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首页> 外文期刊>Psychosomatics >The Intersection of Sleep Apnea and Severe Mental Illness in Veterans
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The Intersection of Sleep Apnea and Severe Mental Illness in Veterans

机译：退伍军人睡眠呼吸暂停和严重精神疾病

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Background: Individuals with serious mental illness (SMI) have a high prevalence of risk factors for sleep apnea, but these risk factors often go unrecognized, partly due to the overlap among sleep apnea, somatic conditions, and symptoms (e.g., obesity, daytime sleepiness), leading to potential under-recognition of sleep apnea in a high-risk population. Objective: The objective of our study was to compare sleep apnea prevalence and clinical features among Veterans with and without SMI. Method: Data for the current analyses were drawn from an administrative dataset of 33,818 United States Military Veterans with a primary care visit in calendar year 2007. The medical record data included demographic characteristics, and medical, psychiatric, and sleep diagnoses. Results: Veterans with SMI had a significantly higher prevalence of sleep apnea than those without SMI. Younger Veterans with SMI had a higher prevalence of sleep apnea relative to older Veterans with SMI and Veterans with SMI and sleep apnea had a greater number of medical comorbidities than Veterans with SMI and no sleep apnea. Conclusion: In a large sample of Veterans, those with SMI were at greater risk of having comorbid sleep apnea. Furthermore, Veterans with comorbid SMI and sleep apnea were at greater risk for increased rates of comorbid medical disorders. Sleep apnea appears to be a key risk factor for increased morbidity in Veterans with an SMI diagnosis, highlighting the importance of treating sleep apnea in a challenging patient population.
机译：背景：具有严重精神疾病（SMI）的个体对睡眠呼吸暂停的危险因素具有很高的危险因素，但这些危险因素通常不会被识别出来，部分原因是睡眠呼吸暂停，体细胞病症和症状之间的重叠（例如，肥胖，白天嗜睡），导致患有高危人群的睡眠呼吸暂停的潜在潜在识别。目的：我们研究的目的是比较睡眠呼吸暂停患病率和临床特征，以及没有SMI的退伍军人之间。方法：目前分析的数据是从2007年日历年度的33,818名美国军事退伍军人的行政数据库中汲取的。医疗记录数据包括人口特征，医疗，精神病学和睡眠诊断。结果：带有SMI的退伍军人比没有SMI的睡眠呼吸暂停的患病率明显更高。与SMI的年轻退伍军人相对于年龄较大的退伍军人的睡眠呼吸暂停和带有SMI和睡眠呼吸暂停的老虎们的患病率较高，并且睡眠的呼吸暂停多量比退伍军人患有SMI和睡眠呼吸暂停症。结论：在一位老人样本中，患有SMI的样品更大的风险伴有合并睡眠呼吸暂停。此外，具有Comorbid SMI和睡眠呼吸暂停的退伍军人对可同经医学疾病的速率提高了更大的风险。睡眠呼吸暂停似乎是具有SMI诊断的退伍军人发病率增加的关键风险因素，突出了在挑战性患者人群中治疗睡眠呼吸暂停的重要性。

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