Sleep-Disordered Breathing and Psychiatric Disorders

Naqvi, Haider; Wang, David; Glozier, Nick; Grunstein, Ronald R.

doi:10.1007/s11920-014-0519-z

Cited by 27 publications

(25 citation statements)

References 89 publications

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“…Insomnia and poor sleep quality has been linked to worse symptom severity and poor outcome in bipolar disorder (Wu and Bunney 1990, Colombo, Benedetti et al 1999, Bauer, Grof et al 2006, Perlman, Johnson et al 2006, Gruber, Harvey et al 2009, Gruber, Miklowitz et al 2011). Also, sleep-disordered breathing, primary insomnia and sleep phase disorders are often comorbid with bipolar disorder, begging the question of these pathologies being related to the underlying mood pathology (Kripke, Mullaney et al 1978, Wehr 1992, Harvey 2008, Soehner, Kaplan et al 2013, Naqvi, Wang et al 2014). …”

Section: Introductionmentioning

confidence: 99%

The effect of poor sleep quality on mood outcome differs between men and women: A longitudinal study of bipolar disorder

Saunders

Fernández-Mendoza

Kamali

et al. 2015

Journal of Affective Disorders

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Background Sleep disturbance is bi-directionally related to mood de-stabilization in bipolar disorder (BD), and sleep quality differs in men and women. We aimed to determine whether perception of poor sleep quality would have a different effect on mood outcome in men versus women. Methods We assessed association between sleep quality (Pittsburgh Sleep Quality Index (PSQI)) at study intake and mood outcome over 2 years in subjects from the Prechter Longitudinal Study of Bipolar Disorder (N=216; 29.6% males). The main outcome measure was the severity, variability, and frequency of mood episodes measured by self-report over 2 years of follow-up. Multivariable linear regression models stratified by sex examined the relationship between PSQI with mood outcomes, while age, stressful life events, mood state and neuroticism at baseline were controlled. Results In women, poor sleep quality at baseline predicted increased severity (B=0.28, p<0.001) and frequency of episodes (B=0.32, p<0.001) of depression, and poor sleep quality was a stronger predictor than baseline depression; poor sleep quality predicted increased severity (B=0.19, p<0.05) and variability (B=0.20, p<0.05) of mania, and frequency of mixed episodes (B=0.27, p<0.01). In men, baseline depression and neuroticism were stronger predictors of mood outcome compared to poor sleep quality. Limitations We measured perception of sleep quality, but not objective changes in sleep. Conclusions In a longitudinal study of BD, women reported poorer perceived sleep quality than men, and poor sleep quality predicted worse mood outcome in BD. Clinicians should be sensitive to addressing sleep complaints in women with BD early in treatment to improve outcome in BD.

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Section: Introductionmentioning

confidence: 99%

The effect of poor sleep quality on mood outcome differs between men and women: A longitudinal study of bipolar disorder

Saunders

Fernández-Mendoza

Kamali

et al. 2015

Journal of Affective Disorders

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“…Higher depression is caused by daytime sleepiness, and the resulting fatigue and, vice‐versa, higher level of depressive symptoms can be understood as a risk factor in the development of EDS (Aloia et al, ; Antic et al, ). We found that 3 months of CPAP treatment of patients with OSA had a beneficial effect on the level of depressive and trait anxiety symptoms (Acker et al, ; BaHammam et al, ; Ejaz et al, ; Fidan et al, ; Naqvi et al, ; Ryan, Bayley, Green, Murray, & Bradley, ; Sanchez, Buela‐Casal, Bermudez, & Casas‐Maldonado, ). These effects were highly significant, because they survived Bonferroni correction.…”

Section: Discussionmentioning

confidence: 98%

“…Complete (apneas) or partial (hypopneas) obstructive events in OSA, resulting in intermittent hypoxaemia, disturb sleep, causing its fragmentation, which is then a condition leading to excessive daytime sleepiness (EDS) (Barbe et al, ; Bucks, Olaithe, & Eastwood, ; Slater & Steier, ; Zhou et al, ). The resulting reduced blood oxygen saturation and disturbed sleep architecture may determine neurocognitive dysfunction and mood disorders in patients with OSA (Bucks et al, ; Jackson, Howard, & Barnes, ; Lal et al, ; Naqvi, Wang, Glozier, & Grunstein, ; Zhou et al, ). Cognitive impairment with OSA is mainly characterized by a lower level of attention and vigilance, reduced learning and memory, and decreased executive performance (Jackson et al, ; Lal et al, ; Rouleau, Decary, Chicoine, & Montplaisir, ; Tulek et al, ; Zhou et al, ).…”

Section: Introductionmentioning

confidence: 99%

Effects of continuous positive airway pressure on neurocognitive and neuropsychiatric function in obstructive sleep apnea

Dostálová

Kolečkárová

Kuška

et al. 2018

Journal of Sleep Research

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The aim of this study was to determine the neurocognitive and neuropsychiatric effects of continuous positive airway pressure treatment on patients with obstructive sleep apnea. This cross‐sectional, prospective, observational study included 126 patients with sleep apnea. The following tests were performed: the Montreal Cognitive Assessment for the evaluation of cognitive impairment, the Beck Depression Inventory, and the State‐Trait Anxiety Inventory, together with the Epworth Sleepiness Scale for the evaluation of neuropsychiatric symptoms and a person's general level of daytime sleepiness. The first measurement did not show neurocognitive impairment or a higher level of depressive and anxiety symptoms in 126 patients with obstructive sleep apnea in comparison to normative standards. After the 3‐month treatment indicated for 43 patients with obstructive sleep apnea, we did not find any significant improvement in cognitive performance (p = .213). However, patients with sleep apnea with continuous positive airway pressure treatment did show significantly less daytime sleepiness, anxiety and depressive symptoms (all p < .001). In conclusion, short‐term (3 months) treatment of patients with obstructive sleep apnea can substantially alleviate their daytime sleepiness, as well as depressive and anxiety symptoms.

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“…Follow-up objective testing with in-laboratory polysomnography or home portable monitors may be warranted [50]. A high prevalence of sleep disordered breathing has been found among individuals with schizophrenia [51]; one study found that nearly half of people with schizophrenia who were referred to a sleep clinic while hospitalized on a psychiatric inpatient unit met criteria for OSA, defined as a respiratory disturbance index greater than 10 events per hour [52]. Compared to others from the inpatient unit who were referred to the sleep clinic, those with schizophrenia were significantly heavier and experienced higher rates of OSA; when present, OSA was in the severe range.…”

Section: Diagnosismentioning

confidence: 99%

Sleep Disorders Among People With Schizophrenia: Emerging Research

Klingaman

Palmer-Bacon

Bennett

et al. 2015

Curr Psychiatry Rep

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Up to 80 % of individuals with schizophrenia spectrum disorders experience sleep disturbances, which impact physical and mental health, as well as quality of life. In this paper, we review and integrate emerging literature, published between 2012 and 2014, regarding approaches to diagnosis and treatment of major sleep disorders for people with schizophrenia spectrum disorders, including insomnia, obstructive sleep apnea (OSA), circadian rhythm dysfunction, and restless legs syndrome (RLS). We advocate for (1) the need to evaluate the utility of nonpharmacological approaches in people with schizophrenia spectrum disorders; (2) documentation of guidelines to assist providers in clinically tailoring such interventions when their clients experience positive, negative, and/or cognitive symptoms; (3) research on the best ways providers can capitalize on clients' self-identified needs and motivation to engage in sleep treatments through shared decision making; and (4) the importance of investigating whether and how mental health and sleep treatment services should be better connected to facilitate access for people with schizophrenia spectrum disorders. Assessment and tailored treatment of sleep disorders within mental health treatment settings has the potential to reduce sleep problems and improve functioning, quality of life, and recovery of this population.

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Sleep-Disordered Breathing and Psychiatric Disorders

Cited by 27 publications

References 89 publications

The effect of poor sleep quality on mood outcome differs between men and women: A longitudinal study of bipolar disorder

The effect of poor sleep quality on mood outcome differs between men and women: A longitudinal study of bipolar disorder

Effects of continuous positive airway pressure on neurocognitive and neuropsychiatric function in obstructive sleep apnea

Sleep Disorders Among People With Schizophrenia: Emerging Research

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