Evaluation of Depression, Anxiety and Sleep Quality Scores in Patients with Cervical Disc Herniation: A Study Conducted in Turkey

A. Uysal, Murat Güntel
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Abstract

Aim: Neck pain is one of the most prevalent medical complaints. Chronic pain conditions can lead to depression, anxiety and sleep problems in individuals. Thus, both the pain itself and the psychiatric problems it causes impair the quality of life of the patient. Depression and anxiety can also cause changes in the perception of pain. In this study, we aimed to investigate the effects of cervical disc herniation (CDH), which causes chronic neck pain, on the level of neck disability, sleep quality, anxiety and depression. Material and Methods: Patients’ pain intensity, neck disability indexes, depression and anxiety status, and sleep quality were evaluated using a visual analog scale (VAS), the neck disability index (NDI), Beck Depression Inventory (BDI), beck anxiety inventory (BAI) and the Pittsburgh Sleep Quality Index (PSQI), respectively. Results: We found a statistically significant relationship between CDH and anxiety, depression and sleep quality. In addition, we found higher levels of pain, anxiety and depression in the group with poor sleep quality. Conclusion: For optimal treatment approaches of patients with chronic neck pain, accompanying sleep disorder, depression and anxiety should also be evaluated.
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评估颈椎间盘突出症患者的抑郁、焦虑和睡眠质量评分:一项在土耳其进行的研究
目的:颈部疼痛是最普遍的疾病之一。慢性疼痛会导致抑郁、焦虑和睡眠问题。因此,疼痛本身及其引起的精神问题都会损害患者的生活质量。抑郁和焦虑也会导致疼痛感知的变化。在本研究中,我们旨在探讨颈椎间盘突出症(CDH)对颈部残疾、睡眠质量、焦虑和抑郁水平的影响。材料与方法:采用视觉模拟量表(VAS)、颈部残疾指数(NDI)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和匹兹堡睡眠质量指数(PSQI)分别评价患者的疼痛强度、颈部残疾指数、抑郁焦虑状态和睡眠质量。结果:我们发现CDH与焦虑、抑郁和睡眠质量有统计学意义。此外,我们还发现睡眠质量差的那组人疼痛、焦虑和抑郁的程度更高。结论:慢性颈痛患者伴发睡眠障碍、抑郁、焦虑等症状也应进行评估,以确定最佳治疗方法。
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