Journal of Psychosomatic Research
Volume 67, Issue 2 , Pages 135-141 , August 2009

Frequency and predictors of obstructive sleep apnea among individuals with major depressive disorder and insomnia

  • Jason C. Ong

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
    • Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA
    • Corresponding Author InformationCorresponding author. Department of Behavioral Sciences, Rush University Medical Center, 1653 W. Congress Parkway, Chicago, IL 60612-3833, USA. Tel.: +1 312 942 0566; fax: +1 312 942 8961.
  • ,
  • Jenna L. Gress

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
  • ,
  • Melanie G. San Pedro-Salcedo

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
  • ,
  • Rachel Manber

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA

Received 3 September 2008 ,Revised 20 January 2009 ,Accepted 20 March 2009.

References 

  1. Andrade L, Caraveo-Anduaga JJ, Berglund P, Bijl RV, De Graaf R, Vollebergh W, et al. The epidemiology of major depressive episodes: results from the International Consortium of Psychiatric Epidemiology (ICPE) surveys. Int J Methods Psychiatr Res. 2003;12:3–21
  2. Littner M, Hirshkowitz M, Kramer M, Kapen S, Anderson WM, Bailey D, et al. Practice parameters for using polysomnography to evaluate insomnia: an update. Sleep. 2003;26:754–760
  3. American Academy of Sleep Medicine Task Force . 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 task force. Sleep. 1999;22:667–689
  4. Young T, Shahar E, Nieto FJ, Redline S, Newman AB, Gottlieb DJ, et al. Predictors of sleep-disordered breathing in community-dwelling adults: the Sleep Heart Health Study. Arch Intern Med. 2002;162:893–900
  5. Borak J, Cieslicki J, Szelenberger W, Wilczak-Szadkowska H, Koziej M, Zielinski J. Psychopathological characteristics of the consequences of obstructive sleep apnea prior to and three months after CPAP. Psychiatr Pol. 1994;28:33–44
  6. Derderian SS, Bridenbaugh RH, Rajagopal KR. Neuropsychologic symptoms in obstructive sleep apnea improve after treatment with nasal continuous positive airway pressure. Chest. 1988;94:1023–1027
  7. Edinger JD, Carwile S, Miller P, Hope V, Mayti C. Psychological status, syndromatic measures, and compliance with nasal CPAP therapy for sleep apnea. Percept Mot Skills. 1994;78:1116–1118
  8. Engleman HM, Martin SE, Deary IJ, Douglas NJ. Effect of continuous positive airway pressure treatment on daytime function in sleep apnoea/hypopnoea syndrome. Lancet. 1994;343:572–575
  9. Flemons WW, Tsai W. Quality of life consequences of sleep-disordered breathing. J Allergy Clin Immunol. 1997;99:S750–S756
  10. Kales A, Caldwell AB, Cadieux RJ, Vela-Bueno A, Ruch LG, Mayes SD. Severe obstructive sleep apnea: II. Associated psychopathology and psychosocial consequences. J Chronic Dis. 1985;38:427–434
  11. Aloia MS, Arnedt JT, Smith L, Skrekas J, Stanchina M, Millman RP. Examining the construct of depression in obstructive sleep apnea syndrome. Sleep Med. 2005;6:115–121
  12. Reynolds CF, Coble PA, Spiker DG, Neil JF, Holzer BC, Kupfer DJ. Prevalence of sleep apnea and nocturnal myoclonus in major affective disorders: clinical and polysomnographic findings. J Nerv Ment Dis. 1982;170:565–567
  13. Reynolds CF, Kupfer DJ, Taska LS, Hoch CC, Sewitch DE, Restifo K, et al Sleep apnea in Alzheimer's dementia: correlation with mental deterioration. J Clin Psychiatry. 1985;46:257–261
  14. Ohayon MM. The effects of breathing-related sleep disorders on mood disturbances in the general population. J Clin Psychiatry. 2003;64:1195–1200quiz, 1274–6
  15. Deldin PJ, Phillips LK, Thomas RJ. A preliminary study of sleep-disordered breathing in major depressive disorder. Sleep Med. 2006;7:131–139
  16. Buysse DJ, Reynolds CF, Houck PR, Perel JM, Frank E, Begley AE, et al. Does lorazepam impair the antidepressant response to nortriptyline and psychotherapy?. J Clin Psychiatry. 1997;58:426–432
  17. Dew MA, Reynolds CF, Houck PR, Hall M, Buysse DJ, Frank E, et al. Temporal profiles of the course of depression during treatment. Predictors of pathways toward recovery in the elderly. Arch Gen Psychiatry. 1997;54:1016–1024
  18. Winokur A, Reynolds CF. The effects of antidepressants and anxiolytics on sleep physiology. Prim Psychiatry. 1994;1:22–27
  19. Nierenberg AA, Keefe BR, Leslie VC, Alpert JE, Pava JA, Worthington JJ, et al. Residual symptoms in depressed patients who respond acutely to fluoxetine. J Clin Psychiatry. 1999;60:221–225
  20. Manber R, Edinger JD, Gress JL, San Pedro-Salcedo MG, Kuo TF, Kalista T. Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia. Sleep. 2008;31:489–495
  21. American Psychiatric Association . The Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association; 2000;
  22. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;25:55–62
  23. First MB, Spitzer RL, Gibbon MG, Williams JBW. The Structured Clinical Interview for DSM-IV. New York, NY: Biometrics Research Department, New York State Psychiatric Institute; 1994;
  24. Beck AT, Steer RA, Brown GK. Beck Depression Inventory. San Antonio, TX: The Psychological Corporation; 1996;
  25. Carney CE, Edinger JD, Olsen MK, Stechchak KM, Krystal AD, Wyatt JK. Inter-rater reliability for insomnia diagnoses derived from the Duke Structured Interview for Sleep Disorders. Sleep. 2008;31:A250
  26. Kales A, Rechtschaffen A, University of California Los Angeles Brain Information Service, NINDB Neurological Information Network (U.S.) . A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. In:  Rechtschaffen A,  Kales A editor. Bethesda, MD: U. S. National Institute of Neurological Diseases and Blindness, Neurological Information Network; 1968;
  27. American Sleep Disorder Association . Recording and scoring leg movements. The Atlas Task Force. Sleep. 1993;16:748–759
  28. American Academy of Sleep Medicine . The International Classification of Sleep Disorders–2.. Rochester, MN: American Academy of Sleep Medicine; 2005;
  29. Manber R, Blasey C, Arnow B, Markowitz JC, Thase ME, Rush AJ, et al. Assessing insomnia severity in depression: comparison of depression rating scales and sleep diaries. J Psychiatr Res. 2005;39:481–488
  30. Aiken LS, West SG. Multiple Regression: Testing and Interpreting Interactions. Newbury Park, CA: Sage Publications; 1991;
  31. Lichstein KL, Riedel BW, Lester KW, Aguillard RN. Occult sleep apnea in a recruited sample of older adults with insomnia. J Consult Clin Psychol. 1999;67:405–410
  32. Gooneratne NS, Gehrman PR, Nkwuo JE, Bellamy SL, Schutte-Rodin S, Dinges DF, et al. Consequences of comorbid insomnia symptoms and sleep-related breathing disorder in elderly subjects. Arch Intern Med. 2006;166:1732–1738
  33. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328:1230–1235
  34. Duran J, Esnaola S, Rubio R, Iztueta A. Obstructive sleep apnea–hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr. Am J Respir Crit. Care Med. 2001;163:685–689
  35. Smith S, Sullivan K, Hopkins W, Douglas J. Frequency of insomnia report in patients with obstructive sleep apnoea–hypopnea syndrome (OSAHS). Sleep Med. 2004;5:449–456
  36. Bardwell WA, Moore P, Ancoli-Israel S, Dimsdale JE. Fatigue in obstructive sleep apnea: driven by depressive symptoms instead of apnea severity?. Am J Psychiatry. 2003;160:350–355
  37. McCall WV, Harding D, O'Donovan C. Correlates of depressive symptoms in patients with obstructive sleep apnea. J Clin Sleep Med. 2006;2:424–426
  38. Schroder CM, O'Hara R. Depression and obstructive sleep apnea (OSA). Ann Gen Psychiatry. 2005;4:13
  39. 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;3:631–635
  40. Lu B, Budhiraja R, Parthasarathy S. Sedating medications and undiagnosed obstructive sleep apnea: physician determinants and patient consequences. J Clin Sleep Med. 2005;1:367–371

PII: S0022-3999(09)00095-6

doi: 10.1016/j.jpsychores.2009.03.011

Journal of Psychosomatic Research
Volume 67, Issue 2 , Pages 135-141 , August 2009