Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients

Farid R Talih,1 Jean J Ajaltouni,1 Hani M Tamim,2 Firas H Kobeissy3 1Department of Psychiatry, 2Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; 3Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Bei...

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Autores principales:	Talih FR, Ajaltouni JJ, Tamim HM, Kobeissy FH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Obstructive sleep apnea excessive daytime sleepiness depression and anxiety symptoms Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2772c8408f9646faadee52b309930373
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spelling	oai:doaj.org-article:2772c8408f9646faadee52b3099303732021-12-02T02:05:28ZRisk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients1178-2021https://doaj.org/article/2772c8408f9646faadee52b3099303732017-04-01T00:00:00Zhttps://www.dovepress.com/risk-of-obstructive-sleep-apnea-and-excessive-daytime-sleepiness-in-ho-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Farid R Talih,1 Jean J Ajaltouni,1 Hani M Tamim,2 Firas H Kobeissy3 1Department of Psychiatry, 2Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; 3Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon Objectives: This study evaluated the risk of developing obstructive sleep apnea (OSA) and excessive daytime sleepiness (EDS) in hospitalized psychiatric patients at the American University of Beirut Medical Center (AUB-MC). Factors associated with OSA and EDS occurrence in this sample were also examined. Methods: The Berlin questionnaire and the Epworth sleepiness scale; which respectively evaluate OSA and EDS symptoms, were administered to individuals hospitalized at an acute psychiatric treatment unit at the AUB-MC between the dates of January 2014 and October 2016. Additional data collected included general demographics, psychiatric diagnoses, and questionnaires evaluating depression and anxiety symptoms. Statistical analyses utilizing SPSS were performed to determine the prevalence of OSA and EDS, as well as their respective associations with patient profiles. Results: Our results showed that 39.5% of participants were found to have a high risk of sleep apnea and 9.9% of the participants were found to have abnormal daytime sleepiness. The risk of developing OSA was associated with a higher body mass index (BMI) (P=0.02), and depression severity (patient health questionnaire 9 score) (P=0.01). Increasing severity of depressive symptoms was associated with a higher risk of sleep apnea (P=0.01). BMI (odds ratio [OR] =5.97, 95% confidence interval [CI] 1.89–18.82) and depression severity (OR =4.04, 95% CI 1.80–9.07) were also found to be predictors of OSA. The psychiatric diagnoses of the participants were not found to have a significant association with the risk of sleep apnea. Conclusion: The risk of OSA is increased among hospitalized psychiatric patients, and this condition can have detrimental effects on psychiatric patients. OSA appears to be under-recognized in this population, psychiatrists should screen for OSA in hospitalized psychiatric patients and refer them for diagnostic testing or treatment when indicated. Keywords: obstructive sleep apnea, excessive daytime sleepiness, depression, anxiety, psychiatric patients, inpatient psychiatryTalih FRAjaltouni JJTamim HMKobeissy FHDove Medical PressarticleObstructive sleep apneaexcessive daytime sleepinessdepression and anxiety symptomsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1193-1200 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Obstructive sleep apnea excessive daytime sleepiness depression and anxiety symptoms Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Obstructive sleep apnea excessive daytime sleepiness depression and anxiety symptoms Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Talih FR Ajaltouni JJ Tamim HM Kobeissy FH Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
description	Farid R Talih,1 Jean J Ajaltouni,1 Hani M Tamim,2 Firas H Kobeissy3 1Department of Psychiatry, 2Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; 3Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon Objectives: This study evaluated the risk of developing obstructive sleep apnea (OSA) and excessive daytime sleepiness (EDS) in hospitalized psychiatric patients at the American University of Beirut Medical Center (AUB-MC). Factors associated with OSA and EDS occurrence in this sample were also examined. Methods: The Berlin questionnaire and the Epworth sleepiness scale; which respectively evaluate OSA and EDS symptoms, were administered to individuals hospitalized at an acute psychiatric treatment unit at the AUB-MC between the dates of January 2014 and October 2016. Additional data collected included general demographics, psychiatric diagnoses, and questionnaires evaluating depression and anxiety symptoms. Statistical analyses utilizing SPSS were performed to determine the prevalence of OSA and EDS, as well as their respective associations with patient profiles. Results: Our results showed that 39.5% of participants were found to have a high risk of sleep apnea and 9.9% of the participants were found to have abnormal daytime sleepiness. The risk of developing OSA was associated with a higher body mass index (BMI) (P=0.02), and depression severity (patient health questionnaire 9 score) (P=0.01). Increasing severity of depressive symptoms was associated with a higher risk of sleep apnea (P=0.01). BMI (odds ratio [OR] =5.97, 95% confidence interval [CI] 1.89–18.82) and depression severity (OR =4.04, 95% CI 1.80–9.07) were also found to be predictors of OSA. The psychiatric diagnoses of the participants were not found to have a significant association with the risk of sleep apnea. Conclusion: The risk of OSA is increased among hospitalized psychiatric patients, and this condition can have detrimental effects on psychiatric patients. OSA appears to be under-recognized in this population, psychiatrists should screen for OSA in hospitalized psychiatric patients and refer them for diagnostic testing or treatment when indicated. Keywords: obstructive sleep apnea, excessive daytime sleepiness, depression, anxiety, psychiatric patients, inpatient psychiatry
format	article
author	Talih FR Ajaltouni JJ Tamim HM Kobeissy FH
author_facet	Talih FR Ajaltouni JJ Tamim HM Kobeissy FH
author_sort	Talih FR
title	Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
title_short	Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
title_full	Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
title_fullStr	Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
title_full_unstemmed	Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
title_sort	risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/2772c8408f9646faadee52b309930373
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_version_	1718402698348331008

Risk of obstructive sleep apnea and excessive daytime sleepiness in hospitalized psychiatric patients

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