Sleep and Breathing

, Volume 14, Issue 2, pp 125–130 | Cite as

Changes in emotional state of bed partners of snoring and obstructive sleep apnea patients following radiofrequency tissue ablation: a pilot study

  • Virgilijus Uloza
  • Tomas BalsevičiusEmail author
  • Raimundas Sakalauskas
  • Skaidrius Miliauskas
  • Nida Žemaitienė
Original Article



To test the hypothesis that obstructive sleep apnea/hypopnea syndrome (OSAHS) and snoring affect not only the patients but also their bed partners, resulting in increased severity of symptoms of depression and sleepiness that may improve after the patients receive radiofrequency tissue ablation (RFTA) treatment.


Thirty-six snoring and/or OSAHS patients from 24 to 63 years of age (mean age 41.67 ± 9.86 years) underwent full-night polysomnography (PSG) and two sessions of RFTA at palatal or palatal and tongue base levels. Follow-up PSG was carried out within the period of 2–3 months after the second RFTA session. The baseline and posttreatment clinical tests battery consisting of Spielberg’s Trait–State Anxiety Inventory, Beck Depression Inventory-Second Edition (BDI-II), and Epworth Sleepiness Scale (ESS) were applied to assess the changes in emotional state of study group patient’s bed partners.


Mean apnea/hypopnea index decreased from 13.16 ± 10.76 preoperatively to 10.69 ± 8.28 postoperatively (p = 0.043) for the entire group of the patients. A statistically significant decrease of the mean BDI-II scores (12.69 ± 7.66 preoperatively to 9.17 ± 6.88 postoperatively, p < 0.005) for the entire group of the patients’ bed partners was observed. There was no statistically significant difference between pre- and posttreatment mean daytime sleepiness scores in both OSAHS and in simple snoring patients’ bed partners when measured with ESS.


Based on present study results, we conclude that RFTA therapy results in improved depression scores for the bed partners of snoring and OSAHS patients during a short follow-up period, as measured with BDI-II.


Obstructive sleep apnea hypopnea syndrome Snoring Bed partners Depression Anxiety Radiofrequency tissue ablation 


  1. 1.
    Hoffstein V, Mateika JH, Mateika S (1991) Snoring and sleep architecture. Am Rev Respir Dis 143:92–96PubMedGoogle Scholar
  2. 2.
    Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S (1993) The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328:1230–1235CrossRefPubMedGoogle Scholar
  3. 3.
    Parish JM, Lyng PJ (2003) Quality of life in bed partners of patients with obstructive sleep apnea or hypopnea after treatment with continuous positive airway pressure. Chest 124:942–947CrossRefPubMedGoogle Scholar
  4. 4.
    Kiely JL, McNicholas WT (1997) Bed partners’ assessment of nasal continuous positive airway pressure therapy in obstructive sleep apnea. Chest 111:1261–1265CrossRefPubMedGoogle Scholar
  5. 5.
    Doherty LS, Kiely JL, Lawless G, Lawless G, McNicholas WT (2003) Impact of nasal continuous positive airway pressure therapy on the quality of life of bed partners of patients with obstructive sleep apnea syndrome. Chest 124:2209–2214CrossRefPubMedGoogle Scholar
  6. 6.
    Beninati W, Harris CD, Herold DR, Shepard JW Jr (1999) The effects of snoring and obstructive sleep apnea on the sleep quality of bed partners. Mayo Clin Proc 74:955–958CrossRefPubMedGoogle Scholar
  7. 7.
    Balsevicius T, Uloza V, Sakalauskas R, Miliauskas S, Reklaitienė R, Bacevičienė M (2008) Psychometric properties of the Lithuanian version of sleep apnea quality of life index (a pilot study). Medicina (Kaunas) 44(4):296–301Google Scholar
  8. 8.
    Uloza V, Balsevicius T, Sakalauskas R, Miliauskas S, Žemaitienė N (2009) Changes in emotional state of snoring and obstructive sleep apnea patients following radiofrequency tissue ablation. Eur Arch Otorinolaringol. doi: 10.1007/s00405-008-0866-7
  9. 9.
    Spielberger CD (1983) Manual for the State–Trait Anxiety Inventory (STAI). Consulting Psychologists Press, Palo AltoGoogle Scholar
  10. 10.
    Beck AT, Brown GK, Steer RA (1996) Beck Depression Inventory-II (BDI-II). The Psychological Corporation, San AntonioGoogle Scholar
  11. 11.
    Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 14:540–545PubMedGoogle Scholar
  12. 12.
    Woodson BT, Steward DL, Weaver AM, Javaheri S (2003) A randomized trial of temperature-controlled radiofrequency, continuous positive airway pressure, and placebo for obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg 128:848–861CrossRefPubMedGoogle Scholar
  13. 13.
    Steward DL, Weaver AM, Woodson BT (2005) Multilevel temperature-controlled radiofrequency for obstructive sleep apnea: extended follow-up. Otolaryngol Head Neck Surg 132(4):630–635CrossRefPubMedGoogle Scholar
  14. 14.
    Boudewyns A, Van de Heyning P (2000) Temperature-controlled radiofrequency tissue volume reduction of the soft palate (somnoplasty) in the treatment of habitual snoring: results of a European multicenter trial. Acta Otolaryngol 120:981–985CrossRefPubMedGoogle Scholar
  15. 15.
    Schwartz DJ, Kohler WC, Karatinos G (2005) Symptoms of depression in individuals with obstructive sleep apnea may be amenable to treatment with continuous positive airway pressure. Chest 128:1304–1309CrossRefPubMedGoogle Scholar
  16. 16.
    Kjelsberg FN, Ruud EA, Stavem K (2005) Predictors of symptoms of anxiety and depression in obstructive sleep apnea. Sleep Med 6:341–346CrossRefPubMedGoogle Scholar
  17. 17.
    McFadyen TA, Espie CA, McArdle N, Douglas NJ, Engleman HM (2001) Controlled, prospective trial of psychosocial function of before and after continuous positive airway pressure therapy. Eur Respir J 18:996–1002CrossRefPubMedGoogle Scholar
  18. 18.
    McArdle N, Kingshoot HM, Mackay TW, Mackay TW, Douglas NJ (2001) Partners of patients with sleep apnea/hypopnea syndrome: effect of CPAP treatment on sleep quality and quality of life. Thorax 56:513–518CrossRefPubMedGoogle Scholar
  19. 19.
    Armstrong MWJ, Wallace CL, Marais J (1999) The effect of surgery upon the quality of life in snoring patients and their partners. Clin Otolaryngol 24:510–522CrossRefPubMedGoogle Scholar
  20. 20.
    Borak J, Cieslicki JK, Koziej M, Matuszewski A, Zielinski J (1996) Effects of CPAP treatment on psychological status in patients with severe obstructive sleep apnea. J Sleep Res 5:123–127CrossRefPubMedGoogle Scholar
  21. 21.
    McArdle N, Devereux G, Heidarnejad H, Engleman HM, Mackay TW, Douglas NJ (1999) Long-term use of CPAP therapy for sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 159:1108–1114PubMedGoogle Scholar
  22. 22.
    Hoy CT, Vennelle M, Kingshoot RN, Engleman HM, Douglas NJ (1999) Can intensive support improve continuous positive airway pressure use in patients with sleep apnea/hypopnea syndrome? Am J Respir Crit Care Med 159:1096–1100PubMedGoogle Scholar
  23. 23.
    Marshall NS, Neill AM, Campbell AJ, Sheppard DS (2005) Randomized controlled crossover trial of humidified continuous positive airway pressure in mild obstructive sleep apnea. Thorax 60:427–432CrossRefPubMedGoogle Scholar
  24. 24.
    Buchner NJ, Sanner BM, Borgel J, Rump LC (2007) Continuous positive airway pressure treatment of mild to moderate obstructive sleep apnea reduces cardiovascular risk. Am J Respir Crit Care Med 176:1274–1280CrossRefPubMedGoogle Scholar
  25. 25.
    Back LJJ, Hytonen ML, Roine RP, Malmivaara AOV (2009) Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Laryngoscope 119(6):1241–1250CrossRefPubMedGoogle Scholar
  26. 26.
    Wewers ME, Lowe NK (1990) A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 13:227–236CrossRefPubMedGoogle Scholar
  27. 27.
    Zisapel N, Nir T (2003) Determination of the minimal clinically significant difference on a patient visual analog sleep quality scale. J Sleep Res 12(4):291–298PubMedGoogle Scholar
  28. 28.
    Back LJJ, Tervahartiala PO, Piilonen AK, Partinen MM, Ylikoski JS (2002) Bipolar radiofrequency thermal ablation of the soft palate in habitual snorers without significant desaturations assessed by magnetic resonance imaging. Am J Respir Crit Care Med 166:965–971CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Virgilijus Uloza
    • 1
  • Tomas Balsevičius
    • 1
    Email author
  • Raimundas Sakalauskas
    • 2
  • Skaidrius Miliauskas
    • 2
  • Nida Žemaitienė
    • 3
  1. 1.Department of OtolaryngologyKaunas University of MedicineKaunasLithuania
  2. 2.Department of Pulmonology and ImmunologyKaunas University of MedicineKaunasLithuania
  3. 3.Department of Preventive MedicineKaunas University of MedicineKaunasLithuania

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