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. Thes...

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Published in:	Arquivos de neuro-psiquiatria Vol. 74; no. 3; pp. 207 - 211
Main Authors:	Tanik, Nermin, Sarp, Umit, Ucar, Mehmet, Celikbilek, Asuman, Balbaloglu, Ozlem, Ak, Hakan, Atalay, Tugay, Arik, Hasan Onur, Okyay, Mehmet Yavuz, Inan, Levent Ertugrul
Format:	Journal Article
Language:	English
Published:	Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil Thieme Revinter Publicações Ltda 01-03-2016 Academia Brasileira de Neurologia - ABNEURO Academia Brasileira de Neurologia (ABNEURO)
Subjects:	Carpal Tunnel Syndrome - complications Carpal Tunnel Syndrome - psychology Chronic Disease Depressive Disorder - etiology Depressive Disorder - psychology depressão Diabetes Mellitus diabetes tipo 2 dor neuropática Female Humans Male Middle Aged NEUROSCIENCES Pain Measurement Prospective Studies Psychiatric Status Rating Scales PSYCHIATRY qualidade do sono Sleep Wake Disorders - etiology Sleep Wake Disorders - psychology Surveys and Questionnaires síndrome do túnel do carpo síndrome do túnel do carpo qualidade do sono diabetes tipo 2 neuropathic pain dor neuropática type 2 diabetes depressão carpal tunnel syndrome depression sleep quality
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0004-282X 1678-4227 1678-4227 0004-282X
DOI:	10.1590/0004-282X20160020