Sleep disorders and relationship with comorbid anxiety and depression in carpal tunnel syndrome

Authors : Şükran ÇEVİK YURTOĞULLARI, Meral SEFEROGLU

Pages : 368-374

Doi:10.18621/eurj.745101

View : 15 | Download : 7

Publication Date : 2021-07-04

Article Type : Research Paper

Abstract :Objectives: In this study, it was aimed to assess relationship of disease severity with sleep quality, depression and anxiety in patients with carpal tunnel syndrome insert ignore into journalissuearticles values(CTS); and to compare findings with healthy controls. Methods: The study included 35 patients diagnosed as CTS and 20 healthy individuals. In CTS patients, symptom severity and functional disorders were assessed using Boston Carpal Tunnel Questionnaire insert ignore into journalissuearticles values(BTCQ);. The sleep quality was assessed using Pittsburg Sleep Quality Index insert ignore into journalissuearticles values(PSQI); in CTS patients and healthy controls. The Beck Anxiety Inventory insert ignore into journalissuearticles values(BAI); and Beck Depression Inventory insert ignore into journalissuearticles values(BDI); were used to evaluate depression and anxiety accompanying to CTS and sleep disorder. Results: In the assessment of general sleep quality, it was found that PSQI scores were significantly higher in CTS group when compared to healthy controls insert ignore into journalissuearticles values( p < 0.0001);. Again, the BDI and BAI scores were also significantly higher in CTS group than control group insert ignore into journalissuearticles values( p < 0.0001 and p < 0.003, respectively);. There was a strong, positive correlation between BTCQ symptom severity scale insert ignore into journalissuearticles values(SSS); and PSQI insert ignore into journalissuearticles values(r = 0.774; p < 0.0001);. A significant, positive correlation was observed between Boston SSS and BDI scores insert ignore into journalissuearticles values(r = 0.666; p < 0.001);. When assessed correlation between anxiety scores and Boston SSS and functional state scale insert ignore into journalissuearticles values(FSS);, it was found that anxiety was increased by increasing severity of CTS, indicating a positive, moderate correlation insert ignore into journalissuearticles values(r=0.469, p < 0.0001 and r=0.464, p < 0.0001);. Conclusions: The pain in patients with CTS can impair sleep quality, which, in turn, may increase risk for depression and anxiety. Thus, comorbid psychiatric symptoms and signs should be considered in the treatment of patients with CTS.
Keywords : Carpal tunnel syndrome, depression, anxiety, sleep disorder