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Sleep apnea risk and clinical correlates in patients with bipolar disorder
Author(s) -
Soreca Isabella,
Levenson Jessica,
Lotz Meredith,
Frank Ellen,
Kupfer David J
Publication year - 2012
Publication title -
bipolar disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 129
eISSN - 1399-5618
pISSN - 1398-5647
DOI - 10.1111/j.1399-5618.2012.01044.x
Subject(s) - bipolar disorder , mania , obstructive sleep apnea , sleep apnea , population , psychiatry , depression (economics) , mood , overweight , medicine , polysomnography , bipolar i disorder , psychology , pediatrics , clinical psychology , apnea , obesity , environmental health , economics , macroeconomics
Soreca I, Levenson J, Lotz M, Frank E, Kupfer DJ. Sleep apnea risk and clinical correlates in patients with bipolar disorder. Bipolar Disord 2012: 14: 672–676. © 2012 The Authors. Journal compilation © 2012 John Wiley & Sons A/S. Objective:  Despite the high prevalence of risk factors for obstructive sleep apnea (OSA) among individuals with bipolar disorder, the presence of sleep‐disordered breathing has not been systematically assessed in this population. In this study, we sought to determine the level of risk for OSA in a population of remitted individuals with a diagnosis of bipolar I disorder. Methods:  A total of 72 individuals with a diagnosis of bipolar I disorder, all of whom were overweight by the World Health Organization criteria, completed the Berlin Questionnaire, a self‐assessment tool to establish risk for OSA. Results:  Over half of this study population (54.1%) was found to be in the high‐risk category for OSA. Participants at high risk for OSA scored significantly higher on measures of both depression and mania, even when sleep items were not counted in the total scores. Conclusions:  Sleep apnea may be prevalent in patients with bipolar I disorder. Considering the substantial overlap of symptoms between OSA and depression and the potentially harmful effects of sleep disruption in patients with mood disorders, a systematic screening to assess prevalence and associated features of OSA in patients with bipolar disorder is warranted.

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