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Comorbid depression in obstructive sleep apnea: an under-recognized association
Ahmed S BaHammam1, Tetyana Kendzerska2, Ravi Gupta3
1The University Sleep Disorders Center, Department of Medicine, College of Medicine, King Saud University, Box 225503, Riyadh, 11324, Saudi Arabia. ashammam2@gmail.com.
Obstructive sleep apnea (OSA) is common in patients with depression. Treating OSA may impact depression, but results are mixed, highlighting the need to address both conditions concurrently.
Area of Science:
- Sleep Medicine
- Psychiatry
- Public Health
Background:
- Obstructive sleep apnea (OSA) and depression frequently coexist.
- Understanding the bidirectional relationship is crucial for patient care.
Purpose of the Study:
- To review the link between OSA and comorbid depression.
- To evaluate OSA treatment's impact on depression.
- To assess depression's effect on continuous positive airway pressure (CPAP) adherence.
Main Methods:
- An integrative review of English-language studies.
- Searches conducted on PubMed, Web of Science, and Google Scholar.
Main Results:
- Higher depression prevalence observed in OSA patients.
- Longitudinal studies indicate OSA increases depression risk, linked to severity.
- CPAP therapy's impact on depression yields conflicting results.
Conclusions:
- Depression is prevalent in OSA patients across community and clinic settings.
- Clinicians must recognize and treat both OSA and depression.
- Integrated treatment approaches are essential for managing comorbid conditions.
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