Depressive symptoms and childhood sleep apnea syndrome

Carotenuto, Marco; Esposito, Maria; Parisi, Lucia; Gallai, Beatrice; Marotta, Rosa; Pascotto, Antonio; Roccella, Michele

doi:10.2147/ndt.s35974

Cited by 54 publications

(47 citation statements)

References 53 publications

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“…A correlation was also found in this population between severity of the apnea-hypopnea index, oxygen desaturation values, and depression scores [56]. Treatments for sleep-disordered breathing may be of benefit.…”

Section: Sleep Apneamentioning

confidence: 58%

Treatment for Insomnia in Depressed Adolescents

Conroy¹

2013

J Sleep Disorders Ther

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Objective: Sleep undergoes dramatic changes during the adolescent years due to biological, circadian, and psychosocial influences. It is now known that sleep loss, both acute and chronic, can affect emotion regulation and can increase the likelihood of developing depression and risky behaviors. Method:The authors carried out a systematic review utilizing the PubMed database by using the search terms including: "adolescence, depression, sleep, and insomnia." The present review covers manuscripts accepted up to the year 2013. The following review discusses findings on the bidirectional relationship between insomnia and depression and will cover current evaluation and treatment options.Results: Depression can be present in up to 20 percent of adolescents and most of these children will have some form of sleep disturbance. The etiology of sleep disturbances may reflect insomnia, circadian rhythm sleep disorder, sleep apnea, or other factors. Pharmacological and cognitive behavioral therapy approaches are common, but may result in limited gains due to persistent insomnia. Antidepressant medications may be lessened and relapse may be higher in those with insomnia. Treatment monitoring may be helped by motivational interviewing techniques and examining the teen's self-report over parental sleep reports. Conclusion:Sleep disturbances that are identified, addressed, and appropriately monitored may result in improved sleep and mood. Active involvement of the teen in the therapy process may improve outcomes. Further research is needed to develop non-pharmacological strategies that are acceptable and sustainable for adolescents.

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Section: Sleep Apneamentioning

confidence: 58%

Treatment for Insomnia in Depressed Adolescents

Conroy¹

2013

J Sleep Disorders Ther

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“…First, several studies included children with PS in the OSA group, possibly lowering the ES for the relationship between depressive symptoms and OSA. 1,30,35,36,81 However, when the 4 studies including children with PS were compared to OSA children as measured by depressive symptoms, the ES was almost zero (Hedges' g = 0.04, p = 0.76), 29,32,37,57 indicating that the inclusion of children with PS likely did not lower the strength of relationship between OSA and depressive symptoms. This was maintained when incorporating only the 3 studies that used the strict criteria for PS.…”

Section: Discussionmentioning

confidence: 97%

“…28 Eleven studies satisfied the inclusion criteria. 1,[29][30][31][32][33][34][35][36][37][38] To avoid publication bias, our team searched for unpublished data including dissertations. Two unpublished dissertations were found; one was excluded due to the lack of a depression measure, 39 and the other for the lack of PSG.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

The Relationship between Depressive Symptoms and Obstructive Sleep Apnea in Pediatric Populations: A Meta-Analysis

Yılmaz

Sedky

Bennett

2013

Journal of Clinical Sleep Medicine

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Background: A higher incidence of depressive disorders and symptoms has been suggested among children suffering from obstructive sleep apnea (OSA). Yet, the extent to which OSA is related to increased depression is unclear. Objectives: To evaluate (a) the relationship between depressive symptoms and OSA in pediatric populations, and (b) the effi cacy of adenotonsillectomy (AT) for decreasing depressive symptoms among children with OSA. Methods: A meta-analysis was conducted to assess the relationship between depressive symptoms and OSA, and the effi cacy of AT for decreasing depressive symptoms. Studies reporting depressive symptoms of children with OSA through January 2013 were included. Results: Eleven studies assessed depressive symptoms in both children diagnosed with OSA (n = 894) and a comparison group (n = 1,096). A medium relationship was found between depressive symptoms and OSA (Hedges' g = 0.43, 95% CI: 0.22-0.64; p = 0.0005). Addressing the second question, 9 studies (n = 379 children) examined depressive symptoms pre-and post-AT. A medium improvement in depressive symptoms was found at follow-up (Hedge's g = 0.41, 95% CI: 0.20-0.62; p ≤ 0.001). Conclusion: Our fi ndings suggest that depressive symptoms are higher among children with OSA. Therefore, patients with depressive symptomatology should receive screening for sleep disordered breathing. Treatment of OSA with AT might decrease clinical symptoms of depression, reduce pharmacotherapy, improve sleep patterns, and promote better health. Keywords: Sleep disordered breathing, obstructive sleep apnea, depression, depressive symptoms, meta-analysis Citation: Yilmaz E; Sedky K; Bennett DS. The relationship between depressive symptoms and obstructive sleep apnea in pediatric populations: a meta-analysis.

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“…From a clinical perspective, there is an association between sleep problems and depression. 6 The relationship between sleep-related breathing disorders and depressive symptoms was shown in a population of school-aged children, by Carotenuto et al 7 Also, sleep disturbance in adolescence has been associated with adult mental health problems, such as depression and substance abuse. 8 Disturbed sleep (insomnia and/or hypersomnia) has been included as one of the nine diagnostic criteria for major depressive episodes in the DSM-III, DSM-III-R, and DSM-IV.…”

Section: Introductionmentioning

confidence: 97%

Comparison of effects of bright light therapy alone or combined with fluoxetine on severity of depression, circadian rhythms, mood disturbance, and sleep quality, in patients with non-seasonal depression

Ağargün¹,

Sayar²,

Bulut³

et al. 2013

CPT

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Purpose:To compare effects of bright light therapy (BLT) alone or combined with the selective serotonin reuptake inhibitor (SSRI) fluoxetine, on severity of depression, circadian rhythms, mood disturbance, and sleep quality, in patients with non-seasonal depression. Patients and methods: Drug-free patients who were administered 10,000 lux of BLT for 30 minutes for 7 days comprised the BLT group (n = 7), while patients who started fluoxetine as an add-on treatment day comprised the SSRI + BLT group (n = 8). The primary outcomes were severity of depression, measured using the Hamilton Depression Rating Scale (HAM-D) and the Beck Depression Inventory (BDI); chronotype, measured using the Morningness Eveningness Questionnaire (MEQ); mood disturbance, measured using the Profile of Mood States (POMS) survey; and sleep quality, measured using the Pittsburgh Sleep Quality Index (PSQI), before and after treatment in both groups. Results: All patients completed the study, and none reported obvious side effects. The mean onset age of depression was 26.1 years ± 5.3 years in the BLT group and 27 years ± 9.5 years in the SSRI + BLT group (P = 0.425). The number of past depressive episodes was 1.29 ± 0.76 in the BLT group, and 1.5 ± 0.8 in the SSRI + BLT group (P = 0.427). The difference between pre-and posttreatment scores revealed no significant difference between groups for the HAM-D scale, BDI, MEQ, POMS survey, and the PSQI. Conclusion: This study suggests that BLT is effective with respect to the severity of depression, circadian rhythms, mood disturbance, and sleep quality, in non-seasonal depression. However, there was no evidence in favor of adjunctive fluoxetine with BLT in the treatment of non-seasonal depression, for any of the rating scales used in our study.

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Depressive symptoms and childhood sleep apnea syndrome

Cited by 54 publications

References 53 publications

Treatment for Insomnia in Depressed Adolescents

Treatment for Insomnia in Depressed Adolescents

The Relationship between Depressive Symptoms and Obstructive Sleep Apnea in Pediatric Populations: A Meta-Analysis

Comparison of effects of bright light therapy alone or combined with fluoxetine on severity of depression, circadian rhythms, mood disturbance, and sleep quality, in patients with non-seasonal depression

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