{"id":2203,"date":"2015-03-11T12:07:03","date_gmt":"2015-03-11T04:07:03","guid":{"rendered":"http:\/\/www.appliedpsyj.org\/journal\/?p=2203"},"modified":"2015-03-11T12:08:54","modified_gmt":"2015-03-11T04:08:54","slug":"the-association-between-severity-of-obstructive-sleep-apnea-syndrome-and-mood-status-an-exploration-of-possible-mediating-effects-by-autonomic-nerve-system-and-excessive-sleepiness","status":"publish","type":"post","link":"https:\/\/www.appliedpsyj.org.tw\/journal\/?p=2203","title":{"rendered":"The Association between Severity of Obstructive Sleep Apnea Syndrome and Mood Status: An Exploration of Possible Mediating Effects by Autonomic Nerve System and Excessive Sleepiness"},"content":{"rendered":"<p><strong>Chia-Shuo Wu<\/strong><br \/>\nSleep Center of Chang Gung Memorial Hospital, Tao-Yuan<br \/>\n<strong>Yi-Ju Tsai<\/strong><br \/>\nSleep Center of Chang Gung Memorial Hospital, Tao-Yuan<br \/>\n<strong>Ning-Hung Chen<\/strong><br \/>\nSleep Center of Chang Gung Memorial Hospital, Tao-Yuan<br \/>\n<strong>Chien-Ming Yang<\/strong><br \/>\nDepartment of Psychology, National Chengchi University<br \/>\nResearch Center for Mind, Brain, and Learning, National Chengchi University<\/p>\n<p style=\"text-align: justify;\">Although some studies have indicated that patients with obstructive sleep apnea syndrome (OSAS) show more mood disturbances than normal individuals, a review of the literature reveals that the findings are inconsistent across different studies. In order to clarify this issue, the present study measured multiple dimensions of mood, in addition to measuring depression and anxiety. Further, the present study assessed the potential mediating effects of autonomic nervous system and level of sleepiness in the relationship between OSAS and mood. The results showed significant correlations between OSAS severity and anxiety, especially the Beck Anxiety Inventory (BAI) factors of \u201cneurophysiological symptoms\u201d and \u201cautonomic symptoms.\u201d In terms of the potential mediating factors, although OSAS severity correlated significantly with autonomic nerve system and level of sleepiness, no correlation was found between these 2 factors and mood ratings. Thus, autonomic nerve system and level of sleepiness were not found as significant mediators. Results of regression analyses further support that OSAS severity may have an effect on subjective feelings of anxiety and confusion. Since the symptoms that show highest association with OSAS severity are the physiological symptoms of anxiety, an alternativeexplanation of these findings is that the mood changes in OSAS may reflect the physical symptoms and physiological consequences of OSAS. The findings imply that clinical assessment and intervention of OSAS should pay attention not only to the direct physiological symptoms of OSAS, but also the symptoms associated with confusion and worry.<\/p>\n<p>Keywords: obstructive sleep apnea syndrome, mood status, autonomic nerve function, sleepiness<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chia-Shuo Wu Sleep Center of Chang Gung Memorial Hospit <span class=\"ellipsis\">&hellip;<\/span> <span class=\"more-link-wrap\"><a href=\"https:\/\/www.appliedpsyj.org.tw\/journal\/?p=2203\" class=\"more-link\"><span>Read More &rarr;<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[139],"tags":[],"class_list":["post-2203","post","type-post","status-publish","format-standard","hentry","category-139"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - 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