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

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. Th...

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Main Authors: Nermin Tanik, Umit Sarp, Mehmet Ucar, Asuman Celikbilek, Ozlem Balbaloglu, Hakan Ak, Tugay Atalay, Hasan Onur Arik, Mehmet Yavuz Okyay, Levent Ertugrul Inan
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2016-03-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000300006&lng=en&tlng=en
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author Nermin Tanik
Umit Sarp
Mehmet Ucar
Asuman Celikbilek
Ozlem Balbaloglu
Hakan Ak
Tugay Atalay
Hasan Onur Arik
Mehmet Yavuz Okyay
Levent Ertugrul Inan
author_facet Nermin Tanik
Umit Sarp
Mehmet Ucar
Asuman Celikbilek
Ozlem Balbaloglu
Hakan Ak
Tugay Atalay
Hasan Onur Arik
Mehmet Yavuz Okyay
Levent Ertugrul Inan
author_sort Nermin Tanik
collection DOAJ
description 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.
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spelling doaj.art-0905381e2ec144ca9fc72f17499c72552022-12-22T03:34:41ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272016-03-0174320721110.1590/0004-282X20160020S0004-282X2016000300006Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycleNermin TanikUmit SarpMehmet UcarAsuman CelikbilekOzlem BalbalogluHakan AkTugay AtalayHasan Onur ArikMehmet Yavuz OkyayLevent Ertugrul InanABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000300006&lng=en&tlng=ensíndrome do túnel do carpodor neuropáticaqualidade do sonodepressãodiabetes tipo 2
spellingShingle Nermin Tanik
Umit Sarp
Mehmet Ucar
Asuman Celikbilek
Ozlem Balbaloglu
Hakan Ak
Tugay Atalay
Hasan Onur Arik
Mehmet Yavuz Okyay
Levent Ertugrul Inan
Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
Arquivos de Neuro-Psiquiatria
síndrome do túnel do carpo
dor neuropática
qualidade do sono
depressão
diabetes tipo 2
title Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
title_full Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
title_fullStr Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
title_full_unstemmed Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
title_short Pain, depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome: a vicious cycle
title_sort pain depression and sleep disorders in patients with diabetic and nondiabetic carpal tunnel syndrome a vicious cycle
topic síndrome do túnel do carpo
dor neuropática
qualidade do sono
depressão
diabetes tipo 2
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000300006&lng=en&tlng=en
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