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[肥胖与睡眠质量:阻塞性睡眠呼吸暂停综合征患者抑郁和焦虑的预测因素]

[Obesity and sleep quality: the predictors of depression and anxiety in obstructive sleep apnea syndrome patients].

作者信息

Guglielmi Ottavia, Sánchez Ana I, Jurado-Gámez Bernabé, Buela-Casal Gualberto, Bardwell Wayne A

机构信息

Facultad de Psicología. Universidad de Granada. Campus de Cartuja, s/n. E-18071 Granada.

出版信息

Rev Neurol. 2011 May 1;52(9):515-21.

Abstract

INTRODUCTION

Obstructive sleep apnea syndrome (OSAS) is a chronic illness characterized by episodes of upper airway obstruction during sleep. Mood disturbance has been frequently related to OSAS, but there is no a consensus among results of different studies. AIMS. To assess depression and anxiety of patients with SAHS, and to determine which of polysomnographic variables that best predicts the mood of the patients.

PATIENTS AND METHODS

The sample consisted of 100 subjects: 50 patients with OSAS diagnosed with traditional poly-somnography, and 50 without OSAS symptoms. Both groups answered the State-Trait Anxiety Inventory and the State and Trait Depression Questionnaire.

RESULTS

The results demonstrate that the patients with OSAS show higher scores in depression and anxiety than the control group. The variables that better predict the OSAS patient's mood symptoms were body mass index and total sleep time.

CONCLUSIONS

This study shows the effect of the OSAS in the mood of the patients and confirms the complex relation between obesity, quality of sleep and mood disorder in OSAS patients.

摘要

引言

阻塞性睡眠呼吸暂停综合征(OSAS)是一种慢性疾病,其特征是睡眠期间上呼吸道阻塞发作。情绪障碍经常与OSAS相关,但不同研究结果之间尚未达成共识。目的:评估睡眠呼吸暂停低通气综合征(SAHS)患者的抑郁和焦虑情况,并确定多导睡眠图变量中哪一个最能预测患者的情绪。

患者与方法

样本包括100名受试者:50名经传统多导睡眠图诊断为OSAS的患者和50名无OSAS症状的患者。两组均回答了状态-特质焦虑量表和状态与特质抑郁问卷。

结果

结果表明,OSAS患者的抑郁和焦虑得分高于对照组。能更好地预测OSAS患者情绪症状的变量是体重指数和总睡眠时间。

结论

本研究显示了OSAS对患者情绪的影响,并证实了OSAS患者中肥胖、睡眠质量和情绪障碍之间的复杂关系。

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