Evidence map›Paper›PMID 19616140›Full record

Trial reportJournal of psychosomatic research2009

Frequency and predictors of obstructive sleep apnea among individuals with major depressive disorder and insomnia.

Jason C Ong, Jenna L Gress, Melanie G San Pedro-Salcedo, Rachel Manber

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychosomatic research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00149825 (Combining Antidepressant Medication and Psychotherapy for Insomnia to Improve Depression Outcome), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00149825 phase2completednot on this map

Combining Antidepressant Medication and Psychotherapy for Insomnia to Improve Depression Outcome

TypeinterventionalSponsorStanford UniversityRan2004 to 2007Enrolled30ConditionsMajor Depressive Disorder, InsomniaArmsEscitalopram, CBTI, CTRL
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Obstructive sleep apnea and psychiatric disorders: a systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Approach the Patient With Obstructive Sleep Apnea and Obesity.The Journal of clinical endocrinology and metabolism · 2024
    Article
  9. Article
  10. Article
  11. Bidirectional relationships of comorbidity with obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  12. Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management.International journal of environmental research and public health · 2021
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jason C OngDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA. jason_ong@rush.edu
Jenna L Gress
Melanie G San Pedro-Salcedo
Rachel Manber
Stanford University · US

Funding

Augmenting Behavior Therapy for Insomnia with Mindfulness MeditationK23AT003678 · NCCIH · STANFORD UNIVERSITY · PI ONG, JASON C · 2007 to 2011
$554k
Antidepressant &CBT for Insomnia to Depression OutcomeR21MH066131 · NIMH · STANFORD UNIVERSITY · PI MANBER, RACHEL · 2004 to 2006
$536k
NCCIH NIH HHS K23 AT003678NCCIH NIH HHS L30 AT003748NIMH NIH HHS MH066131NIMH NIH HHS R21 MH066131
6 · The paper itself

Abstract

objectiveDisturbances in sleep continuity are common among individuals with major depressive disorder (MDD) and can impact the course of depression and response to treatment. Several studies have examined depressive symptom severity among sleep-disordered patients with obstructive sleep apnea (OSA). In contrast, little is known about OSA in patients with MDD. The goal of this study was to examine the frequency and predictors of OSA in a sample of individuals with comorbid MDD and insomnia.

methodsParticipants were 51 individuals who enrolled in a treatment study on insomnia and depression, met criteria for MDD and comorbid insomnia, and underwent an overnight polysomnography evaluation. An apnea-hypopnea index >or=15 events per hour was used as a cutoff score for OSA. Regression analyses were conducted to examine clinical and demographic predictors of OSA severity as measured by the apnea-hypopnea index.

resultsThe results revealed that 39% of the sample met criteria for OSA. The OSA group had significantly higher body mass index (BMI) scores and a significantly greater proportion of men. Regression analysis revealed that male sex, older age, and higher BMI were significant predictors of OSA severity. Neither depression severity nor insomnia severity was a significant predictor.

conclusionsThese findings indicate that the frequency of OSA is higher among individuals with comorbid MDD and insomnia than was previously found among people with either MDD or insomnia alone. In addition, previously identified predictors of OSA (male sex, older age, and high BMI) also apply to this population.

Indexed as

AdolescentAdultAgedBody Mass IndexDiagnostic and Statistical Manual of Mental DisordersFemaleHumansIncidenceMajor Depressive DisorderMaleMiddle AgedPolysomnographyPredictive Value of TestsPrevalenceProspective StudiesSeverity of Illness Index

Identifiers

PMID19616140
PMCPMC3052782
OpenAlexW2003958103

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.