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Updated: Jun 18, 2026

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
Published on: April 26, 2024
Obstructive sleep apnea syndrome and depressive symptoms
Radoslav G Bilyukov1, Ognian B Georgiev, Daniela S Petrova
1Clinic of Pulmonology, Sleep Apnea Laboratory, Aleksandrovska University Hospital, Medical University, Sofia, Bulgaria.
Obstructive sleep apnea (OSA) is frequently linked to depressive symptoms, with studies showing a significant correlation. Understanding the neurobiological mechanisms is key to improving diagnosis and treatment for patients with both conditions.
Area of Science:
- Neurology
- Sleep Medicine
- Psychiatry
Background:
- Growing evidence suggests a link between obstructive sleep apnea (OSA) and depressive symptoms.
- The high co-occurrence necessitates detailed study of their comorbidity and pathogenetic relationship.
Purpose of the Study:
- To examine the relationship between obstructive sleep apnea and depressive symptoms.
- To explore the underlying pathogenetic mechanisms connecting OSA and depression.
Main Methods:
- Review of existing evidence and studies correlating OSA and depressive symptoms.
- Analysis of proposed pathogenetic mechanisms including neuroplasticity.
Main Results:
- Most studies indicate a significant correlation between depressive symptoms and OSA.
- Key pathogenetic mechanisms involve disturbed neurotransmission, synaptic remodeling, and neuronal death (neuroplasticity).
Conclusions:
- A significant relationship exists between OSA and depressive symptoms.
- Further longitudinal research is required to fully understand the OSA-depression connection.
- Improved knowledge can enhance diagnostics and therapeutic strategies for affected patients.
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