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The effect of positive airway pressure therapy on neurocognitive functions, depression and anxiety in obesity hypoventilation syndrome

Fusun Yildiz, Serap Argun Baris, Dilek Tuncel, Cigdem Ozerdem, Huseyin Kutlu, Tugba Onyilmaz, Ilknur Basyigit, Hasim Boyaci
European Respiratory Journal 2016 48: PA3426; DOI: 10.1183/13993003.congress-2016.PA3426
Fusun Yildiz
1Department of Pulmonary Diseases, Kocaeli University School of Medicine, Kocaeli, Turkey
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Serap Argun Baris
1Department of Pulmonary Diseases, Kocaeli University School of Medicine, Kocaeli, Turkey
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Dilek Tuncel
1Department of Pulmonary Diseases, Kocaeli University School of Medicine, Kocaeli, Turkey
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Cigdem Ozerdem
2Department of Neurology, Derince Training and Research Hospital, Kocaeli, Turkey
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Huseyin Kutlu
3Department of Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey
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Tugba Onyilmaz
4Department of Pulmonary Diseases, Private Konak Hospital, Kocaeli, Turkey
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Ilknur Basyigit
1Department of Pulmonary Diseases, Kocaeli University School of Medicine, Kocaeli, Turkey
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Hasim Boyaci
1Department of Pulmonary Diseases, Kocaeli University School of Medicine, Kocaeli, Turkey
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Abstract

BACKGROUND: The aim of this study is to evaluate the presence of neurocognitive dysfunctions, depression and anxiety and the effect of positive airway pressure (PAP) therapy on these parameters in OHS patients.

METHODS: Ten healthy normal and obese controls, 10 OHS and 10 OSAS patients were included in the study. Short form-36, Beck Depression Scale and State-Trade Anxiety Inventory (STAI 1-2) were performed. Wisconsin Card Sorting Test (WCST), Montreal Cognitive Assessment Scale (MOCA), Enhanced Cued Recall (ECR) and Mini Mental Test (MMT) were used for neurocognitive evaluation. All tests were repeated after one night PAP therapy in patient groups.

RESULTS: OHS patients had the lowest scores of physical functioning (PF) and social functioning (SF) in SF-36. The total numbers of perseverative errors and incorrect answers were highest in OHS group in WCST. The scores of MOCA, ECR and MMT were lower than controls (p=0,00). Depression and anxiety scores were higher in OHS group than controls (p=0,00) while they were similar in OSAS. There was a significant increase of the number of completed categories in OHS after PAP therapy (p=0,03). Also there were significant increases of MOCA, ECR and MMT and significant decreases of depression and anxiety scores with respect to PAP therapy.

CONCLUSIONS: Cognitive dysfunction, depression and anxiety are important underrecognized comorbidities in OHS. It is suggested that short-term PAP therapy had positive effects on neurocognitive functions, depression and anxiety but further multicentre, prospective studies with large number of cases are needed to evaluate the effect of long term PAP therapy on these parameters.

  • Non-invasive ventilation - long-term
  • Chronic disease
  • Sleep disorders
  • Copyright ©the authors 2016
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The effect of positive airway pressure therapy on neurocognitive functions, depression and anxiety in obesity hypoventilation syndrome
Fusun Yildiz, Serap Argun Baris, Dilek Tuncel, Cigdem Ozerdem, Huseyin Kutlu, Tugba Onyilmaz, Ilknur Basyigit, Hasim Boyaci
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3426; DOI: 10.1183/13993003.congress-2016.PA3426

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The effect of positive airway pressure therapy on neurocognitive functions, depression and anxiety in obesity hypoventilation syndrome
Fusun Yildiz, Serap Argun Baris, Dilek Tuncel, Cigdem Ozerdem, Huseyin Kutlu, Tugba Onyilmaz, Ilknur Basyigit, Hasim Boyaci
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3426; DOI: 10.1183/13993003.congress-2016.PA3426
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More in this TOC Section

  • Long term effects of compliance with positive airway pressure (PAP) therapy in patients with obesity hypoventilation syndrome (OHS)
  • The impact of CPAP on circulating IGF-1 in patients with OSAS
  • CPAP impact on memory processes in OSA patients, a randomized sham controlled trial
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