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Sleep-Disordered Breathing and Psychiatric Disorders

  • Sleep Disorders (P Gehrman, Section Editor)
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Abstract

Sleep-disordered breathing, the commonest form of which is obstructive sleep apnoea (OSA) is increasingly recognised as a treatable cause of morbidity. It shares many risk factors with psychiatric disorders including behaviours such as smoking and physical comorbidity. Many symptoms of the two overlap, leaving OSA often undetected and undertreated. In the few studies that assess the two, OSA is commonly comorbid with depression (17–45 %) and schizophrenia (up to 55 %) and possibly bipolar. There is some limited evidence that treating OSA can ameliorate psychiatric symptoms. Some psychotropics, such as narcotics, cause sleep-disordered breathing (SDB), whilst weight-inducing neuroleptics may exacerbate it. An extreme form of SDB, sudden infant death syndrome (SIDS), is a risk in mothers with substance abuse. Being aware of these common comorbidities may help improve psychiatric patient’s treatment and quality of life.

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Haider A. Naqvi, David Wang and Ronald R. Grunstein declare that they have no conflict of interest.

Nicholas Glozier has received a grant from the NHMRC (Centre of Research Excellence-Neurosleep).

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Naqvi, H.A., Wang, D., Glozier, N. et al. Sleep-Disordered Breathing and Psychiatric Disorders. Curr Psychiatry Rep 16, 519 (2014). https://doi.org/10.1007/s11920-014-0519-z

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  • DOI: https://doi.org/10.1007/s11920-014-0519-z

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