The Comorbidity of Sleep Apnea and Mood, Anxiety, and Substance Use Disorders among Obese Military Veterans within the Veterans Health Administration

Babson, Kimberly A.; Re, A. C. Del; Bonn‐Miller, Marcel O.; Woodward, Steven H.

doi:10.5664/jcsm.3262

Cited by 40 publications

(19 citation statements)

References 40 publications

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“…Our observation showing increased odds of CMDs among those experiencing symptoms of OSAS (both high-risk for OSA and excessive daytime sleepiness) are in alignment with the findings of most prior studies [27,28]. Hayley et al using the National Health and Nutrition Examination Survey (NHANES) found that those with OSA were associated with more than 5-fold (OR=5.14, 95% CI 3.14-8.41) increased odds of experiencing depression (determined using the Patient Health Questionnaire-9) [28].…”

Section: Discussionsupporting

confidence: 91%

“…Hayley et al using the National Health and Nutrition Examination Survey (NHANES) found that those with OSA were associated with more than 5-fold (OR=5.14, 95% CI 3.14-8.41) increased odds of experiencing depression (determined using the Patient Health Questionnaire-9) [28]. In a population-based study of veterans, Babson et al reported that those with sleep apnea had increased odds of receiving a mood disorder diagnosis (OR=1.85; CI 1.71-1.72) and anxiety disorder diagnosis (OR=1.82; CI 1.77-1.84) [27]. Additionally, in the present study we observed that students experiencing only excessive daytime sleepiness had a 2.01 fold increased odds of CMDs (OR=2.01; 95% CI 1.60-2.52) compared to the reference group.…”

Section: Discussionmentioning

confidence: 99%

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Risk of Common Mental Disorders in Relation to Symptoms of Obstructive Sleep Apnea Syndrome among Ethiopian College Students

Rutagarama

Gelaye

Tadesse

et al. 2015

J Sleep Disor: Treat Care

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Background The Berlin and Epworth Sleepiness Scale (ESS) are simple, validated, and widely used questionnaires designed to assess symptoms of obstructive sleep apnea syndrome (OSAS) a common but often unrecognized cause of morbidity and mortality. Methods A cross-sectional study was conducted among 2,639 college students to examine the extent to which symptoms of OSAS are associated with the odds of common mental disorders (CMDs). The General Health Questionnaire (GHQ-12) was used to evaluate the presence of CMDs while the Berlin and ESS were used to assess high-risk for obstructive sleep apnea (OSA) and excessive daytime sleepiness, respectively. Logistic regression procedures were used to derive odds ratios (OR) and 95% confidence intervals (CI) assessing the independent and joint associations of high-risk for OSA and excessive daytime sleepiness with odds of CMDs. Results Approximately 19% of students had high-risk for OSA while 26.4% had excessive daytime sleepiness. Compared to students without high-risk for OSA and without excessive daytime sleepiness (referent group), students with excessive daytime sleepiness only (OR=2.01; 95%CI: 1.60-2.52) had increased odds of CMDs. The odds of CMDs for students with high-risk OSA only was 1.26 (OR=1.26; 95%CI 0.94-1.68). Students with both high-risk for OSA and excessive daytime sleepiness, compared to the referent group, had the highest odds of CMDs (OR=2.45; 95%CI: 1.69-3.56). Conclusion Our findings indicate that symptoms of OSAS are associated with increased risk of CMDs. These findings emphasize the comorbidity of sleep disorders and CMDs and suggest that there may be benefits to investing in educational programs that extend the knowledge of sleep disorders in young adults.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Risk of Common Mental Disorders in Relation to Symptoms of Obstructive Sleep Apnea Syndrome among Ethiopian College Students

Rutagarama

Gelaye

Tadesse

et al. 2015

J Sleep Disor: Treat Care

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“…Another limitation is the preponderance of subjects suffering from comorbid psychiatric conditions, which may also reduce generalizability, albeit a number of recent works suggest that a substantial proportion of treatment-seeking OSA subjects report a history of mental health conditions or use of psychotropic medications. [52][53][54][55][56][57] Last, among the subgroups who did not pursue PAP (no titration or prescription), anecdotal insights suggest that 19 patients specifically refused this treatment very early in the process, which may relate to the work of Brostrom et al 58 on PAP rejection by subjects with Type D personality (eTable 1).…”

Section: Limitationsmentioning

confidence: 99%

Adherence and Subthreshold Adherence in Sleep Apnea Subjects Receiving Positive Airway Pressure Therapy: A Retrospective Study Evaluating Differences in Adherence Versus Use

Krakow

Ulibarri

Foley-Shea³

et al. 2016

Respir Care

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“…There is a wealth of data describing high-prevalence, high-impact multimorbidity among Veterans in general [21][22][23]. There is also a wealth of data describing comorbidities among Veterans with overweight/obesity, such as hypertension (HTN), type 2 diabetes, hypercholesterolemia, and heart disease [7,24], as well as alcohol and drug use disorders, depression, and posttraumatic stress disorder (PTSD) [24].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of painful conditions and multimorbidity in national sample of overweight/obese Veterans

Higgins

Buta²,

Dorflinger³

et al. 2016

J Rehabil Res Dev

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Abstract-Chronic pain and overweight/obesity are prevalent public health concerns and occur at particularly high rates among Veterans. This study examined the prevalence and correlates of two common painful conditions (back pain and arthritis/ joint pain) among overweight/obese Veterans in Veterans Health Administration (VHA) care. Participants (N = 45,477) completed the MOVE!23, a survey intended to tailor treatment for Veterans in VHA's MOVE! weight-management program. Overall, 72% of the sample reported painful conditions, with 10% reporting back pain, 26% reporting arthritis/joint pain, and 35% reporting both. We used multinomial logistic regression with "no pain" as the reference category to examine the association between painful conditions and participant characteristics. After multivariable adjustment, female Veterans had higher odds of reporting arthritis/joint pain and combined back and arthritis/ joint pain than no pain. Participants with higher body mass index had higher odds of reporting arthritis/joint pain and both back and arthritis/joint pain. The likelihood of painful conditions was higher in Veterans with comorbidities (hypertension, hyperlipidemia, lung disease, depression, anxiety, or posttraumatic stress disorder) and generally increased with the number of comorbidities reported (i.e., 5 or more). Overweight/obese Veterans frequently report painful conditions and, among those with pain, often have multiple comorbidities. These factors may increase the complexity of clinical management and necessitate refinements to weight-management programs.

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The Comorbidity of Sleep Apnea and Mood, Anxiety, and Substance Use Disorders among Obese Military Veterans within the Veterans Health Administration

Cited by 40 publications

References 40 publications

Risk of Common Mental Disorders in Relation to Symptoms of Obstructive Sleep Apnea Syndrome among Ethiopian College Students

Risk of Common Mental Disorders in Relation to Symptoms of Obstructive Sleep Apnea Syndrome among Ethiopian College Students

Adherence and Subthreshold Adherence in Sleep Apnea Subjects Receiving Positive Airway Pressure Therapy: A Retrospective Study Evaluating Differences in Adherence Versus Use

Prevalence and correlates of painful conditions and multimorbidity in national sample of overweight/obese Veterans

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