Anxiety and depression are improved by continuous positive airway pressure treatments in obstructive sleep apnea
| Autor: | Hsiu-Mei Wang, Thodoris Mazarakis, En-Ting Chang, Yu-Chih Shen, Miao-Chun Yang, Yu-Ying Li |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Beck Anxiety Inventory Anxiety Body Mass Index Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Continuous positive airway pressure Prospective Studies Aged Sleep Apnea Obstructive Continuous Positive Airway Pressure business.industry Depression Epworth Sleepiness Scale Uvulopalatopharyngoplasty Beck Depression Inventory Middle Aged medicine.disease Obstructive sleep apnea Psychiatry and Mental health Treatment Outcome Physical therapy Quality of Life Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | International journal of psychiatry in medicine. 51(6) |
| ISSN: | 1541-3527 |
| Popis: | Background Obstructive sleep apnea involves repeated nocturnal desaturation and sleep fragmentation that leads to poor sleep quality, anxiety, and depression. This study aimed to investigate short- and long-term improvements in the anxiety and depression of patients with different obstructive sleep apnea treatments. Methods This is a prospective, non-randomized hospital-based study evaluated 55 patients (46 male, 9 female) with obstructive sleep apnea. The patients were divided into three groups based on different treatment: uvulopalatopharyngoplasty group, continuous positive airway pressure group, and no treatment group (by their own decision). They completed the Beck Depression Inventory II, Beck Anxiety Inventory, and Pittsburgh Sleep Quality Index before treatment and at one and six months after treatment. Results Compared to the no treatment group, the surgery and continuous positive airway pressure groups had higher body mass index, AHI, and Epworth sleepiness scale, but no difference in Pittsburgh Sleep Quality Index, Chinese Health Questionnaire-12, Beck Depression Inventory II, and Beck Anxiety Inventory. The continuous positive airway pressure and surgery groups still had no improvements in Pittsburgh Sleep Quality Index, Chinese Health Questionnaire-12, Beck Depression Inventory II, and Beck Anxiety Inventory scores one month after treatment. At six months after treatment, the continuous positive airway pressure group had significantly decreased Pittsburgh Sleep Quality Index, Chinese Health Questionnaire-12, Beck Depression Inventory II, and Beck Anxiety Inventory, whereas the surgery group had significant difference in Beck Anxiety Inventory only and the no treatment group still had no significant difference in any of the parameters. Conclusions Continuous positive airway pressure can improve the sleep quality, quality of life, depression, and anxiety of obstructive sleep apnea patients after six months of treatment. However, surgery can significantly improve anxiety only in the same period. |
| Databáze: | OpenAIRE |
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