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Published in: BMC Psychiatry 1/2023

Open Access 01-12-2023 | Panic Disorder | Research

Serum C-reactive protein level and sleep characteristics in obstructive sleep apnea syndrome comorbid with panic disorder: a preliminary study

Authors: Shuai Yang, Xiaoyi Kong, Xueyan Li, Yi-Jun Ge

Published in: BMC Psychiatry | Issue 1/2023

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Abstract

Objective

Investigate the sleep characteristics of patients with obstructive sleep apnea syndrome (OSAS) comorbidity with panic disorder (PD), exploring its potential association with serum C-reactive protein (CRP) levels.

Patients and methods

Fifty-four patients (25 OSAS patients with PD and 29 without PD) and 25 healthy controls (HCs) were included. The Self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Pittsburgh sleep quality index (PSQI) were used to assess the mood and sleep quality of the subjects. All patients had circulating CRP levels and polysomnography was performed.

Results

OSAS with PD had higher SAS, SDS, PSQI than the OSAS without PD. Compared to OSAS without PD, OSAS with PD had higher percentage of non- rapid eye movement sleep 1 and 2 (N1 and N2%), sleep latency, and a lower percentage of rapid eye movement sleep (REM%). Respiratory-related microarousal index, AHI, and time below 90% oxygen saturation (T90) were low, and the lowest oxygen saturation (LO2) was high. Serum CRP levels in OSAS patients with PD were lower than that in OSAS patients without PD, but higher than that in HCs. In OSAS patients with PD, serum CRP levels were negatively correlated with wake time after sleep onset and SAS scores but positively correlated with sleep efficiency and N2%. Serum CRP levels were positively correlated with T90 and negatively correlated with LO2.

Conclusion

OSAS patients with PD had worse sleep quality, less severe OSAS, and low serum CRP levels. Serum CRP levels in OSAS patients with PD were associated with poorer sleep quality and duration of hypoxia rather than AHI.
Literature
4.
go back to reference Vanek J, Belohradova Minarikova K, Prasko J, et al. Obstruction sleep apnoea and panic disorder. Neuro Endocrinol Lett. 2023;44(2):86–96.PubMed Vanek J, Belohradova Minarikova K, Prasko J, et al. Obstruction sleep apnoea and panic disorder. Neuro Endocrinol Lett. 2023;44(2):86–96.PubMed
16.
go back to reference 中国医师协会睡眠医学专业委员会. 成人阻塞性睡眠呼吸暂停多学科诊疗指南. 中华医学杂志, 2018,98: 1902–1914. (in Chinese). 中国医师协会睡眠医学专业委员会. 成人阻塞性睡眠呼吸暂停多学科诊疗指南. 中华医学杂志, 2018,98: 1902–1914. (in Chinese).
17.
go back to reference American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5 (R)). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. 2013. p. 280. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5 (R)). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. 2013. p. 280.
18.
go back to reference First MB. Structured Clinical Interview for the DSM (SCID). The Encyclopedia of Clinical Psychology. 2015. p. 1–6. First MB. Structured Clinical Interview for the DSM (SCID). The Encyclopedia of Clinical Psychology. 2015. p. 1–6.
26.
go back to reference Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the scoring of sleep and associated events. Deliberations of the sleep apnea definitions task force of the American academy of sleep medicine. J Clin Sleep Med. 2012;8:597–619. https://doi.org/10.5664/jcsm.2172.CrossRefPubMedCentral Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the scoring of sleep and associated events. Deliberations of the sleep apnea definitions task force of the American academy of sleep medicine. J Clin Sleep Med. 2012;8:597–619. https://​doi.​org/​10.​5664/​jcsm.​2172.CrossRefPubMedCentral
30.
go back to reference Trajanovic NN, Rasool MS, Voloh I, et al. Sleep-disordered breathing, cardiac arrhythmia, and panic disorder. J Clin Sleep Med. 2005;1:288–9.CrossRefPubMed Trajanovic NN, Rasool MS, Voloh I, et al. Sleep-disordered breathing, cardiac arrhythmia, and panic disorder. J Clin Sleep Med. 2005;1:288–9.CrossRefPubMed
Metadata
Title
Serum C-reactive protein level and sleep characteristics in obstructive sleep apnea syndrome comorbid with panic disorder: a preliminary study
Authors
Shuai Yang
Xiaoyi Kong
Xueyan Li
Yi-Jun Ge
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2023
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-023-05376-6

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