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Cited by 48Obstructive Sleep Apnea ResearchSleep and related disordersTemporomandibular Joint Disorders

Screening for obstructive sleep apnea among individuals with severe mental illness at a primary care clinic

Alam, Abdulkader, Chengappa, K.N. Roy, Ghinassi, Frank·2012·General Hospital Psychiatry
DOI 10.1016/j.genhosppsych.2012.06.015
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Abstract

Objective Obstructive sleep apnea (OSA) is linked to significant morbidity and mortality. OSA has received more attention recently, but the literature on OSA is scant in patients with severe mental illness (SMI). This project was undertaken to improve clinician knowledge and screening of OSA in persons with SMI.Method One hundred SMI patients attending a primary care clinic were screened for symptoms and risk factors associated with OSA. The Epworth Sleepiness Scale was used to assess daytime sleepiness, and the STOP-Bang score was used to classify those at high risk for OSA.Results Sixty-nine percent of patients were found to be at high risk for OSA. Sixteen percent had a previously confirmed diagnosis of OSA. Most patients reported that OSA was never discussed with them, and 71% of those at high risk were willing to be referred for a sleep evaluation.Conclusions Patients with SMI are at high risk for OSA, and screening for OSA appears to be inadequate. This screening can be done easily, seems acceptable to patients and may prove very beneficial as OSA diagnosis and treatment can improve mental and physical health outcomes in SMI patients.

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Crossref · 10.1016/j.genhosppsych.2012.06.015

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  • Sleep apnoea often presents as daytime sleepiness or non-restorative sleep and sometimes as insomnia.

    “sleep apnoea often presents as daytime sleepiness or non-restorative sleep (Alam et al., 2012; Cruz et al., 2012; Lal et al., 2012; Lee et al., 2012; Sunwoo et al., 2012) and sometimes as insomnia (Al-Jawder & Bahammam, 2012; Glidewell et al., 2012).”

    From Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? (2014) · cites this paper as Alam et al., 2012

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Authors
Alam, A., Chengappa, K. N. R., & Ghinassi, F.
Affiliations
University of Pittsburgh (US)
Corresponding author
Alam, Abdulkader
ORCID
Chengappa, K.N. Roy
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
2012-11
Volume
34
Issue
6
Pages
660-664
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/j.genhosppsych.2012.06.015
OpenAlex
W2019783935
Cited by
48
References
51
Citations by year
2026: 4 · 2025: 4 · 2024: 3 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 10 · 2014: 5 · 2013: 1 · 2012: 1
FWCI
3.65
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • General Hospital Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
Keywords
obstructive sleep apnea, severe mental illness, OSA screening, primary care, Epworth Sleepiness Scale, STOP-BANG score, daytime sleepiness, clinician knowledge, underdiagnosis
MeSH terms
Adult, Aged, Mental Disorders, Bipolar Disorder, Female, Humans, Male, Mass Screening, Middle Aged, Primary Health Care, Psychotic Disorders, Surveys and Questionnaires, Risk Factors, Schizophrenia, United States, Comorbidity, Body Mass Index, Sleep Apnea, Obstructive

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