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Obstructive Sleep Apnea and Severe Mental Illness: Evolution and Consequences

  • Sleep Disorders (MJ Sateia, Section Editor)
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Abstract

Sleep complaints are commonly encountered in psychiatric clinics. Underlying medical disorders or sleep disorders need to be identified and treated to optimize treatment of the mental illness. Excessive daytime sleepiness, which is the main symptom of obstructive sleep apnea (OSA), overlaps with those of many severe mental illnesses. Medication side effects or the disorder itself maybe account for daytime sleepiness but comorbid OSA is a possibility that should not be overlooked. The diagnosis of OSA is straightforward but treatment compliance is problematic in psychiatric patients. This article summarizes studies concerning comorbid OSA in patients with severe mental illness and includes suggestions for future investigations.

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Disclosure

W.-C. Lin: none; J. W. Winkelman: has served as a board member of Zeo; has served as a consultant to Pfizer, UCB, Zeo, and Sunovion; has provided expert testimony for AVH; has received research support from National Institute of Mental Health, GlaxoSmithKline, and Impax Pharmaceuticals; and has received stock/stock options from Zeo.

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  1. Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan

    Wei-Chen Lin

  2. Faculty of Medicine, National Yang-Ming University Schools of Medicine, Taipei, Taiwan

    Wei-Chen Lin

  3. Divisions of Sleep Medicine and Psychiatry, Sleep Health Centers, Brigham and Women’s Hospital, Harvard Medical School, 1505 Commonwealth Avenue, Boston, MA, 02135, USA

    John W. Winkelman

  4. Department of Psychiatry, Harvard Medical School, Boston, MA, USA

    John W. Winkelman

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Lin, WC., Winkelman, J.W. Obstructive Sleep Apnea and Severe Mental Illness: Evolution and Consequences. Curr Psychiatry Rep 14, 503–510 (2012). https://doi.org/10.1007/s11920-012-0307-6

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