Journal of International Psychiatry

[Abstract] Objective To explore the impact of combined panic disorder on the results of polysomnography in patients with obstructive sleep apnea hypopnea syndrome (OSAS). Methods A total of 105 OSAS patients from Cangzhou integrated traditional chinese and western medicine hospital in Hebei province were selected as the study subjects. The Chinese version of the Panic Disorder Severity Scale machine version (PDSS-CV) were used to evaluate the panic disorder. The Hamilton Anxiety Scale (HAMA), Pittsburgh sleep quality index (PSQI), and polysomnography monitoring results between patients in the panic and non panic groups were compared. Results Among 105 OSAS patients, 23 were complicated with panic disorder, accounting for 21.9%; The HAMA score and PSQI index of the panic group were significantly higher than those of the non panic group (P<0.05). The percentage of total sleep time (TST), N2 phase, N3 phase, and rapid eye movement sleep in the panic group was significantly lower than that in the non panic group. The percentage of wake time after sleep offset (WASO), sleep latency (SL), and N1 phase in the panic group was significantly higher than that in the non panic group (P<0.05). Conclusion Combining panic disorder can exacerbate anxiety and sleep disorders in OSAS patients, reduce sleep time, and increase time to fall asleep and wake up.

Key words Panic Disorder; Obstructive Sleep Apnea Hypopnea Syndrome; Anxiety; Multichannel Sleep Monitoring