Psychiatric Manifestations in the Patients of Obstructive Sleep Apnea at Tertiary Care Center of Northern India

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IntRoductIonObstructive sleep apnea (OSA) is an important health problem that affects approximately 10% of the population in the world.[1] It is characterized as a breathing disorder and is caused by the intermittent collapse in upper airway during sleep.[1,2] It is typically associated with excessive daytime sleepiness (EDS), associated with bad sleep quality, and associated with compromised daytime function.[3] OSA is diagnosed via monitoring of respiratory, sleep, and cardiac parameters at night.[2] Polysomnography (PSG) is an important method to detect OSA.[4] An apnea-hypopnea index (AHI) of >5/h of sleep recording by PSG confirms the diagnosis of OSA.Tarraubella et al. have reported that only around 10% of people with OSA are diagnosed and treated.This gap causes serious public health concern.Hospital Anxiety and Depression Scale (HADS) score is a reliable method to assess the anxiety and depression in different clinical examination and populations.[5] Neuropsychological symptoms include concentrating problem, quickness, cognitive impairment, depression, and other psychological disorders.Few studies have shown that higher rates of anxiety and depression in OSA patients are due to neural injury and increased with disease severity, but some studies had rejected the phenomenon.[6][7][8][9] The relationship between OSA and psychiatric manifestations is under-represented or not well defined.Thus, in this study, we aimed to assess not only the psychiatric manifestations in OSA patients but also examine the correlation between the associated variables and symptoms.

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