Indian Journal of Sleep Medicine

Register      Login

VOLUME 4 , ISSUE 3 ( July-September, 2009 ) > List of Articles


Sleep Apnoea: Impact on safety and psychosocial functions

D Dang, D Cunnington

Keywords : obstructive sleep apnoea, safety, psychosocial function, quality of life, continuous positive airway pressure

Citation Information : Dang D, Cunnington D. Sleep Apnoea: Impact on safety and psychosocial functions. Indian Sleep Med 2009; 4 (3):95-99.

DOI: 10.5005/ijsm-4-3-95

License: NA

Published Online: 01-04-2018

Copyright Statement:  NA


Sleep apnoea is a common condition within the community. The consequences of untreated sleep apnoea are far-reaching and they include cardiovascular and cerebrovascular morbidity and mortality, neurocognitive impairment, increased risk of motor vehicle accidents, occupational injuries, lower quality of life (QOL), and mood disorders. It is an important public safety issue in light of its prevalence in certain subgroups. Untreated sleep apnoea has substantial safety and psychosocial impairments, which translate to major health care costs. Continuous positive airway pressure (CPAP) treatment for sleep apnoea has been shown to have a positive impact on subjective quality of life and depression, and is cost effective.

PDF Share
  1. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993; 328(17):1230- 1235.
  2. Udwadia ZF, Doshi AV, Lonkar SG, Singh CI. Prevalence of sleep-disordered breathing and sleep apnea in middle-aged urban Indian men. Am J Respir Crit Care Med 2004; 169:168-73.
  3. Sharma SK, Kumpawat S, Banga A, Goel A. Prevalence and risk factors of obstructive sleep apnea syndrome in a population of Delhi, India. Chest 2006; 130(1):149- 56.
  4. Ohayon MM, Guilleminault C, Priest RG, Caulet M. Snoring and breathing pauses during sleep: telephone interview survey of United Kingdom population sample. BMJ 1997; 314:860-863.
  5. Sateia MJ. Neuropsychological impairment and quality of life in obstructive sleep apnea. Clin Chest Med 2003; 24(2):249-59.
  6. Schneider C, Fulda S, Schulz H. Daytime variation in performance and tiredness/sleepiness ratings in patients with insomnia, narcolepsy, sleep apnea and normal controls. J Sleep Res 2004; 13(4):373-383.
  7. Gast H, Schwalen S, Ringendahl H, Jörg J, Hirshkowitz M. Sleep-Related Breathing Disorders and Continuous Positive Airway Pressure-Related Changes in Cognition. Sleep Med Clin 2006; 1(4):499-511.
  8. NHTSA Traffic Safety Fact Sheet, Alcohol-Impaired Driving. 2007 Data. DOT HS 810 985. Accessed, 03/03/2009.
  9. NHTSA Overview Traffic Safety Fact Sheet, 2007. DOT HS 810 993. Accessed, 03/03/2009.
  10. George CF. Sleep apnea, alertness, and motor vehicle crashes. Am J Respir Crit Care Med 2007; 176(10):954-6.
  11. Howard ME, Desai AV, Grunstein RR, et al. Sleepiness, sleep-disordered breathing, and accident risk factors in commercial vehicle drivers. Am J Respir Crit Care Med 2004; 170(9):1014-1021.
  12. Gururaj G. Road traffic deaths, injuries and disabilities in India:current scenario. Natl Med J India 2008; 21(1):14-20
  13. George CF. Reduction in motor vehicle collisions following treatment of sleep apnoea with nasal CPAP. Thorax 2001; 56:508-512.
  14. Ayas NT, Fitzgerald M, Fleetham JA, et al. Cost-effectiveness of continuous positive airway pressure therapy for moderate to severe obstructive sleep apnea/hypopnea. Arch Intern Med 2006; 166:977-984.
  15. Ulfberg J, Carter N, Edling C. Sleep-disordered breathing and occupational accidents. Scand J Work Environ Health 2000; 26:237-242.
  16. Lindberg E, Carter N, Gislason T, Janson C. Role of snoring and daytime sleepiness in occupational accidents. Am J Respir Crit Care Med 2001; 164:2031-2035.
  17. Sjösten N, Kivimäki M, Oksanen T, et al. Obstructive sleep apnoea syndrome as a predictor of work disability. Respir Med 2009; Feb 24. [Article in press]
  18. Akashiba T, Kawahara S, Akahoshi T, et al. Rela-tionship between quality of life and mood or depres-sion in patients with severe obstructive sleep apnea syndrome. Chest 2002; 122:861-865.
  19. Sforza E, de Saint Hilaire Z, Pelissolo A, Rochat T, Ibanez V. Personality, anxiety and mood traits in patients with sleeprelated breathing disorders: Effect of reduced daytime alertness. Sleep Med 2002;3:139-145.
  20. Weaver TE, Laizner AM, Evans LK, et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep 1997; 20(10):835-43
  21. Yue W, Hao W, Liu P, Liu T, Ni M, Guo Q. A case-control study on psychological symptoms in sleep apnea hypopnea syndrome. Can J Psychiat 2003; 48:318-23.
  22. Millman RP, Fogel BS, McNamara ME, Carlisle CC. Depression as a manifestation of obstructive sleep apnea: reversal with nasal continuous positive airway pressure. J Clin Psychiatry 1989; 50(9):348-51.
  23. Deldin PJ, Phillips LK, Thomas RJ. A preliminary study of sleep-disordered breathing in major depressive disorder. Sleep Med 2006; 7:131-9.
  24. Sánchez AI, Martínez P, Miró E, Bardwell WA, Buela-Casal G. CPAP and behavioral therapies in patients with obstructive sleep apnea: Effects on daytime sleepiness, mood, and cognitive function. Sleep Med Rev 2009; Feb 7 [Article in press]
  25. Ohayon MM. The effects of breathing-related sleep disorders on mood disturbances in the general population. J Clin Psychiatry 2003; 64(10):1195-200
  26. Peppard PE, Szklo-Coxe M, Hla KM, Young T. Longitudinal Association of Sleep-Related Breathing Disorder and Depression. Arch Intern Med 2006; 166(16):1709-15
  27. Sharafkhaneh A, Giray N, Richardson P, Young T, Hirshkowitz M. Association of psychiatric disorders and sleep apnea in a large cohort. Sleep 2005; 28:1405-11
  28. Giles TL, Lasserson TJ, Smith BH, White J, Wright J, Cates CJ. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev 2006; 3:CD001106.
  29. Kapur V, Blough DK, Sandblom RE, et al. The medical cost of undiagnosed sleep apnea. Sleep 1999; 22(6):749-55.
  30. Kryger MH, Roos L, Delaive K, Walld R, Horrocks J. Utilization of health care services in patients with severe obstructive sleep apnea. Sleep 1996; 19(9):s111-s116.
  31. Ronald J, Delaive K, Roos L, Manfreda J, Bahammam A, Kryger MH. Health Care Utilization in the 10 Years Prior to Diagnosis in Obstructive Sleep Apnea Syndrome Patients. Sleep 1999; 22(2):225-9
  32. Hillman D, Murphy A, Pezzullo L. The economic cost of sleep disorders. Sleep 2006; 29:299-305
  33. Mar J, Rueda JR, Duran-Cantolla J, Schechterz C, Chilcott J. The cost-effectiveness of nCPAP treatment in patients with moderate-to-severe obstructive sleep apnoea. Eur Respir J 2003; 21:515-522
  34. Bahammam A, Delaive K, Ronald J, Manfreda J, Roos L, Kryger MH. Health Care Utilization in Males with Obstructive Sleep Apnea Syndrome Two Years After Diagnosis and Treatment. Sleep 1999; 22(6):740-7
  35. Suri JC, Sen MK, Ojha UC. Acceptance and compliance issues of nasal CPAP amongst Indian patients of obstructive sleep apnea. Indian J Sleep Medicine 2006; 1.4,197-203.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.