阻断性睡眠呼吸暂停患者的心血管疾病和D型人格:一个前性队列研究
Sonia De Weerdt1, C Schotte2, F Demolder3
1Sleep Laboratory, Respiratory Division, UZ Brussels, Sleep laboratory, Laarbeeklaan 101, Jette, 1090, Belgium. sonia.deweerdt@uzbrussel.be.
Sleep & breathing = Schlaf & Atmung
|May 19, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 患者的D型人格与心血管疾病 (CVD) 患病率无关. 然而,D型OSA患者的脑血管/心脏问题,焦虑,抑郁和失眠率较高.
科学领域:
- 精神病体医学是一种精神病体医学.
- 睡眠医学 睡眠医学
- 心脏病学 心脏病学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的疾病,通常与心血管疾病 (CVD) 相伴.
- D型人格,以负面情感和社会抑制为特征,可能会影响慢性疾病的健康结果.
- D型人格,OSA和心血管健康之间的相互作用需要进一步调查.
研究的目的:
- 调查D型人格与OSA患者心血管疾病患病率之间的关联.
- 评估D型人格对OSA患者焦虑,抑郁,睡眠质量和失眠的影响.
主要方法:
- 一组948名OSA患者接受了多睡眠学,他们完成了验证的问卷:DS-14 (D型人格),HADS (焦虑/抑郁),ISI (失眠) 和PSQI (睡眠质量).
- 心血管疾病史和药物使用被系统地记录下来.
- 进行了统计分析,以比较具有和没有D型人格的OSA患者之间的结果.
主要成果:
- 在患有 (40%) 和没有 (42%) D型人格的OSA患者 (P=0.625) 之间,没有观察到心血管疾病患病率的显著差异.
- 脑血管和/或心脏病理,不包括孤立的动脉高血压,在具有D型人格的OSA患者中明显更常见 (39%对26%,P=0.001).
- 患有心血管疾病和D型人格的OSA患者在焦虑 (P<0.0001),抑郁 (P<0.0001),失眠 (P<0.0001) 和睡眠质量差 (P<0.0001) 方面表现得显著更高,同时增加了药物摄入量.
结论:
- D型人格与OSA患者心血管疾病的总体患病率无关.
- 然而,D型人格与OSA患者中脑血管和/或心脏病理 (超出高血压) 的更高发病率有关.
- 在患有心血管疾病的OSA患者中,D型人格与增加的心理痛苦 (焦虑,抑郁),失眠,睡眠质量差以及更大的依赖药物有关.
相关概念视频
Sleep Apnea
120
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...
The condition is more prevalent among...
120
Psychoneuroimmunology: Cardiovascular Disease
22
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
22
Peptic Ulcer Disease I: Introduction
111
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
111
Other Pulmonary Disorders
789
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
789
Stress Prevention and Stress Management Techniques II
26
Personality types, particularly Type A and Type B, significantly influence how individuals respond to stress. These personality distinctions are marked by varying levels of ambition, competitiveness, and coping styles, all of which shape an individual's resilience to stressors.
Type A Personality: Driven and Easily Stressed
Individuals with Type A personalities are often highly competitive and ambitious and operate with a strong sense of urgency. Commonly labeled as...
Type A Personality: Driven and Easily Stressed
Individuals with Type A personalities are often highly competitive and ambitious and operate with a strong sense of urgency. Commonly labeled as...
26
Assessment of the Cardiovascular System I: Subjective Data
248
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
248


