Depressive symptoms and childhood sleep apnea syndrome

Marco Carotenuto1, Maria Esposito, Lucia Parisi

  • 1Sleep Clinic for Developmental Age, Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Naples, Italy.

Insights

Sleep-related breathing disorders (SRBD) are linked to higher depression scores in children. Assessing mood in children with SRBD is crucial for early intervention and better health outcomes.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychiatry
  • Respiratory Medicine

Background:

  • The link between sleep disturbances and mood regulation is established.
  • Sleep-related breathing disorders (SRBD) are increasingly suspected in the development of childhood depression.
  • However, conclusive clinical data remain limited.

Purpose of the Study:

  • To investigate the association between SRBD and depressive symptoms in school-aged children.
  • To identify potential risk factors for depression in children with SRBD.

Main Methods:

  • A cohort of 94 children with SRBD and 107 healthy children was studied.
  • Overnight respiratory evaluation assessed SRBD severity (apnea-hypopnea index, oxygen desaturation index).
  • The Italian version of the Children Depression Inventory (CDI) screened for depressive symptoms.

Main Results:

  • Children with SRBD exhibited significantly higher CDI scores compared to controls.
  • CDI scores positively correlated with apnea-hypopnea index and oxygen desaturation index.
  • An apnea-hypopnea index ≥ 3 and oxygen desaturation index ≥ 1 were identified as risk factors for depressive symptoms.

Conclusions:

  • Mood assessment is vital for children diagnosed with SRBD.
  • Early identification of depressive symptoms in this population may improve management.
Abstract

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
Depressive Disorders: MDD and Dysthymia01:27

Depressive Disorders: MDD and Dysthymia

Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleepwalking and Sleep Talking01:17

Sleepwalking and Sleep Talking

Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge: