A Case—Control Study on Psychological Symptoms in Sleep Apnea-Hypopnea Syndrome

Yue, Weihua; Hao, Wei; Liu, Pozi; Liu, Tieqiao; Ming, Nai‐Ben; Guo, Qi

doi:10.1177/070674370304800507

Cited by 69 publications

(54 citation statements)

References 15 publications

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“…8,10 Indeed, 1 study has reported that the severity of psychological symptoms associated with OSA was negatively related to total sleep time and the percentage of stage 2 nonrapid eye movement sleep. 58 In addition to CPAP therapy, it is important to prescribe suitable treatment for depression in patients with OSA who have this comorbidity to reduce both the mood disturbance and associated fatigue. However, depressive symptoms may be not only a comorbidity associated with OSA but also a consequence of the sleep disorder itself, and treatment with antidepressants or counseling will not be effective in patients with OSA who have been misdiagnosed with depression.…”

Section: Confirmation Of Initial Diagnosismentioning

confidence: 99%

Recognizing and Managing Obstructive Sleep Apnea in Primary Care

Culpepper¹,

Roth²

2009

Prim. Care Companion J. Clin. Psychiatry

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Objective: This review aims to impart information regarding recognition of obstructive sleep apnea (OSA) and associated excessive sleepiness (ES) in the primary care setting in order to provide optimal care to patients with this common but serious condition. This review will also discuss the prevalence and treatment of depression in patients with OSA.Data Sources: A MEDLINE search of articles published between 1990 and 2008 was conducted using the search terms obstructive sleep apnea AND excessive sleepiness, obstructive sleep apnea AND depression, and obstructive sleep apnea AND primary care. Searches were limited to articles in English concerned with adult patients.Study Selection: In total, 239 articles were identified. Articles concerning other sleep disorders and forms of apnea were excluded. The reference lists of identified articles were searched manually to find additional articles of interest.Data Synthesis: Primary care physicians can aid in the diagnosis of OSA and associated ES by being vigilant for lifestyle and physical risk factors associated with this condition. In addition, primary care physicians should maintain a high level of clinical suspicion when presented with illnesses that are commonly comorbid with OSA, such as psychiatric disorders and depression, in particular. Conversely, assessment of patients with OSA for common comorbidities may also improve a patient's prognosis and quality of life.Conclusions: Primary care physicians play a vital role in recognizing OSA and ES. These clinicians are crucial in supporting their patients during treatment by ensuring that they have clear, concise information regarding available therapies and the correct application and maintenance of prescribed devices.

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Section: Confirmation Of Initial Diagnosismentioning

confidence: 99%

Recognizing and Managing Obstructive Sleep Apnea in Primary Care

Culpepper¹,

Roth²

2009

Prim. Care Companion J. Clin. Psychiatry

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“…A constatação de prevalência de nível baixo de ansiedade na amostra estudada vai de encontro com alguns resultados de pesquisas encontradas na literatura científica (Sahbaz et al, 2008;Sanchez, Buela-Casal, Bermudez, & Casas-Maldonado, 2001;Yue et al, 2003), segundo os quais, é comum esse tipo de paciente apresentar níveis elevados de ansiedade (Bardwell et al, 1999). Entretanto, antes de fazer comparações, convém salientar a diferença entre os estudos relatados e a pesquisa aqui apresentada.…”

Section: Discussionunclassified

“…Embora estes não tenham sido os sintomas mais prevalentes, sua importância refere-se ao fato de que, ao serem questionados sobre os mesmos, os pacientes mostraram-se apreensivos em relação ao recente diagnóstico e ao tratamento. Tal preocupação também foi relatada no estudo conduzido por Yue et al (2003) com o objetivo de avaliar a relação entre a SAOS e problemas psicológicos, cujos resultados apontaram escores significativamente mais elevados entre os sujeitos apneicos do que entre os do grupo controle com relação à somatização, ansiedade, hostilidade e depressão. Do mesmo modo, escores mais elevados na escala de sonolência foram apresentados entre os apneicos do que entre os sujeitos controle, fato explicado pela fragmentação do sono ocorrido entre os primeiros.…”

Section: Discussionunclassified

“…No que diz respeito ao aspecto psicológico, diversos estudos investigando a relação entre SAOS e ansiedade são encontrados na literatura internacional (Sahbaz et al, 2008;Sanchez, Buela-Casal, Bermudez, & Casas-Maldonado, 2001;Yue et al, 2003). Os resultados mais comuns demonstram que os doentes com SAOS apresentam níveis elevados de ansiedade, que se traduzem na irritabilidade e tensão, que surgem como consequência direta da privação do sono e diminuição da energia (Bardwell et al, 1999).…”

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Síndrome da Apneia Obstrutiva do Sono: Avaliação da Ansiedade em Pacientes Recém-diagnosticados

Santos¹,

Nakano²

2016

Inter. Psicol.

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RESUMOCom o objetivo de analisar e identificar os níveis de ansiedade em uma amostra de portadores da síndrome da apneia obstrutiva do sono, antes e após um mês de tratamento clínico ou cirúrgico, a Escala de Ansiedade Beck foi aplicada em uma amostra de 18 pacientes com esse diagnóstico. Resultados mostraram que 55,5% dos participantes apresentavam ansiedade na primeira avaliação (antes do início do tratamento), entre os níveis leve, moderado e grave. Na segunda avaliação (um mês após início do tratamento) os pacientes apresentaram diminuição significativa na média de sintomas de ansiedade pós-início de tratamento (z=-3,51, p0,000). Estudos envolvendo outras variáveis, tais como adaptação ao tratamento, avaliação da qualidade do sono e efeitos de um programa de intervenção são recomendados.Palavras-chave: avaliação psicológica; ansiedade; transtornos do sono. ABSTRACT Obstructive Sleep Apnea Syndrome: Anxiety Assessment in Patients Newly DiagnosedAiming to analyze and identify the levels of anxiety in a sample of patients with obstructive sleep apnea syndrome before and after a month of medical or surgical treatment, the Beck Anxiety Scale was administered to a sample of 18 patients with this diagnosis. Results showed that 55.5% of the participants reported anxiety at the first assessment (before starting treatment), between the low, moderate and severe levels. In the second evaluation (one month after initiation of treatment) patients showed a significant decrease in mean symptoms of post-treatment initiation (z = -3.51, p <0.000) anxiety. Studies involving other variables, such as adaptation to treatment, assessment of sleep quality and effects of a program of intervention are recommended.

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“…The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) requires 5 of the following symptoms be present for at least 2 weeks to make a diagnosis of major depression: depressed mood, diminished interest or pleasure, change in weight, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue, feelings of worthlessness or guilt, Stress, diminished ability to think or concentrate, and recurrent thoughts of death or suicide. It is common for individuals with RLS to complain of fatigue, disturbed sleep, diminished concentration, and psychomotor agitation, symptoms that could either be interpreted as symptoms of depression or as directly due to the sleep disorder [10], emerging data indicate that the occurrence of depression symptom s such as stress and fatigue with RLS is far great than simple coincidence, consistent with the elevated rates of depression in other sleep disorders such as obstructive sleep apnea and narcolepsy [11,12]. Furthermore, it has been recognized that many antidepressant medications can induce or worsen PLMS which are common in individuals with RLS.…”

mentioning

confidence: 96%

Effect of Aerobic Exercise and Yogasana Programme on Fatigue and Stress in Peripheral Neuropathy Patients With Restless Leg Syndrome

Kumar¹,

Senthilvelan²,

Patil³

2017

IJPR

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Background: Restless legs syndrome (RLS) is a neurological disorder characterized by an irresistible urge to move one's body to stop uncomfortable or odd sensations. It most commonly affects the legs, but can affect the arms, torso, and even phantom limbs. Moving the affected body part modulates the sensations, providing temporary relief. RLS has been found to be associated with depression in clinical sample as well as epidemiological studies. Dopamine is implicated in the causation of Psychological symptoms like stress and fatigue. and treatment of RLS by non pharmalogic methods is thought to improve de in RLS patients.RLS is a hardly studied, probably under-diagnosed condition in India. The exact prevalence of restless legs syndrome in India is not known as not much literature available on restless legs syndrome from India.

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A Case—Control Study on Psychological Symptoms in Sleep Apnea-Hypopnea Syndrome

Abstract: In our study population, SAHS patients had decreased psychological well-being, which could be explained by fragmented sleep or excessive daytime sleepiness.

Cited by 69 publications

References 15 publications

Recognizing and Managing Obstructive Sleep Apnea in Primary Care

Recognizing and Managing Obstructive Sleep Apnea in Primary Care

Síndrome da Apneia Obstrutiva do Sono: Avaliação da Ansiedade em Pacientes Recém-diagnosticados

Effect of Aerobic Exercise and Yogasana Programme on Fatigue and Stress in Peripheral Neuropathy Patients With Restless Leg Syndrome

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