Anxiety and depression are improved by continuous positive airway pressure treatments in obstructive sleep apnea

• Published in: International journal of psychiatry in medicine 2016-08, Vol.51 (6), p.554-562
• Main Authors: Li, Yu-Ying, Mazarakis, Thodoris, Shen, Yu-Chih, Yang, Miao-Chun, Chang, En-Ting, Wang, Hsiu-Mei
• Format: Article
• Language: English
• Subjects: Adult; Aged; Anxiety; Anxiety - complications; Anxiety - psychology; Anxiety - therapy; Body Mass Index; Continuous Positive Airway Pressure; Depression - complications; Depression - psychology; Depression - therapy; Female; Humans; Male; Mental depression; Middle Aged; Prospective Studies; Quality; Quality of Life; Questionnaires; Respiratory therapy; Sleep; Sleep apnea; Sleep Apnea, Obstructive - complications; Sleep Apnea, Obstructive - psychology; Sleep Apnea, Obstructive - therapy; Surgery; Surveys and Questionnaires; Treatment Outcome
• ISSN: 0091-2174; 1541-3527
• DOI: 10.1177/0091217417696737

Background Obstructive sleep apnea involves repeated nocturnal desaturation and sleep fragmentation that leads to poor sleep quality, anxiety, and depression. This study aimed to investigate short- and long-term improvements in the anxiety and depression of patients with different obstructive sleep apnea treatments. Methods This is a prospective, non-randomized hospital-based study evaluated 55 patients (46 male, 9 female) with obstructive sleep apnea. The patients were divided into three groups based on different treatment: uvulopalatopharyngoplasty group, continuous positive airway pressure group, and no treatment group (by their own decision). They completed the Beck Depression Inventory II, Beck Anxiety Inventory, and Pittsburgh Sleep Quality Index before treatment and at one and six months after treatment. Results Compared to the no treatment group, the surgery and continuous positive airway pressure groups had higher body mass index, AHI, and Epworth sleepiness scale, but no difference in Pittsburgh Sleep Quality Index, Chinese Health Questionnaire-12, Beck Depression Inventory II, and Beck Anxiety Inventory. The continuous positive airway pressure and surgery groups still had no improvements in Pittsburgh Sleep Quality Index, Chinese Health Questionnaire-12, Beck Depression Inventory II, and Beck Anxiety Inventory scores one month after treatment. At six months after treatment, the continuous positive airway pressure group had significantly decreased Pittsburgh Sleep Quality Index, Chinese Health Questionnaire-12, Beck Depression Inventory II, and Beck Anxiety Inventory, whereas the surgery group had significant difference in Beck Anxiety Inventory only and the no treatment group still had no significant difference in any of the parameters. Conclusions Continuous positive airway pressure can improve the sleep quality, quality of life, depression, and anxiety of obstructive sleep apnea patients after six months of treatment. However, surgery can significantly improve anxiety only in the same period.