Changes in Emotional State of Bed Partners of Snoring and Obstructive Sleep Apnea Patients Following Radiofrequency Tissue Ablation: a Pilot Study

Overview

Journal Sleep Breath

Publisher Springer

Date 2009 Sep 4

PMID 19727880

Citations 7

Authors

Virgilijus Uloza

Tomas Balsevicius

Raimundas Sakalauskas

Skaidrius Miliauskas

Nida Zemaitiene

Affiliations

Soon will be listed here.

Abstract

Purpose: To test the hypothesis that obstructive sleep apnea/hypopnea syndrome (OSAHS) and snoring affect not only the patients but also their bed partners, resulting in increased severity of symptoms of depression and sleepiness that may improve after the patients receive radiofrequency tissue ablation (RFTA) treatment.

Methods: Thirty-six snoring and/or OSAHS patients from 24 to 63 years of age (mean age 41.67 +/- 9.86 years) underwent full-night polysomnography (PSG) and two sessions of RFTA at palatal or palatal and tongue base levels. Follow-up PSG was carried out within the period of 2-3 months after the second RFTA session. The baseline and posttreatment clinical tests battery consisting of Spielberg's Trait-State Anxiety Inventory, Beck Depression Inventory-Second Edition (BDI-II), and Epworth Sleepiness Scale (ESS) were applied to assess the changes in emotional state of study group patient's bed partners.

Results: Mean apnea/hypopnea index decreased from 13.16 +/- 10.76 preoperatively to 10.69 +/- 8.28 postoperatively (p = 0.043) for the entire group of the patients. A statistically significant decrease of the mean BDI-II scores (12.69 +/- 7.66 preoperatively to 9.17 +/- 6.88 postoperatively, p < 0.005) for the entire group of the patients' bed partners was observed. There was no statistically significant difference between pre- and posttreatment mean daytime sleepiness scores in both OSAHS and in simple snoring patients' bed partners when measured with ESS.

Conclusions: Based on present study results, we conclude that RFTA therapy results in improved depression scores for the bed partners of snoring and OSAHS patients during a short follow-up period, as measured with BDI-II.

Citing Articles

Insomnia symptom prevalence in England: a comparison of cross-sectional self-reported data and primary care records in the UK Biobank.

de Lange M, Richmond R, Eastwood S, Davies N BMJ Open. 2024; 14(5):e080479.

PMID: 38719300 PMC: 11086527. DOI: 10.1136/bmjopen-2023-080479.

Prevalence and risk factors of sleep bruxism in adults with primary snoring: a large-scale polysomnographic study.

Li D, Lobbezoo F, Hilgevoord A, de Vries N, Aarab G J Clin Sleep Med. 2024; 20(8):1331-1337.

PMID: 38607243 PMC: 11294144. DOI: 10.5664/jcsm.11142.

Short-Term Continuous Positive Air Pressure Treatment: Effects on Quality of Life and Sleep in Patients with Obstructive Sleep Apnea.

Kondrataviciene L, Malakauskas K, Vaitukaitiene G, Balsevicius T, Zemaitis M, Miliauskas S Medicina (Kaunas). 2022; 58(3).

PMID: 35334526 PMC: 8951154. DOI: 10.3390/medicina58030350.

Impact of Obstructive Sleep Apnea and Its Treatments on Partners: A Literature Review.

Luyster F J Clin Sleep Med. 2017; 13(3):467-477.

PMID: 28095973 PMC: 5337594. DOI: 10.5664/jcsm.6504.

Temperature controlled radiofrequency ablation at different sites for treatment of obstructive sleep apnea syndrome: a systematic review and meta-analysis.

Baba R, Mohan A, Metta V, Mador M Sleep Breath. 2015; 19(3):891-910.

PMID: 25643764 DOI: 10.1007/s11325-015-1125-y.

References

Hoy C, Vennelle M, Kingshott R, Engleman H, Douglas N . Can intensive support improve continuous positive airway pressure use in patients with the sleep apnea/hypopnea syndrome?. Am J Respir Crit Care Med. 1999; 159(4 Pt 1):1096-100. DOI: 10.1164/ajrccm.159.4.9808008. View

McFadyen T, Espie C, McArdle N, Douglas N, Engleman H . Controlled, prospective trial of psychosocial function before and after continuous positive airway pressure therapy. Eur Respir J. 2002; 18(6):996-1002. DOI: 10.1183/09031936.01.00209301. View

Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S . The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993; 328(17):1230-5. DOI: 10.1056/NEJM199304293281704. View

Uloza V, Balsevicius T, Sakalauskas R, Miliauskas S, Zemaitiene N . Changes in emotional state of snoring and obstructive sleep apnea patients following radiofrequency tissue ablation. Eur Arch Otorhinolaryngol. 2008; 266(9):1469-73. DOI: 10.1007/s00405-008-0866-7. View

Back L, Tervahartiala P, Piilonen A, Partinen M, Ylikoski J . Bipolar radiofrequency thermal ablation of the soft palate in habitual snorers without significant desaturations assessed by magnetic resonance imaging. Am J Respir Crit Care Med. 2002; 166(6):865-71. DOI: 10.1164/rccm.2104110. View

McArdle N, Kingshott R, Engleman H, Mackay T, Douglas N . Partners of patients with sleep apnoea/hypopnoea syndrome: effect of CPAP treatment on sleep quality and quality of life. Thorax. 2001; 56(7):513-8. PMC: 1746105. DOI: 10.1136/thorax.56.7.513. View

Schwartz D, Kohler W, Karatinos G . Symptoms of depression in individuals with obstructive sleep apnea may be amenable to treatment with continuous positive airway pressure. Chest. 2005; 128(3):1304-9. DOI: 10.1378/chest.128.3.1304. View

Boudewyns A, Van de Heyning P . Temperature-controlled radiofrequency tissue volume reduction of the soft palate (somnoplasty) in the treatment of habitual snoring: results of a European multicenter trial. Acta Otolaryngol. 2001; 120(8):981-5. DOI: 10.1080/00016480050218735. View

Johns M . A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991; 14(6):540-5. DOI: 10.1093/sleep/14.6.540. View

10.

Borak J, Cieslicki J, Koziej M, Matuszewski A, Zielinski J . Effects of CPAP treatment on psychological status in patients with severe obstructive sleep apnoea. J Sleep Res. 1996; 5(2):123-7. DOI: 10.1046/j.1365-2869.1996.d01-60.x. View

11.

Doherty L, Kiely J, Lawless G, McNicholas W . Impact of nasal continuous positive airway pressure therapy on the quality of life of bed partners of patients with obstructive sleep apnea syndrome. Chest. 2003; 124(6):2209-14. DOI: 10.1378/chest.124.6.2209. View

12.

Steward D, Weaver E, Woodson B . Multilevel temperature-controlled radiofrequency for obstructive sleep apnea: extended follow-up. Otolaryngol Head Neck Surg. 2005; 132(4):630-5. DOI: 10.1016/j.otohns.2004.11.013. View

13.

Parish J, Lyng P . Quality of life in bed partners of patients with obstructive sleep apnea or hypopnea after treatment with continuous positive airway pressure. Chest. 2003; 124(3):942-7. DOI: 10.1378/chest.124.3.942. View

14.

Wewers M, Lowe N . A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990; 13(4):227-36. DOI: 10.1002/nur.4770130405. View

15.

Kjelsberg F, Ruud E, Stavem K . Predictors of symptoms of anxiety and depression in obstructive sleep apnea. Sleep Med. 2005; 6(4):341-6. DOI: 10.1016/j.sleep.2005.02.004. View

16.

Hoffstein V, Mateika J, Mateika S . Snoring and sleep architecture. Am Rev Respir Dis. 1991; 143(1):92-6. DOI: 10.1164/ajrccm/143.1.92. View

17.

Back L, Hytonen M, Roine R, Malmivaara A . Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Laryngoscope. 2009; 119(6):1241-50. DOI: 10.1002/lary.20215. View

18.

Kiely J, McNicholas W . Bed partners' assessment of nasal continuous positive airway pressure therapy in obstructive sleep apnea. Chest. 1997; 111(5):1261-5. DOI: 10.1378/chest.111.5.1261. View

19.

Buchner N, Sanner B, Borgel J, Rump L . Continuous positive airway pressure treatment of mild to moderate obstructive sleep apnea reduces cardiovascular risk. Am J Respir Crit Care Med. 2007; 176(12):1274-80. DOI: 10.1164/rccm.200611-1588OC. View

20.

Woodson B, Steward D, Weaver E, Javaheri S . A randomized trial of temperature-controlled radiofrequency, continuous positive airway pressure, and placebo for obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg. 2003; 128(6):848-61. DOI: 10.1016/S0194-59980300461-3. View