount of analgesic and response to treatment were questioned. Visual Pain Scale (VAS) was used for pain severity. Age, sex, marital status, living environment, smoking and alcohol use, education, financial status, weight and height were evaluated. Pittsburgh Sleep Quality Index (PSQI), Beck Depression Scale (BDI) and Epworth Sleepiness Scale (ESS) were made. PSQI was divided into 3 groups as 0-5, 6-10 and above 10. The results were evaluated with SPSS Windows 16 version. Results: 50 patients (42 females, 8 males) were included to study. Mean±SD results: age 37.92±14.18; length 162.2±7.91; weight 69.96±15.2; PSQI 12.26±6.05; BDI 31.12±15.43 and ESS 9.34±4.80. Sleep duration, latency and disorder, drug count and PSQI were higher in patients (p<0.01). Sleep quality, daytime sleepiness, BDI and ESS scores were similar (p>0.05). There was no relationship between sociodemographic characteristics, pain severity, analgesic use and sleep disorder (p>0.05). There was a positive correlation between BDI and sleep disorder and daytime sleepiness (p<0.05; r=0.57; 0.52). Conclusion: Sleep disorder is higher in patients with TTH. As depressive condition increases, sleep disorder and daytime sleepiness increase. Therefore, it is important to question sleep disorder and depression in these patients.

Keywords:

Headache, sleep disorder, depression,

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