Causes of sleep disturbance in human immunodeficiency virus-infected individuals: Is it depression or obstructive sleep apnea?

Autor:	Mete AÖ; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey., Karaoğlan İ; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey., Koçak K; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey., Şahin B; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey., Yaşamali E; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey., Kilisli AE; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey., Uyar M; From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey.
Jazyk:	angličtina
Zdroj:	Saudi medical journal [Saudi Med J] 2023 Dec; Vol. 44 (12), pp. 1248-1253.
DOI:	10.15537/smj.2023.44.12.20230390
Abstrakt:	Objectives: To examine the possible association of obstructive sleep apnea (OSA) and depression on sleep quality in people living with human immunodeficiency virus (PWLHIV). Methods: Adult PWLHIV were included in this prospective, cross-sectional, case-control study. Our study was completed with 99 patients and 80 control subjects. To investigate sleep quality, the Pittsburgh Sleep Quality Scale and Stanford Sleepiness Scale were used; to determine the risk of OSA, the Berlin and STOP-BANG questionnaires were used; and to evaluate the existence and degree of depression, the Beck Depression Inventory was applied. Results: Patients had significantly higher daytime sleepiness ( p =0.002) and absent-mindedness ( p =0.004). The rate of being able to concentrate on one's work was significantly higher in the control group compared with the patient group ( p =0.000). More participants in the patient group had poor sleep quality (57% versus [vs.] 47.5%). The sleep quality score was significantly higher in the patient group (6.32 vs 5.23; p =0.032). Daytime dysfunction was significantly higher in the patient group ( p =0.004). The rate of OSA risk was similar between the patient group and the control group on both the Berlin and STOP-BANG questionnaires ( p =0.443 and p =0.581). Rates and numbers of depression the patient group were significantly higher ( p =0.007). Conclusion: The results suggest that depression may be the most likely cause of sleep disorders in PWLHIV, regardless of OSA. (Copyright: © Saudi Medical Journal.)
Databáze:	MEDLINE
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