Obstrüktif Uyku Apnesi’nin Şiddet İçeren ve İçermeyen Davranışlar Üzerine Etkisi

Abstract

Aim: Obstructive sleep apnea (OSA) characterized by repetitive collapse of the upper airway during sleep and this condition leading to oxygen desaturation, sympathetic activation, and recurrent arousals. Patients who experience sleep problems consider themselves, less able to control impulsive, aggressive tendencies. The aim of this study was to investigate the effect of OSA and daytime sleepiness on violent and non-violent behaviors. Material and Methods: Hundred fifty individuals who were admitted to the Chest Disease Polyclinic for Sleep Disorders of Duzce University, School of Medicine Hospital were included in the study. All patients underwent polysomnography (PSG). All tests [Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Epworth Sleepiness Scale (ESS) and Nonviolent and Violent Offending Behavior Scale (NVOBS)] were applied to all participants by face to face interview. Results: In this study, no significant relationship was found between NVOBS and AHI in OSA patients. Patients with OSA; There was a significant relationship between total score of NVOBS and ESS (r=0.267 p=0.003). There was a significant relationship between the ESS score and the BDI score (r=0.314 p <0.001) and BDI scale (r=0.319 p <0.001) scores. Conclusions: There was no significant relationship between violent and non-violent behaviors and AHI. However, there was a significant relationship between ESS and BDI, BAI and NVOBS. There may be common neurophysiological activation mechanisms of sleep and violence action. Today, violent behavior and sleep problems increase and further research is needed to investigate the relationship between sleep problems and violent behavior.