Cited by 391Obstructive Sleep Apnea ResearchSleep and related disordersSleep and Wakefulness Research

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Neuropsychological sequelae of obstructive sleep apnea-hypopnea syndrome: A critical review

ALOIA, MARK S., ARNEDT, J. TODD, DAVIS, JENNIFER D., RIGGS, RAINE L., BYRD, DESIREE·2004·Journal of the International Neuropsychological Society

DOI 10.1017/s1355617704105134

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Abstract

Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a well-recognized clinical sleep disorder that results in chronically fragmented sleep and recurrent hypoxemia. The primary daytime sequelae of the disorder include patient reports of excessive daytime sleepiness, depression, and attention and concentration problems. It has been well established that OSAHS negatively impacts certain aspects of cognitive functioning. The primary goals of this article are to (1) clarify the pattern of cognitive deficits that are specific to OSAHS; (2) identify the specific cognitive domains that improve with treatment; and (3) elucidate the possible mechanisms of cognitive dysfunction in OSAHS. At the conclusion of the paper, we propose a potential neurofunctional theory to account for the etiology of cognitive deficits in OSAHS. Thirty-seven peer-reviewed articles were selected for this review. In general, findings were equivocal for most cognitive domains. Treatment, however, was noted to improve attention/vigilance in most studies and consistently did not improve constructional abilities or psychomotor functioning. The results are discussed in the context of a neurofunctional theory for the effects of OSAHS on the brain.

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See all 391

Authors: ALOIA, M. S., ARNEDT, J. T., DAVIS, J. D., RIGGS, R. L., & BYRD, D.
Affiliations: Brown University (US)
ORCID: ALOIA, MARK S.
ARNEDT, J. TODD
DAVIS, JENNIFER D.
BYRD, DESIREE
Venue: Journal of the International Neuropsychological Society
Publisher: Cambridge University Press (CUP)
Published: 2004-09
Volume: 10
Issue: 5
Pages: 772-785
ISSN: 1355-6177 (ISSN-L)
1469-7661
DOI: 10.1017/s1355617704105134
OpenAlex: W2030284843
Cited by: 391
References: 85
Citations by year: 2026: 5 · 2025: 12 · 2024: 2 · 2023: 18 · 2022: 16 · 2021: 25 · 2020: 17 · 2019: 11 · 2018: 20 · 2017: 24 · 2016: 39 · 2015: 15 · 2014: 25 · 2013: 34 · 2012: 28
FWCI: 1.09
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Journal of the International Neuropsychological Society (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Heart, Lung, and Blood Institute (R01HL067209, R01 HL67209)
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords: obstructive sleep apnea-hypopnea syndrome, cognitive impairment, neuropsychological sequelae, attention and vigilance, excessive daytime sleepiness, hypoxemia, sleep fragmentation, depression, constructional ability
MeSH terms: Attention, Cognition, Cognition Disorders, Diagnosis, Differential, Humans, Intelligence, Language, Memory, Neuropsychological Tests, Problem Solving, Psychomotor Performance, MEDLINE, Sleep Apnea, Obstructive

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Neuropsychological sequelae of obstructive sleep apnea-hypopnea syndrome: A critical review

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