Changes in Depressive Symptoms After Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea

Overview

Journal Sleep Breath

Publisher Springer

Date 2003 Apr 25

PMID 12712395

Citations 31

Authors

Melanie K Means

Kenneth L Lichstein

Jack D Edinger

Daniel J Taylor

H Heith Durrence

Aatif M Husain

R Neal Aguillard

Rodney A Radtke

Affiliations

Soon will be listed here.

Abstract

It is generally believed that obstructive sleep apnea (OSA) causes depression in some patients, yet it is unknown whether this depression is an actual clinical phenomenon or purely a result of overlapping somatic/physical symptoms shared by both disorders. The present study investigated changes in both somatic and affective/cognitive symptoms of depression associated with the introduction of continuous positive airway pressure (CPAP) treatment for OSA. Participants were 39 outpatients (35 males, 4 females) with no current or past mental health problems, diagnosed with OSA in a hospital sleep disorders clinic. The Beck Depression Inventory (BDI) was administered prior to treatment and again 3 months after CPAP. Total BDI scores improved after CPAP, independent of objectively monitored CPAP compliance rates. Both somatic and affective/ cognitive symptoms of depression improved in a similar manner after treatment. Our findings suggest that depressive symptoms experienced by OSA patients are not solely the result of physical OSA symptoms but include a mood component as well. We introduce a hypothetical model to conceptualize the relationship between OSA and depression.

Citing Articles

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Chang J, Goldberg A, Alt J, Mohammed A, Ashbrook L, Auckley D Int Forum Allergy Rhinol. 2022; 13(7):1061-1482.

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Excessive Daytime Sleepiness in Depression and Obstructive Sleep Apnea: More Than Just an Overlapping Symptom.

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A review of psychosocial factors and personality in the treatment of obstructive sleep apnoea.

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