The comparison of depression, sleepiness and depression severity between patients with primary snoring and patients with obstructive sleep apnea
Murat Salihoğlu1, Aytuğ Altundağ2, Hakan Balıbey3, Melih Çayönü4, Mustafa Tansel Kendirli5, Hakan Tekeli5
1Gata Haydarpaşa Eğitim Hastanesi, Kulak Burun Boğaz Kliniği, Istanbul
2Istanbul Cerrahi Hastanesi, Kulak Burun Boğaz Bölümü, Istanbul
3Gata Haydarpaşa Eğitim Hastanesi, Psikiyatri Kliniği, Istanbul
4Amasya Üniversitesi Eğitim Ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, Amasya
5Gata Haydarpaşa Eğitim Hastanesi, Nöroloji Kliniği, Istanbul
Keywords: Beck depression inventory, depression, Epworth sleepiness scale, obstructive sleep apnea.
Abstract
OBJECTIVE: This study aims to investigate the relationship between the frequency of depression symptoms, severity of obstructive sleep apnea (OSA), sleepiness score, and depression symptoms in patients with primary snoring and patients with OSA.
METHODS: This study was carried out with 105 volunteers (93 males, 12 females; mean age 47±13.2 years; range 20 to 78 years) between January 2010 and June 2013 in our clinic. Physical examination, Epworth sleepiness scale, and Beck depression inventory were applied. Age and sex matched patients were divided into four groups: (i) control group with primary snoring, (ii) mild OSA group (iii) moderate OSA group, and (iv) severe OSA group.
RESULTS: This study produced four major findings: (i) Apnea-hypopnea index was not significantly correlated with Beck depression inventory score, Epworth sleepiness scale score, and body mass index. (ii) There was a significant difference between study groups in terms of the prevalence of depression. Mild to moderate depression was more common in OSA patients than patients with primary snoring. (iii) Beck depression inventory score had no significant correlation with Epworth sleepiness scale score and body mass index. (iv) There was no significant difference between study groups in terms of excessive daytime sleepiness.
CONCLUSION: Although no correlation was present between apnea-hyponea index and Beck depression inventory, mild to moderate depression was more common in OSA patients compared to patients with primary snoring.