Continuous positive airway pressure can improve depression in patients with obstructive sleep apnoea syndrome: a meta-analysis based on randomized controlled trials

Autor: Chun-wei Yang, Xiangli Yang, Lin Niu, Fucun Song, Jun Yang, Lin Wang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
China
medicine.medical_specialty
Medicine (General)
Meta-Analysis and Systematic Review
medicine.medical_treatment
030204 cardiovascular system & hematology
Biochemistry
law.invention
03 medical and health sciences
0302 clinical medicine
R5-920
systematic review
stomatognathic system
Randomized controlled trial
law
Internal medicine
medicine
Humans
In patient
Continuous positive airway pressure
Depression (differential diagnoses)
Obstructive sleep apnoea syndrome
Randomized Controlled Trials as Topic
Sleep Apnea
Obstructive

Continuous Positive Airway Pressure
Depression
business.industry
Biochemistry (medical)
Cell Biology
General Medicine
obstructive sleep apnoea syndrome
nervous system diseases
respiratory tract diseases
meta-analysis
Treatment Outcome
030220 oncology & carcinogenesis
Meta-analysis
business
randomised controlled trial
Publication Bias
Zdroj: Journal of International Medical Research, Vol 48 (2020)
The Journal of International Medical Research
ISSN: 1473-2300
Popis: Objective Substantial research indicates a clear relationship between obstructive sleep apnoea syndrome (OSAS) and depression. The study aim was to quantitatively evaluate whether continuous positive airway pressure (CPAP) therapy improves mood symptoms in OSAS patients. Methods PubMed and Embase databases were systematically searched up to 2017 for publications on the impact of CPAP on mood symptoms in OSAS patients. Results For the final analysis, nine randomized controlled trials comprising 1,052 patients were selected. The pooled standard mean difference (SMD) of the effect of CPAP on depression was 0.31 (95% confidence interval 0.18, 0.43). A subgroup analysis showed that when CPAP use was greater than 4 hours per night, it tended to be effective in improving patients’ mood symptoms (SMD = 0.38; confidence interval 0.23, 0.54). Analysis of publication bias using Egger’s test found no evidence of publication bias. Conclusion CPAP treatment can improve depression in OSAS patients.
Databáze: OpenAIRE