Fatigue in sleep apnea: The role of depressive symptoms and self-reported sleep quality

Sleep Medicine

Volumn 12, Issue 9, 2011, Pages 832-837

  Stepnowsky, Carl J ^a,d   Palau, Joe J ^b   Zamora, Tania ^a   Ancoli Israel, Sonia ^c   Loredo, Jose S ^d  

^a VA SAN DIEGO HEALTHCARE SYSTEM   (United States)

^b CALIFORNIA STATE UNIVERSITY   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d UNIVERSITY OF CALIFORNIA SAN DIEGO   (United States)

Author keywords

Depression; Fatigue; Oximetry; Sleep; Sleep apnea syndromes; Sleep fragmentation

Indexed keywords

ADULT; ARTICLE; CENTER FOR EPIDEMIOLOGICAL STUDIES DEPRESSION SCALE; COMORBIDITY; CONTROLLED STUDY; DAYTIME SOMNOLENCE; DEMOGRAPHY; DEPRESSION; DISEASE ASSOCIATION; DISEASE SEVERITY; EDUCATIONAL STATUS; EPWORTH SLEEPINESS SCALE; FATIGUE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; POSITIVE END EXPIRATORY PRESSURE; POST HOC ANALYSIS; PRIORITY JOURNAL; QUESTIONNAIRE; SELF REPORT; SLEEP APNEA SYNDROME; SLEEP QUALITY; SYMPTOM;

ADULT; AGED; AGED, 80 AND OVER; COMORBIDITY; DEPRESSION; FATIGUE; FEMALE; HUMANS; MALE; MIDDLE AGED; QUESTIONNAIRES; REGRESSION ANALYSIS; SELF REPORT; SEVERITY OF ILLNESS INDEX; SLEEP APNEA SYNDROMES; SLEEP DEPRIVATION;

EID: 80455122644     PISSN: 13899457     EISSN: 18785506     Source Type: Journal    
DOI: 10.1016/j.sleep.2011.07.004     Document Type: Article

References (32)

1. Ohayon M.M. The effects of Breathing-Related Sleep Disorders on mood disturbances in the general population. J Clin Psychiatry 2003, 64(10):1195-2000.
2. Kales A., Caldwell A.B., Cadieux R.J., Vela-Bueno A., Ruch L.G., Mayes S.D. Severe Obstructive Sleep Apnea-II: associated psychopathology and psychosocial consequences. J Chronic Dis 1985, 38(5):427-434.
3. McCall W.V., Harding D., O'Donovan C. Correlates of depressive symptoms in patients with Obstructive Sleep Apnea. J Clin Sleep Med 2006, 2(4):424-426.
4. Pillar G., Lavie P. Psychiatric symptoms in sleep apnea syndrome: effects of gender and Respiratory Disturbance Index. Chest 1998, 114(3):697-703.
5. Macey P.M., Woo M.A., Kumar R., Cross R.L., Harper R.M. Relationship between Obstructive Sleep Apnea severity and sleep, depression and anxiety symptoms in newly-diagnosed patients. PLoS One 2010, 5(4):e10211.
6. Peppard P.E., Szklo-Coxe M., Hla K.M., Young T. Longitudinal association of sleep-related breathing disorder and depression. Arch Intern Med 2006, 166(16):1709-1715.
7. Bardwell W.A., Moore P., Ancoli-Israel S., Dimsdale J.E. Fatigue in Obstructive Sleep Apnea: driven by depressive symptoms instead of apnea severity?. Am J Psychiatry 2003, 160(2):350-355.
8. Bardwell W.A., Ancoli-Israel S., Dimsdale J.E. Comparison of the effects of depressive symptoms and apnea severity on fatigue in patients with Obstructive Sleep Apnea: a replication study. J Affect Disord 2007, 97(1-3):181-186.
9. Jackson M.L., Stough C., Howard M.E., Spong J., Downey L.A., Thompson B. The contribution of fatigue and sleepiness to depression in patients attending the sleep laboratory for evaluation of Obstructive Sleep Apnea. Sleep Breath 2010, [Published online May 6, 2010; epub ahead of print].
10. Wells R.D., Day R.C., Carney R.M., Freedland K.E., Duntley S.P. Depression predicts self-reported sleep quality in patients with Obstructive Sleep Apnea. Psychosom Med 2004, 66(5):692-697.
11. Rush A.J., Armitage R., Gillin J.C., Yonkers K.A., Winokur A., Moldofsky H., et al. Comparative effects of nefazodone and fluoxetine on sleep in outpatients with Major Depressive Disorder. Biol Psychiatry 1998, 44(1):3-14.
12. Gillin J.C., Rapaport M., Erman M.K., Winokur A., Albala B.J. A comparison of nefazodone and fluoxetine on mood and on objective, subjective, and clinician-rated measures of sleep in depressed patients: a double-blind, 8-week clinical trial. J Clin Psychiatry 1997, 58(5):185-192.
13. American Academy of Sleep Medicine International classification of sleep disorders, diagnostic and coding manual 2005, American Academy of Sleep Medicine, Westchester, IL. 2nd ed.
14. Buysse D.J., Reynolds C.F., Monk T.H., Berman S.R., Kupfer D.J. The pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989, 28(2):193-213.
15. Johns M.W. A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991, 14(6):540-545.
16. Lorig K., Stewart A., Ritter P., Gonzales V.M., Laurent D., Lynch J. Outcome measures for health education and health care interventions 1996, Sage Publications, Thousand Oaks, CA.
17. Andresen E.M., Malmgren J.A., Carter W.B., Patrick D.L. Screening for depression in well older adults: evaluation of a short form of the Ces-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med 1994, 10(2):77-84.
18. Iber C., Ancoli-Israel S., Chesson A., Quan S. The aasm manual for the scoring of sleep and associated events: rules, terminology, and technical specifications 2007, American Academy of Sleep Medicine, Westchester, IL. 1st ed.
19. Buysse D.J., Reynolds C.F., Monk T.H., Hoch C.C., Yeager A.L., Kupfer D.J. Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI). Sleep 1991, 14(4):331-338.
20. Johns M.W. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep 1992, 15(4):376-381.
21. Groll D.L., To T., Bombardier C., Wright J.G. The development of a comorbidity index with physical function as the outcome. J Clin Epidemiol 2005, 58(6):595-602.
22. Tomfohr L.M., Ancoli-Israel S., Loredo J.S., Dimsdale J.E. Effects of continuous positive airway pressure on fatigue and sleepiness in patients with Obstructive Sleep Apnea: data from a randomized controlled trial. Sleep 2011, 34(1):121-126.
23. Irwin M., Artin K.H., Oxman M.N. Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (Ces-D). Arch Intern Med 1999, 159(15):1701-1704.
24. Lee K.A., Hicks G., Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Res 1991, 36(3):291-298.
25. Brunier G., Graydon J. A comparison of two methods of measuring fatigue in patients on chronic haemodialysis: visual analogue vs Likert scale. Int J Nurs Stud 1996, 33(3):338-348.
26. Chervin R.D., Guilleminault C. Overestimation of sleep latency by patients with suspected hypersomnolence. Sleep 1996, 19(2):94-100.
27. Carskadon M.A., Dement W.C., Mitler M.M., Guilleminault C., Zarcone V.P., Spiegel R. Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. Am J Psychiatry 1976, 133(12):1382-1388.
28. McCall W.V., Turpin E., Reboussin D., Edinger J.D., Haponik E.F. Subjective estimates of sleep differ from polysomnographic measurements in Obstructive Sleep Apnea patients. Sleep 1995, 18(8):646-650.
29. Krystal A.D., Edinger J.D. Measuring sleep quality. Sleep Med 2008, 9(Suppl. 1):S10-S17.
30. Reynolds C.F., Kupfer D.J., McEachran A.B., Taska L.S., Sewitch D.E., Coble P.A. Depressive psychopathology in male sleep apneics. J Clin Psychiatry 1984, 45(7):287-290.
31. Aikens J.E., Mendelson W.B. A matched comparison of MMPI responses in patients with primary snoring or Obstructive Sleep Apnea. Sleep 1999, 22(3):355-359.
32. Aloia M.S., Arnedt J.T., Smith L., Skrekas J., Stanchina M., Millman R.P. Examining the construct of depression in Obstructive Sleep Apnea Syndrome. Sleep Med 2005, 6(2):115-121.