The Relationship of Psychological Factors and Sleep Quality With the Severity of Carpal Tunnel Syndrome
Condition: Carpal Tunnel Syndrome; Depressive Symptoms; Sleepiness; Anxiety; Sleep; Pain, Neuropathic
MeSH terms: Carpal Tunnel Syndrome; Neuralgia; Syndrome; Sleepiness; Depression
Study type: Observational [Patient Registry]

Summary: 
      The most common entrapment neuropathy symptoms, the diagnosis of CTS, is determined by
      examination findings and by means of the results of electro-diagnostic test. With an increase
      in disease severity, trap neuropathy, whose symptoms are more pronounced at night, negatively
      affects the daily life of the person. Deterioration in sleep quality may cause depression and
      anxiety. Conflicting results have been found in the studies related to these findings.
      However, no study was found in which daytime sleepiness was evaluated in terms of CTS. The
      investigators aim in this study is to evaluate the relationship between CTS severity and
      depression, anxiety, sleep quality and daytime sleepiness.
    

Detailed description: 
      Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy with an incidence of
      2.7-4%. CTS, resulting from compression of the median nerve in the wrist, clinically
      progresses with tingling, numbness matching the nerve trace, and motor deficit in the
      presence of progressive nerve damage. Accordingly, the incidence of neuropathic pain is
      increasing. In addition to these symptoms mentioned, electro-diagnostic tests are used for
      diagnostic purposes and to determine the severity of nerve compression, and as a result,
      there are different types of classification, but most commonly CTS is classified as mild,
      moderate and severe. This classification is of great importance for the regulation of the
      follow-up and treatment protocol and making the association of existing complaints with the
      disease. Studies have shown that approximately 80% of CTS patients wake up at night due to
      numbness in the hand, resulting in deterioration in sleep quality. Impairment of sleep
      quality may cause increased sympathetic nervous system activity and awakening of physical and
      psychological stressors. Deterioration in sleep quality may cause depression and anxiety.
      Conflicting results have been found in the studies related to these findings. However, no
      study was found in which daytime sleepiness was evaluated in terms of CTS. The investigators
      aim in this study is to evaluate the relationship between CTS severity and depression,
      anxiety, sleep quality and daytime sleepiness. This study;149 patients with a diagnosis of
      CTS were prospectively included in the study. Electro-diagnostic test results were used to
      determine the severity of the disease. In this context, Boston CTS rating scale was used to
      evaluate the functional and symptomatic effects, Pittsburgh sleep quality scale and Epworth
      sleepiness scale were used to evaluate sleep quality and daytime sleepiness, and pain DETECT
      questionnaire was used to evaluate pain type.
    

Intervention name(s): cross-sectional survey study
Intervention type(s): Behavioral
Intervention description(s): Beck Depression Scale, Beck Anxiety Scale for psychological evaluation, Visual Analogue Scale and PainDETECT Questionnaire for pain, Pittsburgh Sleep Quality Scale and Epworth Sleepiness Scale for sleep quality
Other intervention name(s): all patients were filled out forms for sleep quality and psychological evaluation
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        All patients diagnosed with CTS
      
Keywords: CTS,Psychological factors,Sleep quality,Daytime Sleepiness