EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION

Introduction: The aim of this study is to investigate the relationship between clinical features, sleep quality, fatigue and mental symptoms in epileptic patients. Material and Methods: This cross-sectional study was conducted at epilepsy outpatient clinic of Bozyaka Training and Research Hospita...

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Main Authors: Neslihan Eskut, Pinar Tamer, Dursun Hakan Delibas, Esin Erdogan
Format: Article
Language:English
Published: Association of medical doctors Sanamed Novi Pazar 2020-12-01
Series:Sanamed
Subjects:
Online Access:http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/452/246
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author Neslihan Eskut
Pinar Tamer
Dursun Hakan Delibas
Esin Erdogan
author_facet Neslihan Eskut
Pinar Tamer
Dursun Hakan Delibas
Esin Erdogan
author_sort Neslihan Eskut
collection DOAJ
description Introduction: The aim of this study is to investigate the relationship between clinical features, sleep quality, fatigue and mental symptoms in epileptic patients. Material and Methods: This cross-sectional study was conducted at epilepsy outpatient clinic of Bozyaka Training and Research Hospital. 81 patients who were followed up for the diagnosis of epilepsy were included in the study. The patients were administered a sociodemographic data form, Pittsburgh Sleep Quality Index, Beck Depression Inventory, Fatigue Severity Scale. Results: The median age of the patients included in the study was 37.42 (51.9%) were women and 39 (48.1%) were men with a education period of 8 years. There was no previous family history of psychiatric illness. Seizure control was achieved in 34 (42%) patients. 53 (65.4%) patients were observed for focal type, 28 (34.6%) patients were for generalized type seizures. The median duration of epilepsy was 13 years. The median Beck Depression Inventory score of the patients was 13, and the number of patients with a Beck Depression Inventory score higher than 19 was 25 (30.9%). There was mild tiredness in 47 (58%) and chronic fatigue in 16 (19.8%) patients. The median of Pittsburgh Sleep Quality Index total score was 4 and 18.5% (15) had poor sleep quality. Chronic fatigue was higher in epilepsy patients without seizure control compared to those with seizure control (p = 0.001). Conclusion: The rate of patients with moderate and severe depression is high in our study. This indicates the significance of evaluating the diagnosis of depression in epilepsy patients. In the follow-up of these patients, it is crucial to investigate the causes of fatigue and depression carefully. Especially psychiatric expert opinion and multidisciplinary follow-up should be carried out without ignoring the presence of depression.
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spelling doaj.art-5d30efddec6d4516b8f59854f2d12c982024-03-02T10:01:19ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712020-12-0115328529110.24125/sanamed.v15i3.452EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSIONNeslihan Eskut0Pinar Tamer1Dursun Hakan Delibas2Esin Erdogan3University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Department of Neurology, Izmir, TurkeyUniversity of Health Sciences, Izmir Bozyaka Training and Research Hospital, Department of Neurology, Izmir, TurkeyUniversity of Health Sciences, Izmir Bozyaka Training and Research Hospital, Department of Psychiatry, Izmir, TurkeyUniversity of Health Sciences, Izmir Bozyaka Training and Research Hospital, Department of Psychiatry, Izmir, TurkeyIntroduction: The aim of this study is to investigate the relationship between clinical features, sleep quality, fatigue and mental symptoms in epileptic patients. Material and Methods: This cross-sectional study was conducted at epilepsy outpatient clinic of Bozyaka Training and Research Hospital. 81 patients who were followed up for the diagnosis of epilepsy were included in the study. The patients were administered a sociodemographic data form, Pittsburgh Sleep Quality Index, Beck Depression Inventory, Fatigue Severity Scale. Results: The median age of the patients included in the study was 37.42 (51.9%) were women and 39 (48.1%) were men with a education period of 8 years. There was no previous family history of psychiatric illness. Seizure control was achieved in 34 (42%) patients. 53 (65.4%) patients were observed for focal type, 28 (34.6%) patients were for generalized type seizures. The median duration of epilepsy was 13 years. The median Beck Depression Inventory score of the patients was 13, and the number of patients with a Beck Depression Inventory score higher than 19 was 25 (30.9%). There was mild tiredness in 47 (58%) and chronic fatigue in 16 (19.8%) patients. The median of Pittsburgh Sleep Quality Index total score was 4 and 18.5% (15) had poor sleep quality. Chronic fatigue was higher in epilepsy patients without seizure control compared to those with seizure control (p = 0.001). Conclusion: The rate of patients with moderate and severe depression is high in our study. This indicates the significance of evaluating the diagnosis of depression in epilepsy patients. In the follow-up of these patients, it is crucial to investigate the causes of fatigue and depression carefully. Especially psychiatric expert opinion and multidisciplinary follow-up should be carried out without ignoring the presence of depression.http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/452/246epilepsysleep qualityfatiguedepression
spellingShingle Neslihan Eskut
Pinar Tamer
Dursun Hakan Delibas
Esin Erdogan
EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION
Sanamed
epilepsy
sleep quality
fatigue
depression
title EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION
title_full EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION
title_fullStr EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION
title_full_unstemmed EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION
title_short EVALUATION OF A GROUP OF EPILEPSY PATIENTS IN TERMS OF SLEEP QUALITY, FATIGUE AND DEPRESSION
title_sort evaluation of a group of epilepsy patients in terms of sleep quality fatigue and depression
topic epilepsy
sleep quality
fatigue
depression
url http://www.sanamed.rs/OJS/index.php/Sanamed/article/view/452/246
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AT dursunhakandelibas evaluationofagroupofepilepsypatientsintermsofsleepqualityfatigueanddepression
AT esinerdogan evaluationofagroupofepilepsypatientsintermsofsleepqualityfatigueanddepression