The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity
Background: Emotional impulsivity has been found to be relevant in explaining the association between sleep problems and depressive symptoms, suggesting the potential role of impulsivity as a key underlying mechanism of this link. The objective of this study was to take a preliminary step in underst...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/20/6467 |
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| author | Mariacarolina Vacca Matteo Spanetta Andrea Ballesio Mariana Fernandes Fabio Placidi Francesca Izzi Caterina Lombardo Nicola Biagio Mercuri Giuseppina Laganà Claudio Liguori |
| author_facet | Mariacarolina Vacca Matteo Spanetta Andrea Ballesio Mariana Fernandes Fabio Placidi Francesca Izzi Caterina Lombardo Nicola Biagio Mercuri Giuseppina Laganà Claudio Liguori |
| author_sort | Mariacarolina Vacca |
| collection | DOAJ |
| description | Background: Emotional impulsivity has been found to be relevant in explaining the association between sleep problems and depressive symptoms, suggesting the potential role of impulsivity as a key underlying mechanism of this link. The objective of this study was to take a preliminary step in understanding the mediating role of impulsivity in the relation between excessive daytime sleepiness (EDS) and depression in patients with obstructive sleep apnea syndrome (OSAS) and to compare psychological and demographic characteristics between different levels of daytime sleepiness. Methods: A total of 138 patients with OSAS underwent polygraphic cardiorespiratory monitoring and completed a series of questionnaires investigating perceived sleepiness, depression, impulsivity, and other psychological characteristics. A mediational model was tested in order to assess whether impulsivity mediated the relation between sleepiness and depressive symptoms while controlling for the effects of age, sex, BMI, and oxygen saturation parameters. Results: the mediation model showed that there was a significant indirect effect of impulsivity in the sleepiness–depression link (αβ = 0.084 [0.0243–0.1617]). Conclusions: The here-presented results showed that the sleepiness–depression link is not direct as previous studies asserted, but instead it may be better explained by impulsivity. Research and practical implications are discussed. |
| first_indexed | 2024-03-10T21:11:03Z |
| format | Article |
| id | doaj.art-ab261cee16a64e92874f15c7deeacf2f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:11:03Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ab261cee16a64e92874f15c7deeacf2f2023-11-19T16:51:32ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220646710.3390/jcm12206467The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of ImpulsivityMariacarolina Vacca0Matteo Spanetta1Andrea Ballesio2Mariana Fernandes3Fabio Placidi4Francesca Izzi5Caterina Lombardo6Nicola Biagio Mercuri7Giuseppina Laganà8Claudio Liguori9Department of Psychology, Sapienza University of Rome, 00185 Rome, ItalySanta M. Della Stella Hospital, 05018 Orvieto, ItalyDepartment of Psychology, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalySleep Medicine Center, Neurology Unit, University Hospital of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Psychology, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Orthodontics, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyBackground: Emotional impulsivity has been found to be relevant in explaining the association between sleep problems and depressive symptoms, suggesting the potential role of impulsivity as a key underlying mechanism of this link. The objective of this study was to take a preliminary step in understanding the mediating role of impulsivity in the relation between excessive daytime sleepiness (EDS) and depression in patients with obstructive sleep apnea syndrome (OSAS) and to compare psychological and demographic characteristics between different levels of daytime sleepiness. Methods: A total of 138 patients with OSAS underwent polygraphic cardiorespiratory monitoring and completed a series of questionnaires investigating perceived sleepiness, depression, impulsivity, and other psychological characteristics. A mediational model was tested in order to assess whether impulsivity mediated the relation between sleepiness and depressive symptoms while controlling for the effects of age, sex, BMI, and oxygen saturation parameters. Results: the mediation model showed that there was a significant indirect effect of impulsivity in the sleepiness–depression link (αβ = 0.084 [0.0243–0.1617]). Conclusions: The here-presented results showed that the sleepiness–depression link is not direct as previous studies asserted, but instead it may be better explained by impulsivity. Research and practical implications are discussed.https://www.mdpi.com/2077-0383/12/20/6467OSASdepressionimpulsivitymediationpsychopathology |
| spellingShingle | Mariacarolina Vacca Matteo Spanetta Andrea Ballesio Mariana Fernandes Fabio Placidi Francesca Izzi Caterina Lombardo Nicola Biagio Mercuri Giuseppina Laganà Claudio Liguori The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity Journal of Clinical Medicine OSAS depression impulsivity mediation psychopathology |
| title | The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity |
| title_full | The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity |
| title_fullStr | The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity |
| title_full_unstemmed | The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity |
| title_short | The Sleepiness–Depression Link in Obstructive Sleep Apnea: Preliminary Results on the Mediation of Impulsivity |
| title_sort | sleepiness depression link in obstructive sleep apnea preliminary results on the mediation of impulsivity |
| topic | OSAS depression impulsivity mediation psychopathology |
| url | https://www.mdpi.com/2077-0383/12/20/6467 |
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