Correlation between sleepiness and anxiety, depression in patients with OSAHS

Abstract

Objective To investigate the correlation between daytime sleepiness and anxiety, depression in patients with obstructive sleep apnea and hypopnea syndrome(OSAHS). Methods A total of 117 patients with sleep-snoring from September 2015 to September 2017 who admitted to the Department of Respiratory Medicine of Shengjing Hospital Affiliated to China Medical University were collected for general information.ESS, SDS, SAS questionnaire and polysomnography were detected.The differences between simple snoring and OSAHS group were compared, and the correlation between Epworth Sleepiness Scale(ESS), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale(SAS) score was analyzed. Results The scores of ESS, SDS and SAS in the OSAHS group were (16.24±3.82)points, (46.27±9.01)points, (48.21±9.44)points, respectively, which were higher than those in the simple snoring group [(6.0±2.58)points, (35.50±18.40)points, (36.55±17.97)points](t=-14.425, -2.521, -2.780, all P<0.05). There was a correlation between SDS or SAS score and ESS score in OSAHS group(r=0.419, 0.313, all P<0.05). Conclusion The sleepiness and anxiety, depression in OSAHS patients is more severe than simple snoring; ESS score in OSAHS patients can reflect the severity of the disease, the degree of sleepiness in patients with OSAHS is related to depression and anxiety. Key words: Sleepiness; Anxiety; Depression; Obstructive sleep apnea and hypopnea syndrome; Epworth sleepiness scale; Self-rating depression scale; Self-rating anxiety scale; Simple snore