TANER ÖZNUR, Mehmet TOYGAR, Havva ÖZNUR, Emre AYDEMİR, Mustafa ALPER, Beyazıt GARİP, Hakan BALIBEY

Travma sonrası stres bozukluğu olgularında uyku kalitesi ile saldırganlık düzeyinin ilişkisi

Travma Sonrası Stres Bozukluğu (TSSB)'nda uyku bozuklukları oldukça sık görülmektedir. Uyku bozuklukları ile ilişkili başlıca bulgular uyku toplam uyku süresinde azalma, uyku latansında uzama, uyanıklık sayısında artma, düşük uyku etkinliği, derin evre uyku yüzdesinde azalma olarak bildirilmiştir. Uyku bozuklukları ile artmış saldırganlık düzeyleri arasında ilişki saptanmıştır. Bu araştırmanın amacı, Travma Sonrası Stres Bozukluğu hastalarında uyku kalitesi ile saldırganlık düzeyleri arasındaki ilişkiyi incelemektir. Yöntem: Araştırma örneklemini TSSB tanısıyla yatarak tedavi almış olan 48 hasta oluşturdu. Veriler klinisyen tarafından uygulanan Travma Sonrası Stres Bozukluğu Ölçeği, Pitsburgh Uyku Kalitesi Ölçeği, Buss-Perry Saldırganlık Ölçeği kullanılarak toplandı. Veriler SPSS 15 paket programı kullanılarak değerlendirildi. İstatistiksel analizde; tanımlayıcı istatistik ve Pearson korelasyon testi kullanıldı. Bulgular: Olgulara ait yaş ortalaması 32,33 ± 7,93, travma sonrası stres bozukluğuna ait belirtilerin ortalaması 56,23 ± 11,14, uyku kalitesi ortalaması 22,08 ± 6,67, saldırganlık düzeyleri ortalaması 51,67±7,48 olarak saptandı. Hastaların uyku kalitesinde yüksek düzeyde bozulma olduğu, saldırganlık düzeylerinin orta/ orta yüksek seviyede olduğu belirlendi. Buss-Perry saldırganlık ölçeği puanlarının Pitsburgh Uyku Kalitesi ve travma sonrası stres bozukluğu toplam ve aşırı uyarılmışlık alt ölçek puanları ile pozitif bağıntılı olduğu saptandı. Sonuç: Bu çalışmada, TSSB hastalarında aşırı uyarılmışlık belirtilerinde artış ile uyku kalitesindeki bozulmanın, saldırganlık düzeylerinde artışa yol açtığı bulunmuştur. Uyku kalitesindeki bozulmanın düzeyinin TSSB hastalarında gözlenen saldırganlık davranışın bir göstergesi olduğu belirlenmiştir. İlişkili olarak TSSB hastalarında, saldırgan davranışlara yönelik olarak uyku kalitesini arttırmaya yönelik müdahalelerin kullanımı önem kazanmaktadır

The relationship between the level of aggression and the sleep quality in patients with posttraumatic stress disorder

Sleep disorders are common problems in post-traumatic stress disorder (PTSD) patients. The main symptoms associated with sleep disorders were reported as a reduction in total sleep time, prolonged sleep latency, increase in the number wakefulness, low sleep efficiency and a reduction in the percentage of deep sleep stages. A relation between sleep disorders and increased levels of aggression was determined. In this study, we aimed to examine the relationship between the quality of sleep and the level of aggression in patients with Post Traumatic Stress Disorder. Method: The study was included 48 patients with a diagnosis of PTSD who were hospitalized. Data were collected using post-traumatic stress disorder questionnaire scale, Pittsburgh sleep quality scale and the Buss-Perry Aggression Scale applied by the clinician. Data analysis was made using SPSS 15.0 package program. Descriptive statistics and Pearson's correlation test were used in statistical analysis. Results: The average age of the cases was 32.33 ± 7.93, the average of the symptoms of post-traumatic stress disorder was 56.23 ± 11.14, the average of sleep quality was 22.08 ± 6.67 and the average of aggression levels was 51.67 ± 7.48. There was a high level deterioration in sleep quality and aggression levels were medium/medium-high levels. It was determined that Buss-Perry Aggression Scale scores were positively correlated with Pittsburgh sleep quality and posttraumatic stress disorder total and hyper arousal subscale scores. Conclusion: In this study, it is stated that increase in overstimulation symptoms and degradation of sleep in PTSD patients cause increase in agression levels. Degradation of sleep is determined as an indicator of agression that is observed in TSSB patients. Associatively, in PTSD patients, use of interventions to improve the quality of sleep oriented agressive behaviours gain value

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