Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle

被引：5

作者：

Tanik, Nermin ^{[1
]}

Sarp, Umit ^{[2
]}

Ucar, Mehmet ^{[3
]}

Celikbilek, Asuman ^{[1
]}

Balbaloglu, Ozlem ^{[3
]}

Ak, Hakan ^{[4
]}

Atalay, Tugay ^{[4
]}

Arik, Hasan Onur ^{[5
]}

Okyay, Mehmet Yavuz ^{[6
]}

Inan, Levent Ertugrul ^{[7
]}

机构：

[1] Bozok Univ, Sch Med, Dept Neurol, TR-66200 Yozgat, Turkey

[2] Yozgat State Hosp, Dept Phys Med & Rehabil, Yozgat, Turkey

[3] Bozok Univ, Dept Phys Med & Rehabil, Sch Med, Yozgat, Turkey

[4] Bozok Univ, Dept Neurosurg, Sch Med, Yozgat, Turkey

[5] Yozgat State Hosp, Dept Orthoped & Traumatol, Yozgat, Turkey

[6] Bozok Univ, Sch Med, Dept Psychiat, Yozgat, Turkey

[7] Bozok Univ, Sch Med, Dept Neurol, Yozgat, Turkey

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2016年 / 74卷 / 03期

关键词：

carpal tunnel syndrome; neuropathic pain; sleep quality; depression; type; 2; diabetes; QUALITY INDEX; ASSOCIATION; DURATION;

D O I：

10.1590/0004-282X20160020

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Carpal tunnel syndrome (CTS) is a condition involving nerve entrapment that often leads to chronic neuropathic pain. We aimed to evaluate sleep quality and related parameters in diabetic and non-diabetic CTS patients. Method: This study included a total of 366 patients with chronic CTS. These patients' sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI) and depression using the Beck Depression Inventory (BDI). The severity of neuropathic pain was evaluated using the Douleur Neuropathique-4 (DN4) questionnaire and a visual analogue scale (VAS). Results: In the non-diabetic patient group, the total PSQI score was found to affect BDI and VAS, while in the diabetic patient group, the duration of symptoms affected VAS, BDI and fasting glucose levels. Conclusion: For diabetic patients, hyperglycemia depression and chronification of neuropathic pain may lead to deterioration of sleep quality. Therefore, consideration of these parameters in the treatment may break a vicious cycle.

引用

页码：207 / 211

页数：5

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