Chinvararak Chotiman, Garcia-Borreguero Diego
Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
Sleep Research Institute in Madrid, Spain.
Case Rep Psychiatry. 2022 Nov 1;2022:2943059. doi: 10.1155/2022/2943059. eCollection 2022.
Major depressive disorder (MDD) and obstructive sleep apnoea (OSA) are prevalent in the general population. Moreover, early studies found that the two conditions are associated bidirectionally and lead to poor health outcomes. The prevalence of comorbid MDD in OSA patients could be as high as two-thirds. A sedentary lifestyle and psychological stress in the globalisation age may increase the risk of MDD and OSA.
We reported a case of an MDD patient with OSA as well as discussed the assessment method and also reviewed the treatment of both conditions. We aimed to raise awareness for psychiatrists to differentiate other medical conditions when the symptomatology of MDD is atypical and unresponsive to standard psychiatric treatment.
Early detection and effective treatment for MDD and OSA are essential to achieve patient outcomes. Furthermore, it can reduce complications from both conditions. Therefore, a comprehensive evaluation should be made to determine the diagnoses when physicians suspect overlapping MDD and OSA.
重度抑郁症(MDD)和阻塞性睡眠呼吸暂停(OSA)在普通人群中普遍存在。此外,早期研究发现这两种病症存在双向关联,并导致不良健康后果。OSA患者中MDD共病的患病率可能高达三分之二。全球化时代的久坐生活方式和心理压力可能会增加患MDD和OSA的风险。
我们报告了一例患有OSA的MDD患者病例,并讨论了评估方法,还回顾了这两种病症的治疗方法。我们旨在提高精神科医生的认识,以便在MDD症状不典型且对标准精神科治疗无反应时,能够鉴别出其他躯体疾病。
对MDD和OSA进行早期检测和有效治疗对于实现患者预期结果至关重要。此外,还可以减少这两种病症的并发症。因此,当医生怀疑存在MDD和OSA重叠时,应进行全面评估以确定诊断。