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Yetişkin Dikkat Eksikliği Hiperaktivite Bozukluğunda Uyku Kalitesinin Dürtüsellik, Saldırganlık Düzeyleri ve Yaşam Kalitesi ile İlişkisi. (Turkish).
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- Author(s): Gürbüzer, Nilifer (AUTHOR); Ceyhun, Hacer Akgül (AUTHOR)
- Source:
Journal of Turkish Sleep Medicine. Jun2023, Vol. 10 Issue 2, p144-151. 8p. - Source:
- Additional Information
- Alternate Title: Relationship of Sleep Quality with Impulsivity, Aggression Levels, and Quality of Life in Adult Attention Deficit Hyperactivity Disorder. (English)
- Subject Terms:
- Subject Terms:
- Abstract: Objective: Sleep problems are frequently reported in Attention Deficit Hyperactivity Disorder (ADHD). In our study, we evaluated sleep quality, impulsivity, aggression levels and quality of life in adult ADHD, and to investigate the effects of sleep quality on impulsivity, aggression levels and quality of life. Materials and Methods: Our study included 50 patients with ADHD who applied to a psychiatry outpatient clinic and 50 healthy controls. Two interviews were conducted with the participants. In the first interview, Diagnostic Interview for ADHD 2.0, Structured Clinical Interview-1 were applied and socio-demographic data were obtained. In the second interview, Pittsburgh Sleep Quality Index, Barratt Impulsivity Scale-11, Buss-Perry Aggression Scale, and World Health Organization Quality of Life Brief Form were filled in by the participants. Results: The incidence of sleep problems in the patients was 84% (p<0.005). The patients' sleep and quality of life were worse (p<0.05), and their impulsivity and aggression levels were higher (p<0.05). Sleep quality was better and daytime sleepiness was less in patients using methylphenidate (p<0.05). The impulsivity and aggression levels of the patients who didn't receive treatment were high (p<0.05). Impairment of sleep quality in patients; it was associated with high impulsivity levels and deterioration in quality of life (p<0.05). Increased levels of impulsivity and deterioration in quality of life in patients; we found it to be a predictor of deterioration in sleep quality. Conclusion: We can say that patients have worse sleep quality, increased impulsivity and aggression levels, and impaired quality of life. Additionally, we determined that the increase in the severity of impulsivity and the deterioration in the quality of life were predictors of the deterioration in sleep quality. We can say that the curative effects of methylphenidate include sleep quality, impulsivity, and aggression levels. In this sense, such as attention deficit, hyperactivity, and impulsivity; it can be thought that sleep problems are neurodevelopmentally included in the ADHD clinic. [ABSTRACT FROM AUTHOR]
- Abstract: Amaç: Dikkat Eksikliği Hiperaktivite Bozukluğunda (DEHB) uyku sorunları sıklıkla bildirilmektedir. Çalışmamızda yetişkin DEHB'de uyku kalitesi, dürtüsellik, saldırganlık düzeyleri ve yaşam kalitesini değerlendirmek, uyku kalitesinin dürtüsellik, saldırganlık düzeyleri ve yaşam kalitesi üzerine etkilerini araştırmayı amaçladık. Gereç ve Yöntem: Çalışmamıza psikiyatri polikliniğine başvuran DEHB tanısı almış 50 hasta, 50 sağlıklı kontrol dahil edildi. Katılımcılarla ardışık iki görüşme yapıldı. İlk görüşmede katılımcılara Yetişkinlerde DEHB İçin Tanısal Görüşme 2.0 ve Yapılandırılmış Klinik Görüşme-1 uygulandı. Katılımcıların sosyodemografik verileri alındı. İkinci görüşmede katılımcılar tarafından Pittsburgh Uyku Kalitesi İndeksi, Barrat Dürtüsellik Ölçeği-11, Buss Perry Saldırganlık Ölçeği ve Dünya Sağlık Örgütü Yaşam Kalitesi Ölçeği Kısa Formu Türkçe Versiyonu dolduruldu. Bulgular: Hastalarda uyku sorunları sıklığı %84 olup kontrol grubuna göre yüksekti (p<0,005). Hastalarda uyku ve yaşam kalitesi kontrollerden kötüydü (p<0,05). Hastaların dürtüsellik ve saldırganlık düzeyleri kontrol grubundan daha yüksekti (p<0,05). Metilfenidat kullanan hastaların uyku kalitesi daha iyi, gündüz uykululuğu daha azdı (p<0,05). Tedavi almayan hastaların dürtüsellik ve saldırganlık düzeyleri yüksekti (p<0,05). Hastalarda uyku kalitesindeki bozulma; yüksek dürtüsellik düzeyleri ve yaşam kalitesinde bozulma ile ilişkiliydi (p<0,05). Hastalarda dürtüsellik düzeylerindeki artışın ve yaşam kalitesindeki bozulmanın; uyku kalitesindeki bozulma için yordayıcı olduğunu tespit ettik. Sonuç: Hastaların daha kötü uyku kalitesi, artmış dürtüsellik ve saldırganlık düzeyleri ve bozulmuş yaşam kalitelerine sahip olduklarını söyleyebiliriz. Ayrıca hastalarda dürtüsellik şiddetindeki artışın ve yaşam kalitesindeki bozulmanın uyku kalitesindeki bozulma için yordayıcı olduğunu saptadık. Metilfenidatın iyileştirici etkilerinin uyku kalitesi, dürtüsellik ve saldırganlık düzeylerini de kapsadığını söyleyebiliriz. Bu anlamda dikkat eksikliği, hiperaktivite ve dürtüsellik gibi; uyku sorunlarının da nörogelişimsel olarak DEHB kliniğinde yer aldığı düşünülebilir. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Turkish Sleep Medicine is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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