Stress in obstructive sleep apnea

Abstract People with obstructive sleep apnea (OSA) often have psychological symptoms including depression and anxiety, which are commonly treated with anti-depression or anti-anxiety interventions. Psychological stress is a related symptom with different intervention targets that may also improve me...

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Autores principales:	Jasmine L. Wong, Fernando Martinez, Andrea P. Aguila, Amrita Pal, Ravi S. Aysola, Luke A. Henderson, Paul M. Macey
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/65a0bc881f384e5198756758c973def1
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spelling	oai:doaj.org-article:65a0bc881f384e5198756758c973def12021-12-02T17:41:05ZStress in obstructive sleep apnea10.1038/s41598-021-91996-52045-2322https://doaj.org/article/65a0bc881f384e5198756758c973def12021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91996-5https://doaj.org/toc/2045-2322Abstract People with obstructive sleep apnea (OSA) often have psychological symptoms including depression and anxiety, which are commonly treated with anti-depression or anti-anxiety interventions. Psychological stress is a related symptom with different intervention targets that may also improve mental state, but this symptom is not well characterized in OSA. We therefore aimed to describe stress in relation to other psychological symptoms. We performed a prospective cross-sectional study of 103 people, 44 untreated OSA (mean ± s.d. age: 51.2 ± 13.9 years, female/male 13/31) and 57 healthy control participants (age: 46.3 ± 13.8 years, female/male 34/23). We measured stress (Perceived Stress Scale; PSS), excessive daytime sleepiness (Epworth Sleepiness Scale; ESS), depressive symptoms (Patient Health Questionnaire; PHQ-9), and anxiety symptoms (General Anxiety Disorder; GAD-7). We compared group means with independent samples t-tests and calculated correlations between variables. Mean symptom levels were higher in OSA than control, including PSS (mean ± s.d.: OSA = 15.3 ± 6.9, control = 11.4 ± 5.5; P = 0.002), GAD-7 (OSA = 4.8 ± 5.0, control = 2.1 ± 3.9; P = 0.02), PHQ-9 (OSA = 6.9 ± 6.1, control = 2.6 ± 3.8; P = 0.003) and ESS (OSA = 8.1 ± 5.3, control = 5.0 ± 3.3; P = 0.03). Similar OSA-vs-control differences appeared in males, but females only showed significant differences in PHQ-9 and ESS, not PSS or GAD-7. PSS correlated strongly with GAD-7 and PHQ-9 across groups (R = 0.62–0.89), and moderately with ESS. Perceived stress is high in OSA, and closely related to anxiety and depressive symptoms. The findings support testing stress reduction in OSA.Jasmine L. WongFernando MartinezAndrea P. AguilaAmrita PalRavi S. AysolaLuke A. HendersonPaul M. MaceyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jasmine L. Wong Fernando Martinez Andrea P. Aguila Amrita Pal Ravi S. Aysola Luke A. Henderson Paul M. Macey Stress in obstructive sleep apnea
description	Abstract People with obstructive sleep apnea (OSA) often have psychological symptoms including depression and anxiety, which are commonly treated with anti-depression or anti-anxiety interventions. Psychological stress is a related symptom with different intervention targets that may also improve mental state, but this symptom is not well characterized in OSA. We therefore aimed to describe stress in relation to other psychological symptoms. We performed a prospective cross-sectional study of 103 people, 44 untreated OSA (mean ± s.d. age: 51.2 ± 13.9 years, female/male 13/31) and 57 healthy control participants (age: 46.3 ± 13.8 years, female/male 34/23). We measured stress (Perceived Stress Scale; PSS), excessive daytime sleepiness (Epworth Sleepiness Scale; ESS), depressive symptoms (Patient Health Questionnaire; PHQ-9), and anxiety symptoms (General Anxiety Disorder; GAD-7). We compared group means with independent samples t-tests and calculated correlations between variables. Mean symptom levels were higher in OSA than control, including PSS (mean ± s.d.: OSA = 15.3 ± 6.9, control = 11.4 ± 5.5; P = 0.002), GAD-7 (OSA = 4.8 ± 5.0, control = 2.1 ± 3.9; P = 0.02), PHQ-9 (OSA = 6.9 ± 6.1, control = 2.6 ± 3.8; P = 0.003) and ESS (OSA = 8.1 ± 5.3, control = 5.0 ± 3.3; P = 0.03). Similar OSA-vs-control differences appeared in males, but females only showed significant differences in PHQ-9 and ESS, not PSS or GAD-7. PSS correlated strongly with GAD-7 and PHQ-9 across groups (R = 0.62–0.89), and moderately with ESS. Perceived stress is high in OSA, and closely related to anxiety and depressive symptoms. The findings support testing stress reduction in OSA.
format	article
author	Jasmine L. Wong Fernando Martinez Andrea P. Aguila Amrita Pal Ravi S. Aysola Luke A. Henderson Paul M. Macey
author_facet	Jasmine L. Wong Fernando Martinez Andrea P. Aguila Amrita Pal Ravi S. Aysola Luke A. Henderson Paul M. Macey
author_sort	Jasmine L. Wong
title	Stress in obstructive sleep apnea
title_short	Stress in obstructive sleep apnea
title_full	Stress in obstructive sleep apnea
title_fullStr	Stress in obstructive sleep apnea
title_full_unstemmed	Stress in obstructive sleep apnea
title_sort	stress in obstructive sleep apnea
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/65a0bc881f384e5198756758c973def1
work_keys_str_mv	AT jasminelwong stressinobstructivesleepapnea AT fernandomartinez stressinobstructivesleepapnea AT andreapaguila stressinobstructivesleepapnea AT amritapal stressinobstructivesleepapnea AT ravisaysola stressinobstructivesleepapnea AT lukeahenderson stressinobstructivesleepapnea AT paulmmacey stressinobstructivesleepapnea
_version_	1718379708988522496

Stress in obstructive sleep apnea

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