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特发性震颤不仅是一种运动障碍;它与睡眠和焦虑的关系。

Essential Tremor is not Only a Movement Disorder; Its Relationship with Sleep and Anxiety.

作者信息

Acar Bilgehan Atılgan, Acar Türkan

机构信息

Department of Neurology, Sakarya University Faculty of Medicine, Sakarya, Turkey.

出版信息

Noro Psikiyatr Ars. 2019 Mar;56(1):18-22. doi: 10.5152/npa.2017.22858. Epub 2018 Sep 17.

DOI:10.5152/npa.2017.22858
PMID:30911232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6427083/
Abstract

INTRODUCTION

Essential tremor (ET) is the most common movement disorder, and some studies suggest that there are non-motor symptoms as well as motor symptoms. This study aims to investigate the relationship between ET and anxiety and sleep disorder.

METHODS

The study was conducted with 38 healthy individuals in the control group and 40 patients who admitted to the neurology clinic of our hospital and had definite ET according to the (PSQI) and (HAM-A) were applied to both groups. Statistical analysis was carried out with SPSS 22.0 for Windows.

RESULTS

The patient and control groups were similar in terms of age, gender and educational status. The PSQI and HAM-A scores in the patient group were significantly higher than the control group (p<0.000, p<0.000, respectively). Both scores were higher in female patients compared to male patients (p<0.05, p<0.05, respectively), and in married patients compared to single patients (p<0.05, p<0.05, respectively).

CONCLUSION

Sleep disorder and anxiety are more common in patients with ET than in healthy individuals. We believe that more severe sleep disorders and anxiety in female and/or married patients are indicative of the psychosocial component of the disorder, and that this condition should not be overlooked and should be studied more comprehensively in this regard.

摘要

引言

特发性震颤(ET)是最常见的运动障碍,一些研究表明,除了运动症状外,还存在非运动症状。本研究旨在调查ET与焦虑和睡眠障碍之间的关系。

方法

本研究对38名健康个体作为对照组,以及40名入住我院神经内科门诊且根据[具体标准]确诊为ET的患者进行。两组均应用匹兹堡睡眠质量指数(PSQI)和汉密尔顿焦虑量表(HAM - A)。使用Windows版SPSS 22.0进行统计分析。

结果

患者组和对照组在年龄、性别和教育程度方面相似。患者组的PSQI和HAM - A评分显著高于对照组(分别为p<0.000,p<0.000)。女性患者的这两项评分均高于男性患者(分别为p<0.05,p<0.05),已婚患者的评分高于单身患者(分别为p<0.05,p<0.05)。

结论

ET患者比健康个体更常出现睡眠障碍和焦虑。我们认为女性和/或已婚患者中更严重的睡眠障碍和焦虑表明了该疾病的社会心理因素,这种情况不应被忽视,应在这方面进行更全面的研究。

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