Depressive symptoms and childhood sleep apnea syndrome

Marco Carotenuto,1 Maria Esposito,1 Lucia Parisi,2 Beatrice Gallai,3 Rosa Marotta,4 Antonio Pascotto,1 Michele Roccella21Sleep Clinic for Developmental Age, Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Naples, Italy; 2Child Neuropsychiatry, Department of Psychology, U...

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Autores principales:	Carotenuto M, Esposito M, Parisi L, Gallai B, Marotta R, Pascotto A, Roccella M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/50bbdaa444554247b1c46e4e5a38ccbf
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spelling	oai:doaj.org-article:50bbdaa444554247b1c46e4e5a38ccbf2021-12-02T05:34:35ZDepressive symptoms and childhood sleep apnea syndrome1176-63281178-2021https://doaj.org/article/50bbdaa444554247b1c46e4e5a38ccbf2012-08-01T00:00:00Zhttp://www.dovepress.com/depressive-symptoms-and-childhood-sleep-apnea-syndrome-a10797https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Marco Carotenuto,1 Maria Esposito,1 Lucia Parisi,2 Beatrice Gallai,3 Rosa Marotta,4 Antonio Pascotto,1 Michele Roccella21Sleep Clinic for Developmental Age, Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Naples, Italy; 2Child Neuropsychiatry, Department of Psychology, University of Palermo, Palermo, Italy; 3Unit of Child and Adolescent Neuropsychiatry, University of Perugia, Perugia, 4Department of Psychiatry, &quot;Magna Graecia&quot; University of Catanzaro, Catanzaro, ItalyBackground: The relationship between sleep and mood regulation is well known, and some reports suggest a key role of sleep-related breathing disorders (SRBD) in the development of the symptomatology of depression, even if no conclusive data are actually found in the clinical literature. The aim of this study was to assess the relationship between SRBD and depressive symptoms in a population of school-aged children.Methods: The study population comprised 94 children affected by SRBD and 107 healthy children. To identify the severity of SRBD, an overnight respiratory evaluation was performed. All subjects filled out the Italian version of the Children Depression Inventory (CDI) to screen for the presence of depressive symptoms.Results: The group with SRBD showed higher CDI scores than the group without SRBD, with a positive correlation found between CDI scores, apnea-hypopnea index, and oxygen desaturation index values. Logistic regression showed that an apnea-hypopnea index &ge; 3 and an oxygen desaturation index &ge; 1 could be risk factors for development of depressive symptoms. According to receiver-operating characteristic curve analysis, the cutoff point for the apnea-hypopnea index that could cause a pathological CDI score (&ge;19) was &gt;5.66, and the cutoff point for the oxygen desaturation index was &gt;4.2. The limitations of this study are that our data are derived from one single psychometric test and not from a complete psychiatric evaluation, and our subjects came from a small group in southern Italy.Conclusion: Our results suggest the importance of mood assessment in children affected by SRBD.Keywords: depression, sleep-related breathing disorders, cardiorespiratory monitoring, childrenCarotenuto MEsposito MParisi LGallai BMarotta RPascotto ARoccella MDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2012, Iss default, Pp 369-373 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Carotenuto M Esposito M Parisi L Gallai B Marotta R Pascotto A Roccella M Depressive symptoms and childhood sleep apnea syndrome
description	Marco Carotenuto,1 Maria Esposito,1 Lucia Parisi,2 Beatrice Gallai,3 Rosa Marotta,4 Antonio Pascotto,1 Michele Roccella21Sleep Clinic for Developmental Age, Clinic of Child and Adolescent Neuropsychiatry, Second University of Naples, Naples, Italy; 2Child Neuropsychiatry, Department of Psychology, University of Palermo, Palermo, Italy; 3Unit of Child and Adolescent Neuropsychiatry, University of Perugia, Perugia, 4Department of Psychiatry, &quot;Magna Graecia&quot; University of Catanzaro, Catanzaro, ItalyBackground: The relationship between sleep and mood regulation is well known, and some reports suggest a key role of sleep-related breathing disorders (SRBD) in the development of the symptomatology of depression, even if no conclusive data are actually found in the clinical literature. The aim of this study was to assess the relationship between SRBD and depressive symptoms in a population of school-aged children.Methods: The study population comprised 94 children affected by SRBD and 107 healthy children. To identify the severity of SRBD, an overnight respiratory evaluation was performed. All subjects filled out the Italian version of the Children Depression Inventory (CDI) to screen for the presence of depressive symptoms.Results: The group with SRBD showed higher CDI scores than the group without SRBD, with a positive correlation found between CDI scores, apnea-hypopnea index, and oxygen desaturation index values. Logistic regression showed that an apnea-hypopnea index &ge; 3 and an oxygen desaturation index &ge; 1 could be risk factors for development of depressive symptoms. According to receiver-operating characteristic curve analysis, the cutoff point for the apnea-hypopnea index that could cause a pathological CDI score (&ge;19) was &gt;5.66, and the cutoff point for the oxygen desaturation index was &gt;4.2. The limitations of this study are that our data are derived from one single psychometric test and not from a complete psychiatric evaluation, and our subjects came from a small group in southern Italy.Conclusion: Our results suggest the importance of mood assessment in children affected by SRBD.Keywords: depression, sleep-related breathing disorders, cardiorespiratory monitoring, children
format	article
author	Carotenuto M Esposito M Parisi L Gallai B Marotta R Pascotto A Roccella M
author_facet	Carotenuto M Esposito M Parisi L Gallai B Marotta R Pascotto A Roccella M
author_sort	Carotenuto M
title	Depressive symptoms and childhood sleep apnea syndrome
title_short	Depressive symptoms and childhood sleep apnea syndrome
title_full	Depressive symptoms and childhood sleep apnea syndrome
title_fullStr	Depressive symptoms and childhood sleep apnea syndrome
title_full_unstemmed	Depressive symptoms and childhood sleep apnea syndrome
title_sort	depressive symptoms and childhood sleep apnea syndrome
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/50bbdaa444554247b1c46e4e5a38ccbf
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Depressive symptoms and childhood sleep apnea syndrome

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