Santos Micheli Aparecida Gomes Dos, Nakano Tatiana de Cássia, Mendes Felipe Almeida, Duarte Bruno Bernardo, Marone Silvio Antonio Monteiro
Department of Psychology, Pontifícia Universidade Católica, Campinas, São Paulo, Brazil.
Department of Otolaryngology, Pontifícia Universidade Católica, Campinas, São Paulo, Brazil.
Int Arch Otorhinolaryngol. 2017 Jan;21(1):28-32. doi: 10.1055/s-0036-1586251. Epub 2016 Aug 16.
The scientific literature has shown that the damage caused by sleep fragmentation in people affected by Obstructive Sleep Apnea (OSA) can reflect emotionally, generating not only physical symptoms such as drowsiness and tiredness, but also psychical symptoms, such as stress. This study aimed at comparing symptoms of stress in patients with moderate or severe OSA, before and after two months of treatment (clinical or surgical). This isx an Individual, prospective, longitudinal, and interventional study. All patients underwent polysomnography before treatment. We collected data through the application of Stress Symptoms Inventory for Adults Lipp (ISSL) before and after two months of medical or surgical treatment for moderate or severe OSA. The sample consisted of 18 patients (72.2% male) with a mean age of 51.83 years. We found that 77.8% ( = 14) of patients had stress in the first evaluation. In the second evaluation (after treatment), this reduced to 16.7% ( = 3). The average stress symptoms decreased from the first to the second evaluation (M = 13.78 and M = 6.17, respectively), being statistically significant (z = -3.53; < 0.000). We found that moderate and severe apnea patients have significant stress index and that, after two months of medical or surgical treatment, there is a significant reduction of the symptom. In addition, the patients with severe OSA had a better outcome regarding the reduction of stress index than patients with moderate OSA.
科学文献表明,阻塞性睡眠呼吸暂停(OSA)患者睡眠碎片化所造成的损害会在情绪上有所体现,不仅会产生诸如嗜睡和疲劳等身体症状,还会引发心理症状,如压力。本研究旨在比较中度或重度OSA患者在接受两个月治疗(临床治疗或手术治疗)前后的压力症状。这是一项个体、前瞻性、纵向和干预性研究。所有患者在治疗前均接受了多导睡眠图检查。我们通过应用成人利普压力症状量表(ISSL),在对中度或重度OSA进行两个月的药物或手术治疗前后收集数据。样本包括18名患者(男性占72.2%),平均年龄为51.83岁。我们发现,在首次评估中有77.8%(n = 14)的患者存在压力。在第二次评估(治疗后)时,这一比例降至16.7%(n = 3)。从首次评估到第二次评估,平均压力症状有所下降(分别为M = 13.78和M = 6.17),具有统计学意义(z = -3.53;p < 0.000)。我们发现中度和重度呼吸暂停患者有显著的压力指数,并且在接受两个月的药物或手术治疗后,症状有显著减轻。此外,重度OSA患者在压力指数降低方面的效果优于中度OSA患者。