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Published on: December 6, 2016
Obstructive sleep apnea and psychiatric disorders: a systematic review
Madhulika A Gupta1, Fiona C Simpson1
1Department of Psychiatry, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Obstructive sleep apnea (OSA) may be more common in individuals with major depressive disorder (MDD) and posttraumatic stress disorder (PTSD). Treating both OSA and psychiatric conditions is crucial for better outcomes.
Area of Science:
- Psychiatry
- Sleep Medicine
- Public Health
Background:
- Obstructive sleep apnea (OSA) is linked to psychiatric conditions, potentially impacting quality of life and treatment adherence.
- Understanding OSA prevalence in psychiatric populations is vital for comprehensive patient care.
Purpose of the Study:
- To determine the prevalence of OSA in patients with schizophrenia, mood disorders, and anxiety disorders.
- To explore potential interventions for OSA in psychiatric populations.
Main Methods:
- A systematic review adhering to PRISMA guidelines was performed.
- Searched PubMed, EMBASE, and PsycINFO databases for studies on OSA in specific psychiatric diagnostic groups.
Main Results:
- Evidence suggests a potential increase in OSA prevalence among individuals with major depressive disorder (MDD) and posttraumatic stress disorder (PTSD).
- Insufficient evidence exists for increased OSA in schizophrenia, bipolar disorders, and non-PTSD anxiety disorders.
- Treating OSA concurrently with psychiatric disorders may improve symptoms, though CPAP adherence was lower in veterans with PTSD.
Conclusions:
- OSA prevalence may be elevated in MDD and PTSD patients.
- Integrated treatment approaches addressing both OSA and psychiatric comorbidities are recommended for optimal patient outcomes.
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