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The Prevalence of Depression among Untreated Obstructive Sleep Apnea Patients Using a Standardized Psychiatric Interview.

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Authors
Björnsdóttir, Erla
Benediktsdóttir, Bryndís
Pack, Allan I
Arnardottir, Erna Sif
Kuna, Samuel T
Gíslason, Thorarinn
Keenan, Brendan T
Maislin, Greg
Sigurdsson, Jón Fridrik
Issue Date
2016-01

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Citation
The Prevalence of Depression among Untreated Obstructive Sleep Apnea Patients Using a Standardized Psychiatric Interview. 2016, 12 (1):105-12 J Clin Sleep Med
Abstract
The aims of this study were: (1) to use a standardized psychiatric interview, conducted by a trained psychologist to assess the prevalence of depression among patients with untreated OSA, and (2) to identify if OSA severity or other comorbid disorders (insomnia, hypertension, and diabetes) are related to depression among patients with untreated OSA.
Participants were newly diagnosed patients with OSA (n = 284) waiting to start positive airway pressure (PAP) treatment. The Mini International Neuropsychiatric Interview (MINI) was used to assess depression.
Overall, 15.5% of the sample met the diagnosis for dysthymia. Women had a significantly higher prevalence (29.5% versus 11.7% among men, p < 0.001). The prevalence of major depression was 6% in the overall sample and there was no difference in the prevalence among sexes (5.8% among men versus 6.6 % among women). Obesity, daytime sleepiness, low physical activity, initial and late insomnia, low quality of life, and sleep medication and antidepressant use were all related to depression, whereas OSA severity, as measured by apnea-hypopnea index or oxygen desaturation index, was not. Daytime sleepiness, initial insomnia, and sleep medication use were the strongest predictors of depression in multivariable analyses.
Sleep medication use, daytime sleepiness, and symptoms of initial insomnia were independently related to depression but OSA severity was not. Increased awareness of the relationship between depression and OSA and the appropriate use of assessment tools might substantially improve diagnostic accuracy as well as treatment outcome for both disorders.
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To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.
Additional Links
http://dx.doi.org/ 10.5664/jcsm.5406
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4702203/
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Archived with thanks to Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ae974a485f413a2113503eed53cd6c53
10.5664/jcsm.5406
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English Journal Articles (Peer Reviewed)

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