The purpose of the study is to evaluate sleep disorders in dysmenorrhea patients and investigate the relationship between sleep disorders and anxiety and depression levels in these patients. This cross-sectional study included 55 primary dysmenorrhea patients who were admitted to the emergency department as well as 47 healthy control subjects. All participants were assessed using Beck Depression Inventory, Beck Anxiety Inventory, Epworth Sleepiness Scale (ESS), Berlin Questionnaire, Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Index (PSQI). Presence of restless legs syndrome (RLS) was evaluated according to International Restless Legs Syndrome Study Group criteria. Primary dysmenorrhea patients had significantly higher ISI, PSQI overall and ESS scores compared to the control group ( p = 0.009, p < 0.001, p = 0.007, respectively). While 20% of primary dysmenorrhea patients met RLS criteria, this rate was 4.3% in the control group ( p = 0.017). Sleep quality was significantly correlated with severity of pain, anxiety, and depression in primary dysmenorrhea patients ( r = 0.409, p < 0.001; r = 0.527, p < 0.001; r = 0.567, p < 0.001; respectively). This study demonstrates increased rates of sleep disorders in dysmenorrhea patients. Furthermore, our results are indicative that sleep disorders in primary dysmenorrhea patients are induced by both physiological and psychological factors.

中文翻译：

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痛经女性睡眠障碍、焦虑和抑郁的评估

该研究的目的是评估痛经患者的睡眠障碍，并调查这些患者的睡眠障碍与焦虑和抑郁水平之间的关系。这项横断面研究包括 55 名急诊科住院的原发性痛经患者以及 47 名健康对照受试者。所有参与者都使用贝克抑郁量表、贝克焦虑量表、Epworth 嗜睡量表 (ESS)、柏林问卷、失眠严重程度指数 (ISI) 和匹兹堡睡眠质量指数 (PSQI) 进行评估。根据国际不宁腿综合征研究组的标准评估不宁腿综合征 (RLS) 的存在。与对照组相比，原发性痛经患者的 ISI、PSQI 总分和 ESS 评分显着更高（分别为 p = 0.009、p < 0.001、p = 0.007）。虽然 20% 的原发性痛经患者符合 RLS 标准，但对照组的这一比率为 4.3% (p = 0.017)。睡眠质量与原发性痛经患者的疼痛、焦虑和抑郁的严重程度显着相关（分别为 r = 0.409，p < 0.001；r = 0.527，p < 0.001；r = 0.567，p < 0.001；分别）。这项研究表明痛经患者睡眠障碍的发生率增加。此外，我们的结果表明原发性痛经患者的睡眠障碍是由生理和心理因素共同引起的。r = 0.567，p < 0.001；分别）。这项研究表明痛经患者睡眠障碍的发生率增加。此外，我们的结果表明原发性痛经患者的睡眠障碍是由生理和心理因素共同引起的。r = 0.567，p < 0.001；分别）。这项研究表明痛经患者睡眠障碍的发生率增加。此外，我们的结果表明原发性痛经患者的睡眠障碍是由生理和心理因素共同引起的。