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Obstructive Sleep Apnoea

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Sleep Disorders in Psychiatric Patients

Abstract

Obstructive sleep apnoea (OSA) is a common sleep disorder, characterized by complete or partial airway obstruction and caused by pharyngeal collapse during sleep. The resultant complete cessations of breathing are called apnoeas if their duration is 10 s or more. Hypopnoeas are a result of reduced inspiratory flow when the airway narrows but does not fully collapse (Strollo and Rogers 1996).

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References

  • Akashiba T, Kawahara S, Akahoshi T, Omori C, Saito O, Majima T, Horie T. Relationship between quality of life and mood or depression in patients with severe obstructive sleep apnea syndrome. Chest. 2002;122:861–5.

    Article  PubMed  Google Scholar 

  • Alam A, Chengappa KNR, Ghinassi F. Screening for obstructive sleep apnea among individuals with severe mental illness at a primary care clinic. Gen Hosp Psychiatry. 2012;34(6):660–4.

    Article  PubMed  Google Scholar 

  • Albarrak M, Banno K, Sabbagh AA, Delaive K, Walld R, Manfreda J, Kryger MH. Utilization of healthcare resources in obstructive sleep apnea syndrome: a 5-year follow-up study in men using CPAP. Sleep. 2005;28:1306–11.

    Article  PubMed  Google Scholar 

  • Al-Ghamdi SA, Manoukian JJ, Morielli A, et al. Do systemic corticosteroids effectively treat obstructive sleep apnea secondary to adenotonsillar hypertrophy? Laryngoscope. 1997;107(10):1382–7.

    Article  PubMed  CAS  Google Scholar 

  • Anon. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine. Sleep. 1999;22:667.

    Article  Google Scholar 

  • Antonelli Incalzi R, Marra C, Salvigni BL, et al. Does cognitive dysfunction conform to a distinctive pattern in obstructive sleep apnea syndrome? J Sleep Res. 2004;13(1):79–86.

    Article  PubMed  Google Scholar 

  • Anttalainen U, Saaresranta T, Kalleinen N, Aittokallio J, Vahlberg T, Polo O. CPAP adherence and partial upper airway obstruction during sleep. Sleep Breath. 2007;11:171–6.

    Article  PubMed  Google Scholar 

  • Ayalon L, Ancoli-Israel S, Drummond SP. Obstructive sleep apnea and age: a double insult to brain function? Am J Respir Crit Care Med. 2010;182(3):413–9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baldwin CM, Griffith KA, Nieto FJ, O’Connor GT, Walsleben JA, Redline S. The association of sleep-disordered breathing and sleep symptoms with quality of life in the sleep heart health study. Sleep. 2001;24:96–105.

    Article  PubMed  CAS  Google Scholar 

  • Baran AS, Richert AC. Obstructive sleep apnea and depression. CNS Spectr. 2003;8(2):128–34.

    Article  PubMed  Google Scholar 

  • Bardwell WA, Moore P, Ancoli-Israel S, Dimsdale JE. Fatigue in obstructive sleep apnea: driven by depressive symptoms instead of apnea severity? Am J Psychiatr. 2003;160:350–5.

    Article  PubMed  Google Scholar 

  • Bardwell WA, Norma D, Ancoli-Israel S, Loredo JS, Lowery A, Lim W, Dimsdale JE. Effects of 2 week nocturnal oxygen supplementation and continuous positive airway pressure treatment on psychological symptoms in patients with obstructive sleep apnea: a randomized placebo-controlled study. Behav Sleep Med. 2007;5(1):21–38.

    Article  PubMed  Google Scholar 

  • Baron KG, Berg CA, Czajkowski LA, Smith TW, et al. Self-efficacy contributes to individual differences in subjective improvements using CPAP. Sleep Breath. 2011;15:599–606.

    Article  PubMed  Google Scholar 

  • Basner RC. Continuous positive airway pressure for obstructive sleep apnea. N Engl J Med. 2007;356:1751–8.

    Article  PubMed  CAS  Google Scholar 

  • Bastiampillai T, Khor LJ, Dhillon R. Complicated management of mania in the setting of undiagnosed obstructive sleep apnea. J ECT. 2011;27:15–6.

    Article  Google Scholar 

  • Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: tonsillectomy in children. American Academy of Otolaryngology-Head and Neck Surgery Foundation. J Otolaryngol Head Neck Surg. 2011;144(Suppl 1):S1–30.

    Article  Google Scholar 

  • Beebe DW, Gozal D. Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits. J Sleep Res. 2002;11:1–16.

    Article  PubMed  Google Scholar 

  • Bixler EO, Vgontzas AN, Ten Have T, Tyson K, Kales A. Effects of age on sleep apnoea in men: prevalence and severity. Am J Respir Crit Care Med. 1998;157:144.

    Article  PubMed  CAS  Google Scholar 

  • Bixler EO, Vgontzas AN, Lin HM, et al. Sleep-disordered breathing in children in a general population sample: prevalence and risk factors. Sleep. 2009;32:731–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brouillette RT, Manoukian JJ, Ducharme FM, et al. Efficacy of fluticasone nasal spray for pediatric obstructive sleep apnea. J Pediatr. 2001;138:838–44.

    Article  PubMed  CAS  Google Scholar 

  • Canessa N, Castronovo V, Cappa SF, Aloia MS, Marelli S, Falini A, Alemanno F, Ferini-Strambi L. Obstructive sleep apnea: brain structural changes and neurocognitive function before and after treatment. Am J Respir Crit Care Med. 2011;183(10):1419–26.

    Article  PubMed  Google Scholar 

  • Carley DW, Olopade C, Ruigt GS, Radulovacki M. Efficacy of mirtazapine in obstructive sleep apnea syndrome. Sleep. 2007;30(1):35.

    Article  PubMed  Google Scholar 

  • Carskadon MA, Dement WC, Mitler MM, Roth T, Westbrook PR, Keenan S. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Sleep. 1986;9:519–24.

    Article  PubMed  CAS  Google Scholar 

  • Caselli RJ. Obstructive sleep apnea, apolipoprotein E e4, and mild cognitive impairment. Sleep Med. 2008;9(8):816–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chamberlin NL, Saper CB. The agony of the ecstasy: serotonin and obstructive sleep apnea. Neurology. 2009;73:1947–8.

    Article  PubMed  Google Scholar 

  • Chasens ER, Pack AI, Maislin G, Dinges FD, Weaver TE. Claustrophobia and adherence to CPAP treatment. West J Nurs Res. 2005;27(3):307–21.

    Article  PubMed  Google Scholar 

  • Chervin RD, Archbold KH, Dillon JE, et al. Inattention, hyperactivity, and symptoms of sleep-disordered breathing. Pediatrics. 2002;109(3):449–56.

    Article  PubMed  Google Scholar 

  • Chervin RD, Ruzicka DL, Giordani BJ, et al. Sleep-disordered breathing, behavior, and cognition in children before and after adenotonsillectomy. Pediatrics. 2006;117(4):769–78.

    Article  Google Scholar 

  • Collard P, Pieters T, Aubert G, Delguste P, Rodenstein DO. Compliance with nasal CPAP in obstructive sleep apnea patients. Sleep Med Rev. 1997;1(1):33–44.

    Article  PubMed  CAS  Google Scholar 

  • Collen JF, Lettieri CJ, Hoffman M. The impact of posttraumatic stress disorder on CPAP adherence in patients with obstructive sleep apnea. J Clin Sleep Med. 2012;8(6):667–72.

    PubMed  PubMed Central  Google Scholar 

  • Collop NA, Anderson WM, Boehlecke B, Claman D, Goldberg R, Gottlieb DJ, Hudgel D, Sateia M, Schwab R. Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. J Clin Sleep Med. 2007;3(7):737–47.

    PubMed  Google Scholar 

  • Collop N, Tracy SL, Kapur V, Mehra R, Kuhlmann D, Fleishmann SA, Ojile JM. Obstructive sleep apnea devices for out-of-center (OOC) testing: technology evaluation. J Clin Sleep Med. 2011;7(5):531–48.

    PubMed  PubMed Central  Google Scholar 

  • Deldin PJ, Phillips LK, Thomas RJ. A preliminary study of sleep-disordered breathing in major depressive disorder. Sleep Med. 2006;7:131–9.

    Article  PubMed  Google Scholar 

  • Desmond DW, Moroney JT, Paik MC, et al. Frequency and clinical determinants of dementia after ischemic stroke. Neurology. 2000;54(5):1124–31.

    Article  PubMed  CAS  Google Scholar 

  • Dhillon S, Chung SA, Fargher T, Huterer N, Shapiro CM. Sleep apnea, hypertension, and the effects of continuous positive airway pressure. Am J Hypertens. 2005;18:594–600.

    Article  PubMed  Google Scholar 

  • Dopp JM, Morgan BJ. Pharmacologic approaches for the management of symptoms and cardiovascular consequences of obstructive sleep apnea in adults. Sleep Breath. 2010;14(4):307–15.

    Article  PubMed  Google Scholar 

  • Edlund MJ, McNamara ME, Millman RP. Sleep apnea and panic attacks. Compr Psychiatry. 1991;32:130–2.

    Article  PubMed  CAS  Google Scholar 

  • Einvik G, Hrubos-Strom H, Randby A, Nordhus IH, Somers VK, Omland T, et al. Major depressive disorder, anxiety disorders, and cardiac biomarkers in subjects at high risk of obstructive sleep apnea. Psychosom Med. 2011;73:378–84.

    Article  PubMed  CAS  Google Scholar 

  • Ejaz SM, Khawaja IS, Bhatia S, Hurtwitz TD. Obstructive sleep apnea and depression: a review. Innov Clin Neurosci. 2011;8:17–25.

    PubMed  PubMed Central  Google Scholar 

  • Elias MF, Elias PK, Sullivan LM, Wolf PA, D’Agostino RB. Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study. Int J Obes Relat Metab Disord. 2003;27(2):260–8.

    Article  PubMed  CAS  Google Scholar 

  • Ellen RL, Marshall SC, Palayew M, Molnar FJ, Wilson KG, Man-Son-Hing M. Systematic review of motor vehicle crash risk in persons with sleep apnea. J Clin Sleep Med. 2006;2:193–200.

    PubMed  Google Scholar 

  • El-Solh AA, Ayyar L, Akinnusi M, Relia S, Akinnusi O. Positive airway pressure adherence in veterans with posttraumatic stress disorder. Sleep. 2010;33:1495–500.

    Article  PubMed  PubMed Central  Google Scholar 

  • Epstein LH, Valoski A, Wing RR, et al. Ten-year follow-up of behavioral, family-based treatment for obese children. JAMA. 1990;264(19):2519–23.

    Article  PubMed  CAS  Google Scholar 

  • Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;15:263–76.

    Google Scholar 

  • Fauroux B, Lavis JF, Nicot F, et al. Facial side effects during noninvasive positive pressure ventilation in children. Intensive Care Med. 2005;31(7):965–9.

    Article  PubMed  Google Scholar 

  • Flemons WW. Clinical practice. Obstructive sleep apnea. N Engl J Med. 2002;347:498–504.

    Article  PubMed  Google Scholar 

  • Fletcher EC, Luckett RA. The effect of positive reinforcement on hourly compliance in nasal continuous positive airway pressure users with obstructive sleep apnea. Am Rev Respir Dis. 1991;143(5 Pt 1):936–41.

    Article  PubMed  CAS  Google Scholar 

  • Fogel RB, Malhotra A, White DP. Sleep. 2: pathophysiology of obstructive sleep apnoea/hypopnoea syndrome. Thorax. 2004;59:159–63.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Franco CM, Lima AM, Ataide L Jr, Lins OG, Castro CM, Bezerra AA, et al. Obstructive sleep apnea severity correlates with cellular and plasma oxidative stress parameters and affective symptoms. J Mol Neurosci. 2012;47(2):300–10.

    Article  PubMed  CAS  Google Scholar 

  • Freire RC, Valenca AM, Nascimento I, Lopes FL, Mezzasalma MA, Zin WA, et al. Clinical features of respiratory and nocturnal panic disorder subtypes. Psychiatry Res. 2007;152:287–91.

    Article  PubMed  Google Scholar 

  • Friedman M, Ibrahim H, Lee G, Joseph NJ. Combined uvulopalatopharyngoplasty and radiofrequency tongue base reduction for treatment of obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg. 2003;129:61.

    Google Scholar 

  • Friedman M, Wilson M, Lin HC, et al. Updated systematic review of tonsillectomy and adenoidectomy for treatment of pediatric obstructive sleep apnea/hypopnea syndrome. J Otolaryngol Head Neck Surg. 2009;140(6):800–8.

    Article  Google Scholar 

  • Gall R, Isaac L, Kryger M. Quality of life in mild obstructive sleep apnea. Sleep. 1993;16(8 Suppl):S59–61.

    Article  PubMed  CAS  Google Scholar 

  • George TP, Ziedonis DM. Addressing tobacco dependence in psychiatric practice: promises and pitfalls. Can J Psychiatr. 2009;54(6):353–5.

    Article  Google Scholar 

  • George CF, Boudreau AC, Smiley A. Effects of nasal CPAP on simulated driving performance in patients with obstructive sleep apnoea. Thorax. 1997;52:648–53.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Gold AR, Dipalo F, Gold MS, O’Hearn D. The symptoms and signs of upper airway resistance syndrome: a link to the functional somatic syndromes. Chest. 2003;123:87.

    Article  PubMed  Google Scholar 

  • Gozal D. Sleep-disordered breathing and school performance in children. Pediatrics. 1998;102:616.

    Article  PubMed  CAS  Google Scholar 

  • Gozal D. Sleep, sleep disorders and inflammation in children. Sleep Med. 2009;10(Suppl 1):S12–6.

    Article  PubMed  Google Scholar 

  • Greenburg DL, Lettieri CJ, Eliasson AH. Effects of surgical weight loss on measures of obstructive sleep apnea: a meta-analysis. Am J Med. 2009;122(6):535–42.

    Article  PubMed  Google Scholar 

  • Guimaraes CV, Donnelly LF, Shott SR, Amin RS, Kalra M. Relative rather than absolute macroglossia in patients with down syndrome: implications for treatment of obstructive sleep apnea. Pediatr Radiol. 2008;38(10):1062–7.

    Article  PubMed  Google Scholar 

  • Habukawa M, Uchimura N, Kakuma T, et al. Effect of CPAP treatment on residual depressive symptoms in patients with major depression and coexisting sleep apnea: contribution of daytime sleepiness to residual depressive symptoms. Sleep Med. 2010;11(6):552–7.

    Article  PubMed  Google Scholar 

  • Hall MH, Okun ML, Sowers M, Matthews KA, Kravitz HM, Hardin K, Buysse DJ, Bromberger JT, Owens JF, Karpoy I, Saunders MH. Sleep is associated with the metabolic syndrome in a multi-ethnic cohort of midlife women: the SWAN sleep study. Sleep. 2012;35:783–90.

    Article  PubMed  PubMed Central  Google Scholar 

  • He J, Kryger MH, Zorick FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea. Experience in 385 male patients. Chest. 1988;94(1):9–14.

    Article  PubMed  CAS  Google Scholar 

  • Ishman SL. Evidence-base practice: pediatric obstructive sleep apnea. Otolaryngol clinics of North America. Journal. 2012;45:1055–69.

    Google Scholar 

  • Issa FG, Sullivan CE. Alcohol, snoring and sleep apnea. J Neurol Neurosurg Psychiatry. 1982;45:353–9.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Jackson ML, Stough C, Howard ME, Spong J, Downey LA, Thompson B. The contribution of fatigue and sleepiness to depression in patients attending the sleep laboratory for evaluation of obstructive sleep apnea. Sleep Breath. 2011;15(3):439–45.

    Article  PubMed  Google Scholar 

  • James D, Ma L. Mandibular reconstruction in children with obstructive sleep due to micrognathia. PlastReconstr Surg. 1997;100:1131.

    Article  CAS  Google Scholar 

  • Jing J, Huang T, Cui W, Shen H. Effect on quality of life of continuous positive airway pressure in patients with obstructive sleep apnea syndrome: a meta-analysis. Lung. 2008;186:131–44.

    Article  PubMed  Google Scholar 

  • Johansson K, Neovius M, Lagerros YT, Rossner S, Granath F, Hemmingsson E. Effect of a very low energy diet on moderate and severe obstructive sleep apnoea in obese men: a randomised controlled trial. BMJ. 2009;339:4609.

    Article  Google Scholar 

  • Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540–5.

    Article  PubMed  CAS  Google Scholar 

  • Jordan AS, McEvoy RD. Gender differences in sleep apnea: epidemiology, clinical presentation and pathogenic mechanisms. Sleep Med Rev. 2003;7:377.

    Article  PubMed  Google Scholar 

  • Kadotani H, Kadotani T, Young T, et al. Association between apolipoprotein E epsilon4 and sleep-disordered breathing in adults. J Am Med Assoc. 2001;285(22):2888–90.

    Article  CAS  Google Scholar 

  • Karanti A, Landen M. Treatment refractory psychosis remitted upon treatment with continuous positive airway pressure: a case report. Psychopharmacol Bull. 2007;40(1):113–7.

    PubMed  Google Scholar 

  • Karimi M, Hedner J, Lombardi C, Mcnicholas WT, Penzel T, Riha RL, Rodenstein D, Grote L, The Esada Study Group. Driving habits and risk factors for traffic accidents among sleep apnea patients – a European multi-centre cohort study. J Sleep Res. 2014;23(6):689–99.

    Article  PubMed  Google Scholar 

  • Kawahara S, Akashiba T, Akahoshi T, Horie T. Nasal CPAP improves the quality of life and lessens the depressive symptoms in patients with obstructive sleep apnea syndrome. Intern Med. 2005;44:422–7.

    Article  PubMed  Google Scholar 

  • Kim SJ, Lee JH, Lee DY, et al. Neurocognitive dysfunction associated with sleep quality and sleep apnea in patients with mild cognitive impairment. Am J Geriatr Psychiatry. 2011;19(4):374–81.

    Article  PubMed  Google Scholar 

  • Kjelsberga FN, Ruud EA, Stavem K. Predictors of symptoms of anxiety and depression in obstructive sleep apnea. Sleep Med. 2005;6:341–6.

    Article  Google Scholar 

  • Krakow B, Lowry C, Germain A, Gaddy L, Hollifield M, Koss M, et al. A retrospective study on improvements in nightmares and post-traumatic stress disorder following treatment for comorbid sleep-disordered breathing. J Psychosom Res. 2000;49:291–8.

    Article  PubMed  CAS  Google Scholar 

  • Krakow B, Haynes PL, Warner TD, Santana E, Melendrez D, Johnston L, et al. Nightmares, insomnia, and sleep-disordered breathing in fire evacuees seeking treatment for posttraumatic sleep disturbance. J Trauma Stress. 2004;17:257–68.

    Article  PubMed  Google Scholar 

  • Krakow B, Melendrez D, Warner TD, Clark JO, Sisley BN, Dorin R, et al. Signs and symptoms of sleep-disordered breathing in trauma survivors: a matched comparison with classic sleep apnea patients. J Nerv Ment Dis. 2006;194:433–9.

    Article  PubMed  Google Scholar 

  • Kribbs NB, Pack AI, Kline LR, Getsy JE, Schuett JS, Henry JN, et al. Effects of one night without nasal CPAP treatment on sleep and sleepiness in patients with obstructive sleep apnea. Am J Respir Crit Care Med. 1993;147:1162–8.

    CAS  Google Scholar 

  • Kushida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J Jr. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep. 2005;28:499.

    Article  PubMed  Google Scholar 

  • Lee S. Depression in sleep apnea: a different view. J Clin Psychiatry. 1990;51:309–10.

    PubMed  CAS  Google Scholar 

  • Leger D, Bayon V, Laaban JP, Philip P. Impact of sleep apnea on economics. Sleep Med Rev. 2012;16:455–62.

    Article  PubMed  Google Scholar 

  • Li KK. Hypopharyngeal airway surgery. Otolaryngol Clin N Am. 2007;40:845.

    Article  Google Scholar 

  • Liu Y, Lowe AA, Fleetham JA, Park YC. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2001;120:639.

    Article  PubMed  CAS  Google Scholar 

  • Lopes FL, Nardi AE, Nascimento I, Valenca AM, Mezzasalma MA, Freire RC, et al. Diurnal panic attacks with and without nocturnal panic attacks: are there some phenomenological differences? Rev Bras Psiquiatr. 2005;27:216–21.

    Article  PubMed  Google Scholar 

  • Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc. 2008;5(2):242–52.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lye KW, Waite PD, Meara D, Wang D. Quality of life evaluation of maxillomandibular advancement surgery for treatment of obstructive sleep apnea. J Oral Maxillofac Surg. 2008;66:968.

    Article  PubMed  Google Scholar 

  • Mahfoud Y, Talih F, Streem D, Budur K. Sleep disorders in substance abusers: how common are they? Psychiatry (Edgmont). 2009;6:38–42.

    Google Scholar 

  • Marcus CL, Rosen G, Ward SL, et al. Adherence to and effectiveness of positive airway pressure therapy in children with obstructive sleep apnea. Pediatrics. 2006;117:e4.

    Article  Google Scholar 

  • Marin JM, et al. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005;365:1046.

    Article  PubMed  Google Scholar 

  • Marshall NS, Barnes M, Travier N, Campbell AJ, Pierce RJ, McEvoy RD, Neill AM, Gander PH. Continuous positive airway pressure reduces daytime sleepiness in mild to moderate obstructive sleep apnoea: a meta-analysis. Thorax. 2006;61:430–4.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Marti S, Sampol G, Munoz X, Torres F, Roca A, Lloberes P, Sagales T, Quesada P, Morell F. Mortality in severe sleep apnoea/hypopnoea syndrome patients: impact of treatment. Eur Respir J. 2002;20:1511–8.

    Article  PubMed  CAS  Google Scholar 

  • Mathieu A, Mazza S, Decary A, et al. Effects of obstructive sleep apnea on cognitive function: a comparison between younger and older OSAS patients. Sleep Med. 2008;9:112–20.

    Article  PubMed  CAS  Google Scholar 

  • Mazza S, Pépin JL, Naëgelé B, Plante J, Deschaux C, Lévy P. Most obstructive sleep apnoea patients exhibit vigilance and attention deficits on an extended battery of tests. Eur Respir J. 2005;25(1):75–80.

    Article  PubMed  CAS  Google Scholar 

  • McCall WV, Harding D, O’Donovan C. Correlates of depressive symptoms in patients with obstructive sleep apnea. J Clin Sleep Med. 2006;2:424–6.

    PubMed  Google Scholar 

  • McCann UD, Sgambati FP, Schwartz AR, Ricaurte GA. Sleep apnea in young abstinent recreational MDMA ("ecstasy") consumers. Neurology. 2009;73:2011–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • McEvoy JP, Meyer JM, Goff DC. Prevalence of the metabolic syndrome in patients with schizophrenia: baseline results from the clinical antipsychotic trials of intervention effectiveness (CATIE) schizophrenia trial and comparison with national estimates from NHANES III. Schizophr Res. 2005;80:19–32.

    Article  PubMed  Google Scholar 

  • McNicholas WT, Bonsigore MR. Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities. Eur Respir J. 2007;29:156–78.

    Article  PubMed  CAS  Google Scholar 

  • Miller W, Rollnick S. Motivational interviewing: preparing people for change. 2nd ed. New York: The Guilford Press; 2002.

    Google Scholar 

  • Moore AR, O’Keeffe ST. Drug-induced cognitive impairment in the elderly. Drugs Aging. 1999;15(1):15–28.

    Article  PubMed  CAS  Google Scholar 

  • Moran AM, Everhart DE, Davis CE, Wuensch KL, Lee DO, Demaree HA. Personality correlates of adherence with continuous positive airway pressure. Sleep Breath. 2011;15:687–94.

    Article  PubMed  Google Scholar 

  • Mosko S, Zetin M, Glen S, et al. Self-reported depressive symptomatology, mood ratings, and treatment outcome in sleep disorders patients. J Clin Psychol. 1989;45:51–60.

    Article  PubMed  CAS  Google Scholar 

  • Naismith S, Winter V, Gotsopoulos H, Hickie I, Cistulli P. Neurobehavioral functioning in obstructive sleep apnea: differential effects of sleep quality, hypoxemia and subjective sleepiness. J Clin Exp Neuropsychol. 2004;26(1):43–54.

    Article  PubMed  CAS  Google Scholar 

  • Nasr S, Wendt B, Kora S. Increased incidence of sleep apnea in psychiatric outpatients. Ann Clin Psychiatry. 2010;22(1):29–32.

    PubMed  Google Scholar 

  • Netzer N, Lormes W, Giebelhaus V, Halle M, Keul J, Matthys H, et al. Physical training of patients with sleep apnea. Pneumologie. 1997;51:779.

    PubMed  Google Scholar 

  • Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;7:485–91.

    Article  Google Scholar 

  • O’Brien LM, Holbrook CR, Mervis CB, et al. Sleep and neurobehavioral characteristics of 5- to 7-year-old children with parentally reported symptoms of attention- deficit/hyperactivity disorder. Pediatrics. 2003;111(3):554–63.

    Article  PubMed  Google Scholar 

  • O’Brien LM, Mervis CB, Holbrook CR, et al. Neurobehavioral implications of habitual snoring in children. Pediatrics. 2004;114(1):44–9.

    Article  PubMed  Google Scholar 

  • Ohayon MM. The effects of breathing-related sleep disorders on mood disturbances in the general population. J Clin Psychiatry. 2003;64:1195–200. Quiz, 274–6

    Article  PubMed  Google Scholar 

  • Oliveira VC, Dias AS, Teixeira R, Canhao J, Santos C, Pinto O, Barbara P, Revista Portuguesa C. The role of nocturnal oximetry in obstructive sleep apnoea-hypopnoea syndrome screening. Pneumologia. 2007;13(4):525–51.

    Google Scholar 

  • Olsen SL, Smith SS, Oei T. Adherence to continuous positive airway pressure therapy in obstructive sleep apnoea suffers : a theoretical approach to treatment adherence and intervention. Clin Psychol Rev. 2008;28(8):1355–71.

    Article  PubMed  Google Scholar 

  • Parish JM, Lyng PJ. Quality of life in bed partners of patients with obstructive sleep apnea or hypopnea after treatment with continuous positive airway pressure. Chest. 2003;124:942–7.

    Article  PubMed  Google Scholar 

  • Peppard PE, Young T, Palta M, Dempsey J, Skarud J. Longitudinal study of moderate weight change and sleep-disordered breathing. J Am Med Assoc. 2000;284:3015.

    Article  CAS  Google Scholar 

  • Peppard PE, Szklo-Coxe M, Hla KM, Young T. Longitudinal association of sleep-related breathing disorder and depression. Arch Intern Med. 2006;166:1709–15.

    Article  PubMed  Google Scholar 

  • Peters R, Poulter R, Warner J, Beckett N, Burch L, Bulpitt C. Smoking, dementia and cognitive decline in the elderly, a systematic review. BMC Geriatr. 2008;8:36.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petersen RC, Roberts RO, Knopman DS, et al. Prevalence of mild cognitive impairment is higher in men. The Mayo Clinic study on aging. Neurology. 2010;75(10):889–97.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Peterson MJ, Benca RM. Sleep in mood disorders. Sleep Med Clin. 2008;3:231–49.

    Article  Google Scholar 

  • Pieh C, Bach M, Popp R, Jara C, et al. Insomnia symptoms influence CPAP compliance. Sleep Breath. 2013;17:99–104.

    Article  PubMed  Google Scholar 

  • Pillar G, Lavie P. Psychiatric symptoms in sleep apnea syndrome: effects of gender and respiratory disturbance index. Chest. 1998;114:697–703.

    Article  PubMed  CAS  Google Scholar 

  • Plante DT, Winkelman JW. Sleep disturbance in bipolar disorder: therapeutic implications. Am J Psychiatr. 2008;165:830–43.

    Article  PubMed  Google Scholar 

  • Quan SF, Chan CS, Dement WC, Gevins A, Goodwin JL, Gottlieb DJ, Green S, Guilleminault C, Hirshkowitz M, Hyde PR, Kay GG, Leary EB, Nichols DA, Schweitzer PK, Simon RD, Walsh JK, Kushida CA. The association between obstructive sleep apnea and neurocognitive performance—the apnea positive pressure long-term efficacy study (APPLES). Sleep. 2011;34(3):303–314B.

    Article  PubMed  PubMed Central  Google Scholar 

  • Redline S, Tishler PV, Schluchter M, Aylor J, Clark K, Graham G. Risk factors for sleep-disordered breathing in children: associations with obesity, race, and respiratory problems. Am J Respir Crit Care Med. 1999;159(5):1527–32.

    Article  PubMed  CAS  Google Scholar 

  • Rodríguez-Lozano FJ, Sáez-Yuguero R, Linares TE, Bermejo FA. Sleep apnea and mandibular advancement device. Revision of the literature. Med Oral Patol Oral Cir Bucal. 2008;13(9):E549–54.

    PubMed  Google Scholar 

  • Rosen CL, Larkin EK, Kirchner HL, et al. Prevalence and risk factors for sleep-disordered breathing in 8- to 11-year-old children: association with race and prematurity. J Pediatr. 2003;142(4):383–9.

    Article  PubMed  Google Scholar 

  • Sánchez AI, Martínez P, Miró E, Bardwell WA, Buela-Casal G. CPAP and behavioral therapies in patients with obstructive sleep apnea: effects on daytime sleepiness, mood, and cognitive function. Sleep Med Rev. 2009;13(3):223–33.

    Article  PubMed  Google Scholar 

  • Sangal RB, Thomas L, Miltler MM. Maintenance of wakefulness test and multiple sleep latency test. Measurement of different abilities in patients with sleep disorders. Chest. 1992;101:898–902.

    Article  PubMed  CAS  Google Scholar 

  • Sawyer M, Canamucio MS, Moriarty H, Weaver TE, Richards K, Kuna ST. Do cognitive perceptions influence CPAP use? Patient Educ Couns. 2011;85(1):85–91.

    Article  PubMed  Google Scholar 

  • Schroder CM, O'Hara R. Depression and obstructive sleep apnea (OSA). Ann Gen Psychiatry. 2005;4:13.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schwartz DJ, Karatinos G. For individuals with obstructive sleep apnea, institution of CPAP therapy is associated with an amelioration of symptoms of depression which is sustained long term. J Clin Sleep Med. 2007;3:631–5.

    PubMed  PubMed Central  Google Scholar 

  • Schwartz DJ, Kohler WC, Karatinos G. Symptoms of depression in individuals with obstructive sleep apnea may be amenable to treatment with continuous positive airway pressure. Chest. 2005;128(3):1304–9.

    Article  PubMed  Google Scholar 

  • Screening MA. For obstructive sleep apnea: is the best solution? Letters to the editor. Sleep Med. 2013;14:695–7.

    Article  Google Scholar 

  • Sforza E, Roche F, Thomas-Anterion C, et al. Cognitive function and sleep related breathing disorders in a healthy elderly population: the SYNAPSE study. Sleep. 2010;33:515–21.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sharafkhaneh A, Giray N, Richardson P, Young T, Hirshkowitz M. Association of psychiatric disorders and sleep apnea in a large cohort. Sleep. 2005;28:1405–11.

    Article  PubMed  Google Scholar 

  • Sharkey KM, Kurth ME, Anderson BJ, Corso RP, Millman RP, Stein MD. Obstructive sleep apnea is more common than central sleep apnea in methadone maintenance patients with subjective sleep complaints. Drug Alcohol Depend. 2010;108(1–2):77–83.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sharma SK, Agrawal S, Damodaran D, Sreenivas V, Kadhiravan T, Lakshmy R, Jagia P, Kumar A. CPAP for the metabolic syndrome in patients with obstructive sleep apnea. N Engl J Med. 2011;365:2277–86.

    Article  PubMed  CAS  Google Scholar 

  • Shirani A, Paradiso S, Dyken ME. The impact of atypical antipsychotic use on obstructive sleep apnea: a pilot study and literature review. Sleep Med. 2011;12(6):591–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sin DD, Mayers I, Man GC, Ghahary A, Pawluk L. Can continuous positive airway pressure therapy improve the general health status of patients with obstructive sleep apnea? a clinical effectiveness study. Chest. 2002;122:1679–85.

    Article  PubMed  Google Scholar 

  • Smith I, Lasserston TJ, Wright J. Drug therapy for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006;5:CD003002.

    Google Scholar 

  • Spira AP, Blackwell T, Stone KL, Redline S, Cauley JA, Ancoli-Israel S, Yaffe K. Sleep-disordered breathing and cognition in older women. J Am Geriatr Soc. 2008;56(1):45–50.

    Article  PubMed  Google Scholar 

  • Spoormaker VI, Montgomery P. Disturbed sleep in post- traumatic stress disorder: secondary symptom or core feature? Sleep Med Rev. 2008;12:169–84.

    Article  PubMed  Google Scholar 

  • Stepnowsky CJ Jr, Marler MR, Palau J, Annette Brooks J. Social-cognitive correlates of CPAP adherence in experienced users. Sleep Med. 2006;7(4):350–6.

    Article  PubMed  Google Scholar 

  • Strassnig M, Brar JS, Ganguli R. Nutritional assessment of patients with schizophrenia: a preliminary study. Schizophr Bull. 2003;29(2):393–7.

    Article  PubMed  Google Scholar 

  • Strollo PJ, Rogers RM. Obstructive sleep apnea. N Engl J Med. 1996;334:99.

    Article  PubMed  Google Scholar 

  • Sugishita K, Yamasue H, Kasai K. Continuous positive airway pressure for obstructive sleep apnea improved negative symptoms in a patient with schizophrenia. Psychiatry Clin Neurosci. 2010;64:665.

    Article  PubMed  Google Scholar 

  • Surratt PM, Barth JT, Diamond R, et al. Reduced time in bed and obstructive sleep-disordered breathing in children are associated with cognitive impairment. Pediatrics. 2007;119(2):320–9.

    Article  Google Scholar 

  • Takaesu Y, Inoue Y, Komada Y, Kagimura T, Iimori M. Effects of nasal continuous positive airway pressure on panic disorder comorbid with obstructive sleep apnea syndrome. Sleep Med. 2012;13:156–60.

    Article  PubMed  Google Scholar 

  • Tatemichi TK, Foulkes MA, Mohr JP, et al. Dementia in stroke survivors in the stroke data bank cohort. Prevalence, incidence, risk factors, and computed tomographic findings. Stroke. 1990;21(6):858–66.

    Article  PubMed  CAS  Google Scholar 

  • Tranah GJ, Blackwell T, Stone KL, et al. Circadian activity rhythms and risk of incident dementia and mild cognitive impairment in older women. Ann Neurol. 2011;70:722–32.

    Article  PubMed  PubMed Central  Google Scholar 

  • Uong EC, Epperson M, Bathon SA, et al. Adherence to nasal positive airway pres- sure therapy among school-aged children and adolescents with obstructive sleep apnea syndrome. Pediatrics. 2007;120(5):e1203–11.

    Article  PubMed  Google Scholar 

  • Villa MP, Rizzoli A, Miano S, et al. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath. 2011;15(2):179–84.

    Article  PubMed  Google Scholar 

  • Vitiello MV, Prinz PN, Personius JP, Vitaliano PP, Nuccio MA, Koerker R. Relationship of alcohol abuse history to nighttime hypoxemia in abstaining chronic alcoholic men. J Stud Alcohol Drugs. 1990;51:29–33.

    Article  CAS  Google Scholar 

  • Wallston K. Hocus-pocus, the focus isn't strictly on locus: Rotter's social learning theory modified for health. Cogn Ther Res. 1992;16(2):183–99.

    Article  Google Scholar 

  • Wang D, Teichtahl H, Goodman C, Drummer O, Grunstein RR, Kronborg I. Subjective daytime sleepiness and daytime function in patients on stable methadone maintenance treatment: possible mechanisms. J Clin Sleep Med. 2008;4:557–62.

    PubMed  PubMed Central  CAS  Google Scholar 

  • Weaver TE, Grunstein RR. Adherence to continuous positive airway pressure therapy: the challenge to effective treatment. Proc Am Thorac Soc. 2008;5(2):173–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weaver T, Maislin G, Venditti L, Mahowald M, Kader G, Bloxham T, et al. CPAP dose duration for effective outcome response. Am J Res Crit Care Med. 2003a;167:A324.

    Google Scholar 

  • Weaver TE, Maislin G, Dinges D, Younger J, Cantor C, McCloskey S, Pack A. Self-efficacy in sleep apnea: instrument development and patient perceptions of OSA risk, treatment benefit, and volition to use CPAP. Sleep. 2003b;26:727–32.

    Article  PubMed  Google Scholar 

  • Whitelaw WA, Brant RF, Ward Flemons W. Clinical usefulness of home Oximetry compared with Polysomnography for assessment of sleep apnea. Am J Respir Crit Care Med. 2005;171:188–93.

    Article  PubMed  Google Scholar 

  • Winkelman JW. Schizophrenia, obesity, and obstructive sleep apnea. J Clin Psychiatry. 2001;62(1):8–11.

    Article  PubMed  CAS  Google Scholar 

  • Wirshing DA, Pierre JM, Wirshing WC. Sleep apnea associated with antipsychotic-induced obesity. J Clin Psychiatry. 2002;63:369–70.

    Article  PubMed  Google Scholar 

  • Wong KK, Grunstein RR, Bartlett DJ, Gordon E. Brain function in obstructive sleep apnea: results from the brain resource international database. J Integr Neurosci. 2006;5(1):111–21.

    Article  PubMed  Google Scholar 

  • Wootten CT, Shott SR. Evolving therapies to treat retroglossal and base-of-tongue obstruction in pediatric obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 2010;136(10):983–7.

    Article  PubMed  Google Scholar 

  • Yaffe K, Laffan AM, Harrison SL, Redline S, Spira AP, Ensrud KE, Alcoli-Isreael S, Stone KL. Sleep-disordered breathing, hypoxia, and risk of mild cognitive impairment and dementia in older women. J Am Med Assoc. 2011;306:613–9.

    CAS  Google Scholar 

  • Yang CM, Liao YS, Lin CM, Chou SL, Wang EN. Psychological and behavioral factors in patients with comorbid obstructive sleep apnea and insomnia. J Psychosom Res. 2011;70:355–61.

    Article  PubMed  Google Scholar 

  • Yesavage JA, Kinoshita LM, Kimball T, Zeitzer J, Friedman L, Noda A, et al. Sleep-disordered breathing in Vietnam veterans with posttraumatic stress disorder. Am J Geriatr Psychiatr. 2012;20:199–204.

    Article  Google Scholar 

  • Yetkin O, Kunter E, Gunen H. CPAP compliance in patients with obstructive sleep apnea syndrome. Sleep Breath. 2008;12:365–7.

    Article  PubMed  Google Scholar 

  • Young T, et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep. 1997;20:705.

    Article  PubMed  CAS  Google Scholar 

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Jokic, R. (2018). Obstructive Sleep Apnoea. In: Selsick, H. (eds) Sleep Disorders in Psychiatric Patients. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54836-9_12

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