The relationship between disability and depression, anxiety, and sleep quality in patients with coccydynia

Agri. 2024 Jan;36(1):22-28. doi: 10.14744/agri.2023.23865.


Objectives: In this study, our aim was to investigate the relationship between sleep quality, anxiety, depression, and disability in patients with coccydynia.

Methods: This prospective cross-sectional study evaluated 60 patients diagnosed with coccydynia. Clinical and demographic characteristics of the patients were recorded. Outcome measures included the Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Pittsburgh Sleep Quality Index (PSQI), which were analyzed.

Results: Depressive symptoms and anxiety were detected in 47 (78.3%) and 49 (81.6%) of the 60 patients, respectively. Additionally, 46 (76.7%) patients were identified as poor sleepers. Our results demonstrated a statistically significant positive correlation between the quality of sleep and anxiety and depressive symptoms scores (p<0.001); there was also a statistically weak positive correlation with disability index values.

Conclusion: Depressive symptoms, anxiety, and poor sleep quality are exacerbated by disability in coccydynia. While coccydynia has been previously associated with neurotic disorders, the mechanisms underlying poor sleep quality remain unclear.

MeSH terms

  • Anxiety / complications
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / diagnosis
  • Depression / epidemiology
  • Humans
  • Prospective Studies
  • Sleep
  • Sleep Quality*
  • Sleep Wake Disorders* / complications
  • Sleep Wake Disorders* / diagnosis
  • Sleep Wake Disorders* / epidemiology