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

Nermin Tanik; Umit Sarp; Mehmet Ucar; Asuman Celikbilek; Ozlem Balbaloglu; Hakan Ak; Tugay Atalay; Hasan Onur Arik; Mehmet Yavuz Okyay; Levent Ertugrul Inan

doi:10.1590/0004-282X20160020

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(03): 207-211
DOI: 10.1590/0004-282X20160020

ARTICLE

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

Dor, depressão e distúrbios do sono em pacientes diabéticos e não diabéticos com síndrome do tumor do carpo: um ciclo vicioso

Nermin Tanik

¹Bozok University Medical School, Department of Neurology, Yozgat, Turkey;

,

Umit Sarp

²Yozgat State Hospital, Department of Physical Medicine and Rehabilitation, Yozgat, Turkey;

,

Mehmet Ucar

³Bozok University Medical School, Department of Physical Medicine and Rehabilitation, Yozgat, Turkey;

,

Asuman Celikbilek

¹Bozok University Medical School, Department of Neurology, Yozgat, Turkey;

,

Ozlem Balbaloglu

³Bozok University Medical School, Department of Physical Medicine and Rehabilitation, Yozgat, Turkey;

,

Hakan Ak

⁴Bozok University Medical School, Department of Neurosurgery, Yozgat, Turkey;

,

Tugay Atalay

⁴Bozok University Medical School, Department of Neurosurgery, Yozgat, Turkey;

,

Hasan Onur Arik

⁵Yozgat State Hospital, Department of Orthopedics and Traumatology, Yozgat, Turkey;

,

Mehmet Yavuz Okyay

⁶Bozok University Medical School, Department of Psychiatry, Yozgat, Turkey;

,

Levent Ertugrul Inan

⁷Bozok University Medical School, Department of Neurology, Yozgat, Turkey.

› Author Affiliations

Abstract

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.

MethodThis 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.

RESUMO

A síndrome do túnel do carpo (STC) é uma condição que envolve compressão do nervo frequentemente determinando dor neuropática crçnica. Procuramos avaliar a qualidade do sono e parâmetros correlatos em pacientes diabéticos e não-diabéticos com STC.

MétodoEste estudo incluiu 366 pacientes com STC crçnica. 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.

carpal tunnel syndrome - neuropathic pain - sleep quality - depression - type 2 diabetes

síndrome do túnel do carpo - dor neuropática - qualidade do sono - depressão - diabetes tipo 2

Full Text

References

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