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Screen for Depression in Obstructive Sleep Apnea Patients

Major Finding: 29% of patients with OSA met criteria for depression, compared with 8% of controls.

Data Source: Prospective study of 56 obstructive sleep apnea patients at an otolaryngology clinic.

Disclosures: Dr. Ishman had no financial conflicts.

ORLANDO — Obstructive sleep apnea patients with symptoms of excessive sleepiness have the greatest risk of depression, based on data from a prospective study of 107 adults.

Data from previous studies have shown that self-reported depression is more common among women with obstructive sleep apnea (OSA) compared with men with OSA, but data on the relationship among depression, severity of OSA, and sleepiness are limited, said Dr. Stacey Ishman of Johns Hopkins University, Baltimore.

Dr. Ishman and her colleagues evaluated 56 consecutive OSA patients aged 27-74 years who presented to an otolaryngology clinic and compared them with 51 controls. The average age of patients and controls was 47 years; 61% of the OSA patients were male.

Overall, significantly more OSA patients met the criteria for depression, compared with controls (29% vs. 8%). The severity of OSA (measured using the Respiratory Disturbance Index) was a significant predictor of Beck Depression Inventory (BDI) scores, but BDI scores were not correlated with the severity of OSA.

These findings suggest that “depression may be significant even in patients with mild OSA,” Dr. Ishman said at the meeting jointly sponsored by the Triological Society and the American College of Surgeons.

BDI scores were significantly correlated with higher scores on the Epworth Sleepiness Scale (ESS), but the ESS did not correlate with the severity of sleep apnea. However, findings from previous studies have shown that more than 50% of individuals with severe OSA (an apnea-hypopnea index of at least 30 events/hour) do not report subjective sleepiness, she noted.

The relationship between BDI and ESS suggests that OSA patients with excessive sleepiness in particular might benefit from depression screening, she said.

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Major Finding: 29% of patients with OSA met criteria for depression, compared with 8% of controls.

Data Source: Prospective study of 56 obstructive sleep apnea patients at an otolaryngology clinic.

Disclosures: Dr. Ishman had no financial conflicts.

ORLANDO — Obstructive sleep apnea patients with symptoms of excessive sleepiness have the greatest risk of depression, based on data from a prospective study of 107 adults.

Data from previous studies have shown that self-reported depression is more common among women with obstructive sleep apnea (OSA) compared with men with OSA, but data on the relationship among depression, severity of OSA, and sleepiness are limited, said Dr. Stacey Ishman of Johns Hopkins University, Baltimore.

Dr. Ishman and her colleagues evaluated 56 consecutive OSA patients aged 27-74 years who presented to an otolaryngology clinic and compared them with 51 controls. The average age of patients and controls was 47 years; 61% of the OSA patients were male.

Overall, significantly more OSA patients met the criteria for depression, compared with controls (29% vs. 8%). The severity of OSA (measured using the Respiratory Disturbance Index) was a significant predictor of Beck Depression Inventory (BDI) scores, but BDI scores were not correlated with the severity of OSA.

These findings suggest that “depression may be significant even in patients with mild OSA,” Dr. Ishman said at the meeting jointly sponsored by the Triological Society and the American College of Surgeons.

BDI scores were significantly correlated with higher scores on the Epworth Sleepiness Scale (ESS), but the ESS did not correlate with the severity of sleep apnea. However, findings from previous studies have shown that more than 50% of individuals with severe OSA (an apnea-hypopnea index of at least 30 events/hour) do not report subjective sleepiness, she noted.

The relationship between BDI and ESS suggests that OSA patients with excessive sleepiness in particular might benefit from depression screening, she said.

Major Finding: 29% of patients with OSA met criteria for depression, compared with 8% of controls.

Data Source: Prospective study of 56 obstructive sleep apnea patients at an otolaryngology clinic.

Disclosures: Dr. Ishman had no financial conflicts.

ORLANDO — Obstructive sleep apnea patients with symptoms of excessive sleepiness have the greatest risk of depression, based on data from a prospective study of 107 adults.

Data from previous studies have shown that self-reported depression is more common among women with obstructive sleep apnea (OSA) compared with men with OSA, but data on the relationship among depression, severity of OSA, and sleepiness are limited, said Dr. Stacey Ishman of Johns Hopkins University, Baltimore.

Dr. Ishman and her colleagues evaluated 56 consecutive OSA patients aged 27-74 years who presented to an otolaryngology clinic and compared them with 51 controls. The average age of patients and controls was 47 years; 61% of the OSA patients were male.

Overall, significantly more OSA patients met the criteria for depression, compared with controls (29% vs. 8%). The severity of OSA (measured using the Respiratory Disturbance Index) was a significant predictor of Beck Depression Inventory (BDI) scores, but BDI scores were not correlated with the severity of OSA.

These findings suggest that “depression may be significant even in patients with mild OSA,” Dr. Ishman said at the meeting jointly sponsored by the Triological Society and the American College of Surgeons.

BDI scores were significantly correlated with higher scores on the Epworth Sleepiness Scale (ESS), but the ESS did not correlate with the severity of sleep apnea. However, findings from previous studies have shown that more than 50% of individuals with severe OSA (an apnea-hypopnea index of at least 30 events/hour) do not report subjective sleepiness, she noted.

The relationship between BDI and ESS suggests that OSA patients with excessive sleepiness in particular might benefit from depression screening, she said.

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