Changes in depressive symptoms after continuous positive airway pressure treatment for obstructive sleep apnea

Melanie K. Means; Kenneth L. Lichstein; Jack D. Edinger; Daniel J. Taylor; H. Heith Durrence; Aatif M. Husain; R. Neal Aguillard; Rodney A. Radtke

doi:10.1007/s11325-003-0031-x

Changes in depressive symptoms after continuous positive airway pressure treatment for obstructive sleep apnea

Melanie K. Means
, Kenneth L. Lichstein
, Jack D. Edinger
, Daniel J. Taylor
, H. Heith Durrence
, Aatif M. Husain
, R. Neal Aguillard
, Rodney A. Radtke

Research output: Contribution to journal › Article › peer-review

97 Scopus citations

Abstract

It is generally believed that obstructive sleep apnea (OSA) causes depression in some patients, yet it is unknown whether this depression is an actual clinical phenomenon or purely a result of overlapping somatic/physical symptoms shared by both disorders. The present study investigated changes in both somatic and affective/cognitive symptoms of depression associated with the introduction of continuous positive airway pressure (CPAP) treatment for OSA. Participants were 39 outpatients (35 males, 4 females) with no current or past mental health problems, diagnosed with OSA in a hospital sleep disorders clinic. The Beck Depression Inventory (BDI) was administered prior to treatment and again 3 months after CPAP. Total BDI scores improved after CPAP, independent of objectively monitored CPAP compliance rates. Both somatic and affective/ cognitive symptoms of depression improved in a similar manner after treatment. Our findings suggest that depressive symptoms experienced by OSA patients are not solely the result of physical OSA symptoms but include a mood component as well. We introduce a hypothetical model to conceptualize the relationship between OSA and depression.

Original language	English (US)
Pages (from-to)	31-42
Number of pages	12
Journal	Sleep and Breathing
Volume	7
Issue number	1
DOIs	https://doi.org/10.1007/s11325-003-0031-x
State	Published - Mar 2003
Externally published	Yes

Keywords

CPAP
Depression
Sleep apnea

ASJC Scopus subject areas

Otorhinolaryngology
Clinical Neurology

Access to Document

10.1007/s11325-003-0031-x

Cite this

@article{5f5ca24379e347b9b9055e2d617fcfeb,

title = "Changes in depressive symptoms after continuous positive airway pressure treatment for obstructive sleep apnea",

abstract = "It is generally believed that obstructive sleep apnea (OSA) causes depression in some patients, yet it is unknown whether this depression is an actual clinical phenomenon or purely a result of overlapping somatic/physical symptoms shared by both disorders. The present study investigated changes in both somatic and affective/cognitive symptoms of depression associated with the introduction of continuous positive airway pressure (CPAP) treatment for OSA. Participants were 39 outpatients (35 males, 4 females) with no current or past mental health problems, diagnosed with OSA in a hospital sleep disorders clinic. The Beck Depression Inventory (BDI) was administered prior to treatment and again 3 months after CPAP. Total BDI scores improved after CPAP, independent of objectively monitored CPAP compliance rates. Both somatic and affective/ cognitive symptoms of depression improved in a similar manner after treatment. Our findings suggest that depressive symptoms experienced by OSA patients are not solely the result of physical OSA symptoms but include a mood component as well. We introduce a hypothetical model to conceptualize the relationship between OSA and depression.",

keywords = "CPAP, Depression, Sleep apnea",

author = "Means, \{Melanie K.\} and Lichstein, \{Kenneth L.\} and Edinger, \{Jack D.\} and Taylor, \{Daniel J.\} and Durrence, \{H. Heith\} and Husain, \{Aatif M.\} and Aguillard, \{R. Neal\} and Radtke, \{Rodney A.\}",

note = "Funding Information: This project was part of the first author{\textquoteright}s doctoral dissertation, supported by The University of Memphis Department of Psychology. We appreciate the assistance and cooperation of the Sleep Disorders staff at Methodist Sleep Disorders Center, Durham VA Medical Center and at Duke University Medical Center. We are also grateful for the statistical assistance provided by William K. Wohlgemuth, Ph.D.",

year = "2003",

month = mar,

doi = "10.1007/s11325-003-0031-x",

language = "English (US)",

volume = "7",

pages = "31--42",

journal = "Sleep and Breathing",

issn = "1520-9512",

publisher = "Springer Science and Business Media Deutschland GmbH",

number = "1",

}

TY - JOUR

T1 - Changes in depressive symptoms after continuous positive airway pressure treatment for obstructive sleep apnea

AU - Means, Melanie K.

AU - Lichstein, Kenneth L.

AU - Edinger, Jack D.

AU - Taylor, Daniel J.

AU - Durrence, H. Heith

AU - Husain, Aatif M.

AU - Aguillard, R. Neal

AU - Radtke, Rodney A.

N1 - Funding Information: This project was part of the first author’s doctoral dissertation, supported by The University of Memphis Department of Psychology. We appreciate the assistance and cooperation of the Sleep Disorders staff at Methodist Sleep Disorders Center, Durham VA Medical Center and at Duke University Medical Center. We are also grateful for the statistical assistance provided by William K. Wohlgemuth, Ph.D.

PY - 2003/3

Y1 - 2003/3

N2 - It is generally believed that obstructive sleep apnea (OSA) causes depression in some patients, yet it is unknown whether this depression is an actual clinical phenomenon or purely a result of overlapping somatic/physical symptoms shared by both disorders. The present study investigated changes in both somatic and affective/cognitive symptoms of depression associated with the introduction of continuous positive airway pressure (CPAP) treatment for OSA. Participants were 39 outpatients (35 males, 4 females) with no current or past mental health problems, diagnosed with OSA in a hospital sleep disorders clinic. The Beck Depression Inventory (BDI) was administered prior to treatment and again 3 months after CPAP. Total BDI scores improved after CPAP, independent of objectively monitored CPAP compliance rates. Both somatic and affective/ cognitive symptoms of depression improved in a similar manner after treatment. Our findings suggest that depressive symptoms experienced by OSA patients are not solely the result of physical OSA symptoms but include a mood component as well. We introduce a hypothetical model to conceptualize the relationship between OSA and depression.

AB - It is generally believed that obstructive sleep apnea (OSA) causes depression in some patients, yet it is unknown whether this depression is an actual clinical phenomenon or purely a result of overlapping somatic/physical symptoms shared by both disorders. The present study investigated changes in both somatic and affective/cognitive symptoms of depression associated with the introduction of continuous positive airway pressure (CPAP) treatment for OSA. Participants were 39 outpatients (35 males, 4 females) with no current or past mental health problems, diagnosed with OSA in a hospital sleep disorders clinic. The Beck Depression Inventory (BDI) was administered prior to treatment and again 3 months after CPAP. Total BDI scores improved after CPAP, independent of objectively monitored CPAP compliance rates. Both somatic and affective/ cognitive symptoms of depression improved in a similar manner after treatment. Our findings suggest that depressive symptoms experienced by OSA patients are not solely the result of physical OSA symptoms but include a mood component as well. We introduce a hypothetical model to conceptualize the relationship between OSA and depression.

KW - CPAP

KW - Depression

KW - Sleep apnea

UR - https://www.scopus.com/pages/publications/0037690348

UR - https://www.scopus.com/pages/publications/0037690348#tab=citedBy

U2 - 10.1007/s11325-003-0031-x

DO - 10.1007/s11325-003-0031-x

M3 - Article

C2 - 12712395

SN - 1520-9512

VL - 7

SP - 31

EP - 42

JO - Sleep and Breathing

JF - Sleep and Breathing

IS - 1

ER -

Changes in depressive symptoms after continuous positive airway pressure treatment for obstructive sleep apnea

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this