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Sleep Apnea and Depression
Just looking at another site I am on and came across this article, I think we all know it but it was interesting as I went to 5 different specialist and they all diagnosed Depression but not one suggested a sleep study even though I kept saying I couldn't breathe. It wasn't till I said I have to see a sleep specialist that I got some results.
Sleep Apnea and Depression Posted in Sleep Apnea by Cyndi Sarnoff-Ross on Apr 25, 2012 The Centers for Disease Control has reported that Sleep Apnea is related to Depression. Sleep Apnea is a condition in which sleep is disturbed by the repeated cessation of breathing during slumber. I have written previously about the importance of adequate sleep to one’s mental health. In my own practice I have seen many cases of depression and anxiety that are directly connected to lack of sleep.
Snoring, while a great annoyance to one’s partner, did not appear to affect the quality of sleep in the CDC’s research (at least not for the person doing the snoring.) The disturbance was specifically related to the gasping for air, snorting, or the complete stoppage of breathing that ultimately translated into higher rates of depression.
The study’s author, Anne G. Wheaton, Ph.D., reported that the frequency of snorting, or episodes where breathing stopped, was related to how likely a person was to have depression.
It is important for clinicians to screen for the presence of sleep apnea when sleepiness is reported as a symptom of depression. It is always critical to rule out the presence of physical conditions when diagnosing individuals with any mental health disorder.
- Cyndi
Views: 263
Replies to This Discussion
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Permalink Reply by Kath Hope on
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Yes, it makes complete sense that undiagnosed Sleep Apnoea, as well as causing physical illnesses can also cause mental/emotional issues too. Our bodies need to spend 1/3rd of each day in good quality sleep, so if this isn't happening there are going to be big repercussions.
I wrote a Blog recently on this very subject:- The Link Between Sleep Apnoea + Depression
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Permalink Reply by Terry Vella on
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I just saw this one on CPAP.com.
Oxygen Affects Cancer Growth
Researchers found skin cancer tumors developed at a quicker rate when deprived of normal amounts of oxygen. Supporting research indicated oxygen-deprived cancer cells created a substance that stimulated the growth of blood vessels feeding the cancer. Because OSA affects oxygen levels, scientists began considering the potential link between OSA and cancer.
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I know - Twitter's been full of it :( So many links to different conditions. Thank goodness for Colin Sullivan and CPAP.
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Permalink Reply by Judith-Ann Wardlaw on
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I was diagnosed with Fibromyalgia and depression. Have been to numerous specialists, pain clinic, taken buckets of different drugs..
My greatest problem was my 'asthma' and pain in my hands and arms which woke me every night despite the strongest painkillers and antidepressents. The first night I trialled a xPAP I did not wake with hand and arm pains and now, three weeks later have still not experienced them again. Looking back at a diary I first went to my GP in 2003 with the pain. It was immediately presumed it was caused by depression. She now says it was most probably oxygen starvation.
And the depression lifted the first week on CPAP, came back last week, but I had some very early starts, a funeral and lots of leakage.
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If you can get that mask under control you'll be amazed how you feel after a period of time.
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The number of people I come across, especially women, with fibromyalgia as well is amazing. It's great to read how after just a very short period of successful CPAP treatment your pain has already diminished and you felt the depression lifting. Once you've got the 'right' mask for you and have got your treatment comfortable, you have a much brighter healthier life to look forward to Judith :)
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There's a study just out today proving that CPAP therapy improves depression with and without antidepressants http://www.sciencecodex.com/pap_therapy_improves_depressive_symptom...
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I love the article Kath. In my case, I really think because my depression symptoms were so close to SA symptoms that I was probably misdiagnosed. I was on antidepressants for two years before being diagnosed with SA and they kept upping the dosage till I got to double the therapeutic dose. I still didn't feel any better, it was only a few months after starting CPAP that I started to feel better. My head is so clear now, the clearest it has been in 49 years, I don't have what I called the 'fog of depression'. I have a theory and this is just my point of view, but in some cases I think Dr's are happy to doll out meds and continue seeing patients for the money. Don't get me wrong, there are people that need medicatation, but Dr's want to treat the symptoms (with meds)rather than find the cause, in my case SA. Maybe I'm still 'nuts' or now I'm too clear headed. I know you have said it in the past but anyone with depression symptoms and SA symptoms should at least have a sleep study.
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Your story is so typical of ones I hear all the time. I think the confusing thing is that depression often follows stressful events in peoples lives that would have happened whether or not they had sleep apnoea. However, if people are being treated for OSA then they're not sleep deprived, so therefore they are far more able to handle the stresses of life better.
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Permalink Reply by martin mucznik on
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hi all you hoseheads,i was diagnosed with fibromyalgia in 2003 and SA in 2004 since then my sa and fibro has got steadely worse,my sleep is broken with pain,and then have problems getting back to sleep.i spend hours trying to sleep to no avail,i am wheelchair bound most of the day,darnt have a nap in the day incase i cant sleep at night.vicious circle.i take lots of medication including morphine and antidepressants,would love to have a FULL nights sleep.i would not wish any of these illnesses on anyone.i have had alot of help from my gp and the hospital but wish they could find a cure,but with a bit of help now and again still keep positve.all the best.muz
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Poor you, Martin - you are in difficult position. You need your morphine for the pain, yet as you know, both morphine and antidepressants usually make sleep apnoea worse. Do the sleep clinic check on your AHI and adjust your pressure accordingly? I have also read about some antidepressants taken in a morning, rather than an evening, help for people with OSA.
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Martin, sorry to hear about your illness's, as Kath suggested have you had your AHI checked and adjusted lately? Do you know what yours is now and when you have had your sleep studies? I'm sure it is difficult for you having to take meds to treat one thing and then trying to deal with SA. As you would know, CPAP doesn't help us sleep, it helps us breathe while we sleep, so the sleep is a 'by product'. I was also wondering if you have had any relief from any of your illness's since you were diagnosed with SA.
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