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大学・研究所にある論文を検索できる 「Obstructive Sleep Apnoea Severity Is Negatively Associated with Depressive Symptoms : A Cross-Sectional Survey of Outpatients with Suspected Obstructive Sleep Apnoea in Japan.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。
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Obstructive Sleep Apnoea Severity Is Negatively Associated with Depressive Symptoms : A Cross-Sectional Survey of Outpatients with Suspected Obstructive Sleep Apnoea in Japan.

ITO Kazuki 0000-0002-0261-1003 UETSU Masahiro UBARA Ayaka 0000-0003-4966-6703 MATSUDA Arichika 0000-0002-3014-9565 SUMI Yukiyoshi 10772923 0000-0001-6775-0883 KADOTANI Hiroshi 90362516 0000-0001-7474-3315 滋賀医科大学

2022.04.20

概要

Background:
Multiple clinical departments are involved in the provision of obstructive sleep apnoea (OSA) therapy in Japan. Inconsistent results regarding the association between depression and OSA have been reported.

Methods:
This cross-sectional survey compared newly diagnosed OSA patients at two outpatient sleep apnoea units in Shiga Prefecture, Japan: one associated with the psychiatry department (n = 583), and the other with the otolaryngology department (n = 450).

Results:
The unit associated with the psychiatry department had more patients referred by psychiatrists than that with the otolaryngology department (11% vs. 3% p < 0.05). Sleepiness, insomnia, and depression were assessed using the Epworth Sleepiness Scale (ESS), Athens Insomnia Scale (AIS), and Patient Health Questionnaire-9 (PHQ-9), respectively. The ESS, AIS, and PHQ-9 scores were higher in the sleep unit in the psychiatry department (p < 0.001 each). Snoring and moderate to severe OSA were more prevalent in the unit attached to the otolaryngology department (p < 0.001 each). Patients with moderate to severe OSA had lower PHQ-9 scores than those with no to mild OSA (OR: 0.96, 95% CI: 0.92-1.00, p = 0.042).

Conclusion:
Patients with sleepiness, insomnia, and depressive symptoms were more likely to attend a sleep outpatient unit associated with a psychiatry department, whereas those with snoring and sleep apnoea attended that associated with an otolaryngology department. OSA severity was negatively associated with depressive symptoms.

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