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



Document title: Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
Journal: Arquivos de neuro-psiquiatria
Database: PERIÓDICA
System number: 000405055
ISSN: 0004-282X
Authors: 1
2
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1
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3
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Institutions: 1Bozok University, Medical School, Yozgat. Turquía
2Yozgat State Hospital, Department of Physical Medicine and Rehabilitation, Yozgat. Turquía
3Yozgat State Hospital, Department of Orthopedics and Traumatology, Yozgat. Turquía
Year:
Season: Mar
Volumen: 74
Number: 3
Pages: 207-211
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico
English abstract 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
Portuguese abstract A síndrome do túnel do carpo (STC) é uma condição que envolve compressão do nervo frequentemente determinando dor neuropática crônica. Procuramos avaliar a qualidade do sono e parâmetros correlatos em pacientes diabéticos e não-diabéticos com STC. Método: Este estudo incluiu 366 pacientes com STC crônica. A qualidade de sono destes pacientes foi avaliada pelo Pittsburgh Sleep Quality Index (PSQI) e a depressão foi avaliada usando Beck Depression Inventory (BDI). A gravidade da dor neuropática foi avaliada usando o questionário Douleur Neuropathique-4 (DN4) e a escala visual analógica (EVA). Resultados: No grupo de pacientes não-diabéticos, o valor total do PSQI afetou BDI e VAS, enquanto no grupo de diabéticos a duração dos sintomas afetou VAS, BDI e níveis de glicemia de jejum. Conclusão: Em pacientes diabéticos, depressão e cronificação da dor neuropática podem levar à deterioração da qualidade do sono. Assim, considerar todos estes parâmetros no tratamento pode quebrar este círculo vicioso
Disciplines: Medicina
Keyword: Neurología,
Psiquiatría,
Dolor,
Depresión,
Trastornos del sueño,
Diabetes,
Calidad del sueño
Keyword: Medicine,
Neurology,
Psychiatry,
Pain,
Depression,
Sleep disorders,
Diabetes,
Sleep quality
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