Özkurt Sibel, Öztürk Esma, Yildiz Ali İhsan, Dursunoğlu Neşe, Özdel Osman, Akdağ Beyza, Çulha Ateşci Figan
Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Tuberk Toraks. 2013;61(3):216-20. doi: 10.5578/tt.5524.
Obstructive sleep apnea syndrome (OSAS) might cause neuropsychiatric problems as well as cardiovascular and cerebrovascular complications. Daily life of the patients are effected and their quality of life decreases. In the present study, we aimed to evaluate anxiety and depression and to test their ability to cope with strees in patients with OSAS.
The patients with OSAS suspect admitting to our sleep laboratuary, were classed as simple snoring, mild-moderate and severe OSAS according to their apnea-hypopnea index (AHI). Hospital anxiety and depression, stres coping and skill loss scales were applied to the patients accepted to participate to the study.
Fifty four patients participated into the study. Forty-one (75.9%) were OSAS and 13 (24.1%) were simple snoring (control group). Mean age was 52.3 ± 9.2 years in OSAS group, while it was 50.5 ± 9.9 years in control group. Snoring was found in every patient of two groups. Thirty-one (79.5%) patients with OSAS had witnessed apneas and 23 (60.5%) had exceesive OSAS patients had excessive daytime sleepiness. There was no significant differences in age, BMI, sleep efficency, HAD and skill loss scales between both groups. Autism was found higher in OSAS group with stres coping test (p= 0.031). Moreover, social support necessicity was found higher in moderate and severe OSAS patients.
We found that neuropsyhiatric problems are highly seen in moderate and severe OUAS patients.
阻塞性睡眠呼吸暂停低通气综合征(OSAS)可能会导致神经精神问题以及心脑血管并发症。患者的日常生活受到影响,生活质量下降。在本研究中,我们旨在评估阻塞性睡眠呼吸暂停低通气综合征患者的焦虑和抑郁情况,并测试他们应对压力的能力。
入住我们睡眠实验室的疑似阻塞性睡眠呼吸暂停低通气综合征患者,根据其呼吸暂停低通气指数(AHI)分为单纯打鼾、轻中度和重度阻塞性睡眠呼吸暂停低通气综合征。对接受参与研究的患者应用医院焦虑和抑郁量表、压力应对量表和技能丧失量表。
54例患者参与了研究。41例(75.9%)为阻塞性睡眠呼吸暂停低通气综合征患者,13例(24.1%)为单纯打鼾患者(对照组)。阻塞性睡眠呼吸暂停低通气综合征组的平均年龄为52.3±9.2岁,而对照组为50.5±9.9岁。两组患者均有打鼾症状。31例(79.5%)阻塞性睡眠呼吸暂停低通气综合征患者曾目睹呼吸暂停,23例(60.5%)阻塞性睡眠呼吸暂停低通气综合征患者白天过度嗜睡。两组在年龄、体重指数、睡眠效率、医院焦虑和抑郁量表以及技能丧失量表方面无显著差异。在压力应对测试中,阻塞性睡眠呼吸暂停低通气综合征组的孤独症得分更高(p = 0.031)。此外,中重度阻塞性睡眠呼吸暂停低通气综合征患者对社会支持的需求更高。
我们发现中重度阻塞性睡眠呼吸暂停低通气综合征患者中神经精神问题较为常见。