Excessive Daytime Sleepiness Among Depressed Patients

Mume, Celestine Okorome

doi:10.4176/091024

Cited by 7 publications

(14 citation statements)

References 16 publications

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“…This was comparable to the work of Chellappa and colleagues [26] who reported 42.8% and to the (44.8%) reported by Mume et al [27] but lower than 57.2% reported by Chellappa [26]. This result was higher than that obtained from analysis of the Geolong Osteoporosis Study, where 13% of the 844 women surveyed were found to have EDS, as measured by the Epworth Sleepiness Scale.…”

Section: Discussioncontrasting

confidence: 55%

Excessive Daytime Sleepiness in Patients with Depressive Symptoms in a Nigerian Family Practice Setting

GT¹

2014

J Sleep Disord Ther

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Objectives: Clinically significant Excessive Daytime Sleepiness (EDS) is frequently encountered among patients with depressive symptoms, and a significant association was observed between depression, body mass index and EDS. Incidentally this sleep disorder is often overlooked. The aim of this study was to examine the association between excessive daytime sleepiness, depressive symptoms, body mass index and blood pressure in a Nigerian family practice setting.Methods: This was a hospital based cross sectional study. Systematic sampling method was used in recruiting the patients. The PHQ-9 was administered to the respondents to screen for depressive symptoms. EDS was evaluated using the Epworth Sleepiness Scale (ESS). The international classification of BMI was used. Classification of hypertension was made according to (JNC 7). Results:One hundred and seventy eight (44.5%) were found to have one form of depression or the other. There was female preponderance. Depression was prominent in the age group 51-60 years, more among the married than the single, as well as those with low socio economic status. There was strong statistical association between age, sex, marital status, level of education, occupation and monthly income (p-values 0.008, 0.000, 0.000, 0.003, 0.000 and 0.001 respectively). Forty five (25.3%) were hypertensive. Fifty nine (33.1%) scored 10 or more on the ESS which was clinically significant sleepiness. Forty seven (26.4%) were obese constituting (23.7%) of the poor sleepers. Ninety three (52.2%) were poor sleepers, sleeping less than the normal 7 hours. Conclusion:In this study, significant EDS was found with patients with depressive disorders and higher body mass index. Therefore patients with a complaint of EDS should be thoroughly assessed for depression and obesity.

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Section: Discussioncontrasting

confidence: 55%

Excessive Daytime Sleepiness in Patients with Depressive Symptoms in a Nigerian Family Practice Setting

GT¹

2014

J Sleep Disord Ther

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“…Lack of facilities for conducting sleep studies and management of sleep disorders were limitations in the study. The weakness in the health system's ability to provide readily accessible and available services for sleep disorders, as observed in this study and other studies from the country, 7,8 is probably influenced by the health systems need to address other more common childhood disorders. Improving the health system's capacity to manage sleep disorder would enhance awareness, promote favorable outcomes and strengthen health care delivery in general.…”

Section: Discussionmentioning

confidence: 66%

“…Psycho social implications of hypersomnia have been reported from other regions of the world as well as the dearth of facilities for sleep studies in the country. [1][2][3]7,8 It took seven years and a significant progressive deterioration in academic in performance before a concerted effort was undertaken by his caregivers to unravel the disorder. It underscores the poor degree of awareness about sleep disorders in the patient's immediate environment.…”

Section: Discussionmentioning

confidence: 99%

“…Studies on the prevalence of sleep disorders in the Nigerian population are lacking 7 . However studies on EDS, the cardinal feature of hypersomnia, from Nigeria indicate a prevalence of 53% among children with neurological disorders, 44.8% among adults with depression and 17% in a school population [7][8][9] . An EDS prevalence rate of 15% has also been reported from a school population in the United States while worldwide estimates put the prevalence of EDS as ranging four to 30% in adult populations 3,6 .…”

Section: Introductionmentioning

confidence: 99%

“…Consequently childhood hypersomnia demands comprehensive assessment and management. Studies and reports on childhood sleep and sleep related disorders, particularly in an environment like ours with limited services for sleep disorders, could increase awareness and facilitate the development and provision of such services 7,8 . The studies could achieve these through increasing awareness, and providing data, on the need to provide diagnostic and therapeutic services for sleep disorders.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report

Eseigbe¹,

Nuhu²,

Sheikh³

et al. 2014

Nig. J. Paed.

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Hypersomnia, a disorder of sleep characterized by excessive quantity of sleep and excessive daytime sleepiness (EDS), could adversely affect health outcomes in childhood. To highlight diagnostic challenges and the impact of childhood hypersomnia in a resource limited setting, a 14 year old Nigerian who presented with a seven year history of hypersomnia was studied. Screening for sleep disorder using BEARS sleep algorithm and assessment for EDS using the Epworth Sleepiness Scale were both positive for EDS. The assessment of sleep hygiene using the Adolescent Sleep Hygiene Scale was normal and the use of Raven's Progressive Matrices to assess intelligence was also normal. There was no contributory past medical history or demonstrable etiology. Magnetic Resonance Imaging (MRI) of the brain, Electro Encephalogram (EEG), assay of serum electrolytes were all normal while screening test for trypanosomiasis was negative. Poor level of awareness, high cost of evaluation and limited facilities for diagnosis of sleep disorder were the major diagnostic challenges. Depression, poor academic performance, suicidal ideation and stigmatization were all associated with hypersomnia in the patient.

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Inference of causal relationships between sleep-related traits and 1,527 phenotypes using genetic data

García-Marín

Campos

Martin

et al. 2020

Preprint

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Study Objective. Sleep is essential for both physical and mental health.There is an increasing interest in understanding how different factors shape individual variation in sleep duration, quality and patterns, or confer risk for sleep disorders. The present study aimed to identify novel causal relationships between sleep-related traits and other phenotypes, using a genetics-driven hypothesis-free approach not requiring longitudinal data. Methods. We used genetic data and the latent causal variable (LCV) method to screen the phenome and infer causal relationships between seven sleep-related traits (insomnia, daytime dozing, easiness of getting up in the morning, snoring, sleep duration, napping, and morningness) and 1,527 different phenotypes. Results. We identify 84 significant causal relationships. Among other findings, poor health of musculoskeletal and connective tissue disorders increase insomnia risk and reduce sleep duration; depression-related traits increase insomnia and daytime dozing; insomnia, napping and snoring are affected by obesity and cardiometabolic traits and diseases; and working with asbestos, thinner, or glues increases insomnia, potentially through an increased risk of respiratory disease. Conclusion. Overall, our results indicate that changes in sleep variables are predominantly the consequence, rather than the cause, of other underlying phenotypes and diseases. These insights could inform the design of future epidemiological and interventional studies in sleep medicine and research.

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Excessive Daytime Sleepiness Among Depressed Patients

Cited by 7 publications

References 16 publications

Excessive Daytime Sleepiness in Patients with Depressive Symptoms in a Nigerian Family Practice Setting

Excessive Daytime Sleepiness in Patients with Depressive Symptoms in a Nigerian Family Practice Setting

Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report

Inference of causal relationships between sleep-related traits and 1,527 phenotypes using genetic data

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