- Eskisehir Medical Journal
- Cilt: 5 Sayı: 1
- Evaluation of the relationship between sleep disorders and depression in Parkinson\'s Disease
Evaluation of the relationship between sleep disorders and depression in Parkinson\'s Disease
Authors : Mustafa Şen, Süber Dikici
Pages : 9-13
View : 44 | Download : 44
Publication Date : 2024-03-28
Article Type : Research
Abstract :Summary Introduction: As the severity of the disease increases in Idiopathic Parkinson\'s Disease (IPD), additional problems such as sleep disorders and excessive daytime sleepiness confront us. In addition, the presence of depression negatively affects the quality of life of the patients with Parkinson\'s disease. In our study, we have aimed to show sleep disorders and daytime sleepiness in the advanced stages of IPD and their relationships with depression. Methods: Forty-two patients diagnosed with IPD and 48 healthy individuals who applied to the Movement Disorders Polyclinic of the Department of Neurology between March 2012 and July 2013 were included in the study. In the IPD group, the disease was graded with the Hoehn&Yahr (H&Y) evaluation scale. In the IPD, and control groups, depression was evaluated with the Hamilton Rating Scale for Depression (HAM-D). night sleep and daytime sleepiness with Parkinson\'s Disease Sleep Scale (PDSS), and daytime sleepiness with Epworth Sleepiness Scale (ESS). Data were evaluated for age, gender, marital status and compared with those of the control group. Results: As the ESS scores of the IPD patients included in the study increased dramatically, PDSS scores of these patients decreased significantly (r = -0.615; p = 0.000). As ESS scores increased, the HAM-D scores also increased moderately but significantly (r = 0.388; p = 0.000). It has been also determined that as the PDDS scores increased, the HAM-D and Hoehn-Yahr (HY) scale scores decreased significantly with strong correlations between these rating scale scores (r=-0.569 p=0.000 for HAM-D; r=-0.63 p=0.000 for HY. As HY scale scores increased, a significant increase in HAM-D scores was observed (r = 0.422; p = 0.005). Conclusion: Sleep disorder may be an important parameter in the general evaluation of and treatment approach to Parkinson\'s Disease (PD). In addition, depression in PD patients is a psychological problem that must be actively questioned, and treated by physicians when detected. Key Words: Parkinson\'s disease; depression; sleeping disorders;Keywords : Parkinson hastalığı, , depresyon, , uyku bozuklukları,