Volume 21 Issue 10
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1643-1646
YAN Rong, PAN Yourang. Relationship between sleep structure, ventilation oxygenation level and interpersonal response, pleasure and cognition in patients with obstructive sleep apnea complicated with subclinical depression[J]. Chinese Journal of General Practice, 2023, 21(10): 1643-1646. doi: 10.16766/j.cnki.issn.1674-4152.003189
Citation: YAN Rong, PAN Yourang. Relationship between sleep structure, ventilation oxygenation level and interpersonal response, pleasure and cognition in patients with obstructive sleep apnea complicated with subclinical depression[J]. Chinese Journal of General Practice, 2023, 21(10): 1643-1646. doi: 10.16766/j.cnki.issn.1674-4152.003189
shu

Relationship between sleep structure, ventilation oxygenation level and interpersonal response, pleasure and cognition in patients with obstructive sleep apnea complicated with subclinical depression

doi: 10.16766/j.cnki.issn.1674-4152.003189

  • Department of Psychiatry, the Seventh People' s Hospital of Shaoxing, Shaoxing, Zhejiang 312000, China

Funds:

 2023RC292

  • Received Date: 2023-05-29
    Available Online: 2023-11-23
    Abstract
  •   Objective  The sleep structure, ventilation oxygenation level, empathy (interpersonal response), pleasure and cognitive flexibility of patients with obstructive sleep apnea (OSA) and subclinical depression (SD) were evaluated by the scale, and the relationship between sleep data and affective cognitive indicators was explored.  Methods  Thirty-seven patients with confirmed outpatient or inpatient diagnosis of OSA combined with SD in the Seventh People' s Hospital of Shaoxing City from May 2022 to May 2023 were selected as the OSA combined with SD group, and 65 OSA patients with non-SD during the same period were selected as the OSA group. The patients' sleep structure, sleep ventilation oxygenation status, empathy, pleasure and cognitive flexibility were compared. Pearson (or Spearman) correlation analysis was performed between different sleep indicators and emotional cognitive indicators.  Results  The sleep efficiency (SE) of OSA patients with SD was significantly negatively correlated with the interpersonal response indicators of personal pain (r=-0.668) and empathic concern (r=-0.579), positively correlated with the abstraction (r=0.664), concrete expected pleasure (r=0.597) and abstract completion pleasure (r=0.770) of pleasure experience, and negatively correlated with the number of error responses (Re) and the number of persistent errors (Rpe) in cognitive flexibility could reach more than 0.5. The sleep latency (SL) was mainly correlated with personal pain (r=0.546) and abstract completion pleasure (r=-0.574). The percentage of rapid eye movement sleep (REM%) were more than 0.5 correlated with personal pain and most pleasure assessment indicators in empathy indicators, and the microarousal index focused on the empathy status of patients (all r>0.5). The apnea hypopnea index (AHI) and oxygen desaturation index (ODI) were correlated with the patient' s emotional and cognitive indicators (|r|>0.5).  Conclusion  The sleep structure and oxygenation status of OSA patients with SD have a certain impact on their interpersonal response, pleasure and cognitive flexibility, and there is a significant correlation between some indicators.

     

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    • References(18)
  • [1]
    翟曜耀, 刘晓霞, 孟婵, 等. 快动眼期呼吸暂停低通气指数在轻度阻塞性睡眠呼吸暂停低通气综合征病情评估中的意义[J]. 中华全科医学, 2022, 20(12): 2015-2018, 2079. doi: 10.16766/j.cnki.issn.1674-4152.002758

    ZHAI Y Y, LIU X X, MENG C, et al. Significance of rapid-eye-movement apnoea-hypopnea index for the evaluation of the mild obstructive sleep apnoea-hypopnea syndrome[J]. Chinese Journal of General Practice, 2022, 20(12): 2015-2018, 2079. doi: 10.16766/j.cnki.issn.1674-4152.002758
    [2]
    李然, 张海滨, 王振裕. 阻塞性睡眠呼吸暂停患者中医证型分布规律及特征分析[J]. 北京中医药, 2022, 41(11): 1287-1290. https://www.cnki.com.cn/Article/CJFDTOTAL-BJZO202211026.htm

    LI R, ZHANG H B, WANG Z Y. Study on distribution and characteristics of TCM syndrome types in patients with obstructive sleep apnea[J]. Beijing Journal of Traditional Chinese Medicine, 2022, 41(11): 1287-1290. https://www.cnki.com.cn/Article/CJFDTOTAL-BJZO202211026.htm
    [3]
    衣荟洁, 李建祥, 张驰, 等. 基于路径分析的方法探讨抑郁症状对阻塞性睡眠呼吸暂停患者持续气道正压通气治疗依从性的影响[J]. 中国全科医学, 2022, 25(33): 4179-4184. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202233012.htm

    YI Y J, LI J X, ZHANG C, et al. Effect of Depressive Symptoms on the Adherence to Continuous Positive Airway Pressure in Obstructive Sleep Apnea Patients Using a Path Analysis-based Approach[J]. Chinese General Practice, 2022, 25(33): 4179-4184. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202233012.htm
    [4]
    叶靖, 吕云辉, 杨杰, 等. 阻塞性睡眠呼吸暂停低通气综合征伴抑郁的研究[C]//中国睡眠研究会. 中国睡眠研究会第十四届全国学术年会论文汇编. [出版社不详], 2022: 217.

    YE J, LYU Y H, YANG J, et al. Study on obstructive sleep apnea hypopnea syndrome with depression[C]//Chinese Sleep Research Association. Proceedings of the 14 th National Academic Annual Meeting of China Sleep Research Association. [Publisher unknown], 2022 : 217.
    [5]
    魏源, 符翠萍, 沈莹莹, 等. 美国睡眠医学会2017年成人阻塞性睡眠呼吸暂停诊断临床指南解读[J]. 世界临床药物, 2020, 41(4): 242-246. https://www.cnki.com.cn/Article/CJFDTOTAL-GWHH202004002.htm

    WEI Y, FU C P, SHEN Y Y, et al. Interpretation of clinical guidelines for diagnosis of adult obstructive sleep apnea in 2017 by American Academy of Sleep Medicine[J]. World Clinical Drugs, 2020, 41(4): 242-246. https://www.cnki.com.cn/Article/CJFDTOTAL-GWHH202004002.htm
    [6]
    包佳敏, 李欢欢, 黄川, 等. 亚临床抑郁大学生的分离性快感缺失及其与共情的关系[J]. 中国临床心理学杂志, 2020, 28(3): 528-532. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202003021.htm

    BAO J M, LI H H, HUANG C, et al. Relationship between anhedonia and empathy in college students with subclinical depression[J]. Chinese Journal of Clinical Psychology, 2020, 28(3): 528-532. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202003021.htm
    [7]
    朱宏梅, 许敏, 荚娟华, 等. 安徽省急诊科护士替代性创伤现状及其影响因素[J]. 护理研究, 2023, 37(6): 980-987.

    ZHU H M, XU M, JIA J H, et al. Status quo and influencing factors of vicarious traumatization among emergency department nurses in Anhui province[J]. Chinese Nursing Research, 2023, 37(6): 980-987.
    [8]
    庞芳芳, 陈玮, 苏英, 等. 老年人和青年人的共情差异: 积极与消极情绪的分离[J]. 北京大学学报(自然科学版), 2023, 59(1): 161-169. https://www.cnki.com.cn/Article/CJFDTOTAL-BJDZ202301017.htm

    PANG F F, CHEN W, SU Y, et al. Empathy differences between the elderly and the young: discrepancies in positive and negative emotions[J]. Acta Scientiarum Naturalium Universitatis Pekinensis, 2023, 59(1): 161-169. https://www.cnki.com.cn/Article/CJFDTOTAL-BJDZ202301017.htm
    [9]
    李思慧, 樊洁, 甘俊, 等. 愉快情绪体验量表中文版在强迫症患者中的信度和效度[J]. 中国临床心理学杂志, 2018, 26(6): 1131-1135. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201806018.htm

    LI S H, FAN J, GAN J, et al. Reliability and validity of temporal experience of pleasure scale in obsessive-compulsive disorder[J]. Chinese Journal of Clinical Psychology, 2018, 26(6): 1131-1135. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201806018.htm
    [10]
    蒋金, 刘月龄, 陈璐, 等. 早发型和晚发型强迫症患者静息态脑功能连接差异及其与认知灵活性的相关分析[J]. 中华行为医学与脑科学杂志, 2023, 32(1): 24-30.

    JIANG J, LIU Y L, CHEN L, et al. Differences of resting-state brain functional connectivity in patients with early-onset and late-onset obsessive compulsive disorder and their correlation with cognitive flexibility[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2023, 32(1): 24-30.
    [11]
    武萌, 王艳平, 王维华, 等. 陕西省成年人睡眠总时长与代谢综合征的关系[J]. 中国慢性病预防与控制, 2022, 30(12): 920-923, 928. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202212008.htm

    WU M, WANG Y P, WANG W H, et al. Relationship between sleeping duration and metabolic syndrome in adults of Shaanxi Province[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2022, 30(12): 920-923, 928. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202212008.htm
    [12]
    张梦琪, 任蓉, 张烨, 等. 客观日间嗜睡对阻塞性睡眠呼吸暂停患者心率变异性的影响[J]. 四川大学学报(医学版), 2023, 54(2): 298-303. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYK202302015.htm

    ZHANG M Q, REN R, ZHANG Y, et al. Effect of objective daytime sleepiness on heart rate variability in patients with obstructive sleep apnea[J]. Journal of Sichuan University(Medical Sciences), 2023, 54(2): 298-303. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYK202302015.htm
    [13]
    余波, 郭永宏, 柳颐龄, 等. 儿童不明原因胸痛和/或胸闷与儿茶酚胺及心率变异性的关系[J]. 中华实用儿科临床杂志, 2020, 35(13): 988-991.

    YU B, GUO Y H, LIU Y L, et al. Relationship of children's unexplained chest pain and/or chest distress with catecholamine and heart rate variability[J]. Chinese Journal of Applied Clinical Pediatrics, 2020, 35(13): 988-991.
    [14]
    杨雪红. 睡眠剥夺的自主神经模式分析[D]. 重庆: 西南大学, 2021.

    YANG X H. Autonomic neural pattern analysis of sleep deprivation[D]. Chongqing: Southwest university, 2021.
    [15]
    王文娟, 黄礼年, 许启霞, 等. 睡眠前后呼出气一氧化氮水平变化与OSAHS严重程度关系的临床研究[J]. 中华全科医学, 2021, 19(12): 1999-2002, 2092. doi: 10.16766/j.cnki.issn.1674-4152.002220

    WANG W J, HUANG L N, XU Q X, et al. Clinical study on the relationship between the changes of fractional exhaled nitric oxide and the severity of OSAHS before and after sleep[J]. Chinese Journal of General Practice, 2021, 19(12): 1999-2002, 2092. doi: 10.16766/j.cnki.issn.1674-4152.002220
    [16]
    颜志强, 曾晓, 祝寿, 等. 青少年情绪共情和抑郁的关系: 羞耻倾向和心理弹性的链式中介作用[J]. 中国临床心理学杂志, 2022, 30(1): 77-80. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202201016.htm

    YAN Z Q, ZENG X, ZHU S, et al. The relationship between affective empathy and depression in adolescent: a chain mediating effect of shame and resilience[J]. Chinese Journal of Clinical Psychology, 2022, 30(1): 77-80. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202201016.htm
    [17]
    钟闰清, 方舒琳, 何嘉悦, 等. 快感缺失对于MDD自杀意念与自杀行为的影响机制研究[J]. 中国临床心理学杂志, 2023, 31(2): 315-321. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202302048.htm

    ZHONG R Q, FANG S L, HE J Y, et al. The Influence mechanism of anhedonia on suicidal ideation and suicidal behavior in MDD[J]. Chinese Journal of Clinical Psychology, 2023, 31(2): 315-321. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202302048.htm
    [18]
    李鹏, 刘霞, 孙炳海, 等. 青少年抑郁的快感缺失的神经机制研究[J]. 心理发展与教育, 2018, 34(2): 239-248. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ201802013.htm

    LI P, LIU X, SUN B H, et al. A review of neural mechanism of anhedonia in depressive adolescents[J]. Psychological Development and Education, 2018, 34(2): 239-248. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ201802013.htm
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