The effect of continuous positive airway pressure (CPAP) on overlapping and non-overlapping depressive symptoms in obstructive sleep apnoea (OSA) using linear growth curve modelling

Publikation: Bidrag til tidsskriftKommentar/debatForskningfagfællebedømt

The assessment of depression in Obstructive Sleep Apnoea (OSA) is confounded by symptom overlap, making it difficult to determine whether Continuous Positive Airway Pressure (CPAP) ameliorates both overlapping and non-overlapping depressive symptoms in OSA. This study examined the effect of CPAP ameliorating overlapping and non-overlapping depressive symptoms, within the Hamilton Rating Scale for Depression (HAM-D), in a 12-week, single arm study using Linear Growth Curve Modelling (LGCM). At baseline, individuals endorsed proportionally more severe overlapping compared to non-overlapping, depressive symptoms. Both overlapping and non-overlapping symptoms significantly decreased over time, but with a greater decrease in the severity of overlapping than non-overlapping depressive symptoms. Critically, greater CPAP use was associated with a faster rate of decline, but in overlapping depressive symptoms alone. Therefore, overlapping HAM-D depressive symptoms are more responsive to CPAP treatment. Implications of these intriguing findings are discussed.
OriginalsprogEngelsk
TidsskriftSleep Medicine
ISSN1389-9457
DOI
StatusUdgivet - 2017
Eksternt udgivetJa

ID: 322283204