Browse > Article
http://dx.doi.org/10.5392/JKCA.2017.17.05.200

Effects of the Severity and Depression on the Quality of Sleep of Restless Legs Syndrome Patients  

Han, Eun Kyoung (분당서울대학교 병원)
Publication Information
The Journal of the Korea Contents Association / v.17, no.5, 2017 , pp. 200-208 More about this Journal
Abstract
The purpose of this study was to examine the relationship of the severity, depression and to identify factors influencing quality of sleep in Restless Legs Syndrome(RLS) patients. A total of 303 consecutive RLS patients were assessed by self questionnaires and participant's medical records were reviewed for obtaining their clinical information. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression. The quality of sleep was positively correlated with symptoms(r=. 21, p<.001) and depression(r=. 37, p<.001). The results of multiple regression analysis showed that significant variables influencing the quality of sleep were depression(${\beta}=.35$, p<.001), age(${\beta}=.21$, p<.001), and severity(${\beta}=.15$, p=.005). The explanation power of this regression model was 21.0% and it was statistically significant. As a result, to improve their sleep quality, the nursing interventions are required for RLS patients who have the depression, age, and severity.
Keywords
Restless Legs Syndrome; Severity; Depression; Sleep;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 이은주, "하지불안증후군 환자의 휴식, 활동리듬, 수면 양상 및 삶의 질에 대한 연구," 한국간호과학회지, 제37권, 제3호, pp.422-432, 2009.
2 백영화, 유종향, 이시우, 진희정, "수면장애에 관한 국내 연구 동향 분석," 한국콘텐츠학회논문지, 제13권, 제6호, pp.309-317, 2013.   DOI
3 C. M. Morin, M. LeBlanc, M. Daley, J. P. Gregoire, and C. Merette, "Epidemiology of insomnia: Prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors," Sleep Medicine, Vol.7, No.2, pp.123-130, 2006.   DOI
4 N. G. Cuellar, N. E. Strumpf, and S. J. Ratcliffe, "Symptoms of restless legs syndrome in older adults: Outcomes on sleep quality, sleepiness, fatigue, depression, and quality of life," J of the American Geriatrics Society, Vol.55, No.9, pp.1387-1392, 2007.   DOI
5 박연경, 박형숙, "하지불안증후군 환자의 수면의 질과 혈청지질 농도," 한국간호과학회지, 제41권, 제3호, pp.344-353, 2011.
6 A. S. Walters, C. LeBrocq, A. Dhar, W. Hening, R. Rosen, and R. P. Allen, "Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome," Sleep Medicine, Vol.4, No.2, pp.121-132, 2003.   DOI
7 양준규, 김도형, 이주화, 박기형, 정기영, 신원철, 조용원, "한국판 국제하지불안척도와 하지불안증후군 삶의 질 설문지의 신뢰도 및 타당도 연구," 대한신경과학회지, 제28권, 제4호, pp.263-269, 2010.
8 A. T. Beck, Depression: Clinical, experimental, and theoretical aspects, University of Pennsylvania Press, 1967.
9 이민규, 이영호, 박세현, 손창호, 정영조, 홍성국, 이병관, 장필립, 윤애리, "한국판 Beck 우울척도의 표준화 연구 I: 신뢰도 및 요인분석," 정신병리학, 제4권, 제1호, pp.77-95, 1995.
10 D. J. Buysse, C. F. Reynolds, T. H. Monk, S. R. Berman, and D. J. Kupfer, "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research," Psychiatry research, Vol.28, No.2, pp.193-213, 1989.   DOI
11 R. Allen, "Dopamine and iron in the pathophysiology of restless legs syndrome(RLS)," Sleep Medicine, Vol.5, No.4, pp.385-391, 2004.   DOI
12 K. E. Innes, T. K. Selfe, and P. Agarwal, "Prevalence of restless legs syndrome in North American and Western European populations: a systematic review," Sleep Medicine, Vol.12, No.7, pp.623-634, 2011.   DOI
13 조영원, 서영성, "하지불안증후군의 진단과 치료," 대한가정의학회지, 제29권, 제4호, pp.241-250, 2008.
14 K. W. Kim, I. Y. Yoon, S. Chung, Y. K. Shin, S. B. Lee, E. A. Choi, and J. M. Kim, "Prevalence, comorbidities and risk factors of restless legs syndrome in the Korean elderly population-results from the Korean Longitudinal Study on Health and Aging," J of sleep research, Vol.19, No.1, pp.87-92, 2010.   DOI
15 R. Gupta, V. Lahan, and D. Goel, "A study examining depression in restless legs syndrome," Asian J of Psychiatry, Vol.6, No.4, pp.308-312, 2013.   DOI
16 Y. Li, F. Mirzaei, E. J. O'Reilly, J. Winkelman, A. Malhotra, O. I. Okereke, and X. Gao, "Prospective study of restless legs syndrome and risk of depression in women," American J Epidemiology, Vol.176, No.4 pp.279-288, 2012.   DOI
17 송재민, 박준혁, 강지언, 이창인, "노년기 우울증환자의 하지불안증후군의 임상적 중요성," 생물정신의학지, 제21권, 제3호, pp.107-113, 2014.
18 M. Hornyak, M. Kopasz, M. Berger, D. Riemann, and U. Voderholzer, "Impact of sleep-related complaints on depressive symptoms in patients with restless legs syndrome," J of Clinical Psychiatry, Vol.66, No.9, pp.1139-1145, 2015.
19 R. P. Allen, D. Picchietti, W. A. Hening, C. Trenkwalder, A. S. Walters, and J. Montplaisi, "Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology: A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health," Sleep Medicine, Vol.4, No.2, pp.101-119, 2003.   DOI
20 R. Holmes, S. Tluk, V. Metta, P. Patel, R. Rao, A. Williams, and K. R. Chaudhuri, "Nature and variants of idiopathic restless legs syndrome:observations from 152 patients referred to secondary care in the UK," J of Neural Transmission, Vol.114, No.7, pp.929-934, 2007.   DOI
21 A. Szentkiralyi, M. Z. Molnar, M. E. G. Czira, Deak, A. V. Lindner, L. Szeifert, and M. Novak, "Association between restless legs syndrome and depression in patients with chronic kidney disease," J of Psychosomatic Research, Vol.67, No.2, pp.173-180, 2009.   DOI
22 B. W. Dunlop and C. B. Nemeroff, "The role of dopamine in the pathophysiology of depression," Archives of general psychiatry, Vol.64, No.1, pp.327-337, 2007.   DOI
23 Y. Inoue, K. Nanba, Y. Honda, Y. Takahashi, and H. Arai, "Subjective sleep quality and suggested immobilization test in restless leg syndrome and periodic limb movement disorder," Psychiatry and clinical neurosciences, Vol.56, No.3, pp.293-294, 2002.   DOI
24 M. Ganguli, C. F. Reynolds, and J. E. Gilby, "Prevalence and persistence of sleep complaints in a rural older community sample: The MoVIES project," J of the American Geriatrics Society, Vol.44, No.7, pp.778-784, 1996.   DOI
25 이나래, 김경희, 곽연희, 김윤정, "전립선비대증 환자의 증상, 불안 및 우울이 수면의 질에 미치는 영향," 한국콘텐츠학회논문지, 제15권, 제1호, pp.338-349, 2015.   DOI
26 M. Hornyak, "Depressive disorders in restless legs syndrome," CNS drugs, Vol.24, No.2, pp.89-98, 2010.   DOI
27 K. E. Innes and T. K. Selfe, "The effects of a gentle yoga program on sleep, mood, and blood pressure in older women with Restless Legs Syndrome(RLS): a preliminary randomized controlled trial," Evidence-Based Complementary and Alternative Medicine, Vol.2012, No.1, pp.1-14, 2012.