Action-Monitoring Dysfunction in Obstructive Sleep Apnea - A Pilot Study
Obstructive sleep apnea (OSA) is associated with a broad range of frontal lobe dysfunctions. However, no study has investigated action monitoring, a crucial domain of frontal cognitive functions, in patients with OSA. By using the modified Flanker task, we tested the hypothesis that patients with OS...
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description | Obstructive sleep apnea (OSA) is associated with a broad range of frontal lobe dysfunctions. However, no study has investigated action monitoring, a crucial domain of frontal cognitive functions, in patients with OSA. By using the modified Flanker task, we tested the hypothesis that patients with OSA have an impaired action monitoring function. We recruited 25 untreated patients with moderate-severe OSA and 12 control participants who were matched for age, sex, apolipoprotein E4, and education level. Every enrolled participant underwent a standard overnight laboratory-based polysomnography and completed a modified Flanker task. Compared with the controls, the patients with OSA presented a significantly lower correct response rate in all trials (78.9% vs 95.9%, P = .008), congruent trials (84.7% vs 98.3%, P = .016), and incongruent trials (77.4% vs 94.7%, P = .009). The post-error correction rate was significantly lower in the patients with OSA than in the controls (74.9% vs 93.8%, P = .005). Furthermore, strong significant correlations were observed between the arousal index and correct rate in all trials (r = -0.390, P < .05) and in the incongruent trials (r = -0.429, P < .01), as well as between the arousal index and rate of post-error correction (r = -0.435, P < .01). We concluded that the action monitoring function was impaired in the patients with OSA. Sleep fragmentation was a major determinant of impaired action monitoring in these patients. |
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However, no study has investigated action monitoring, a crucial domain of frontal cognitive functions, in patients with OSA. By using the modified Flanker task, we tested the hypothesis that patients with OSA have an impaired action monitoring function. We recruited 25 untreated patients with moderate-severe OSA and 12 control participants who were matched for age, sex, apolipoprotein E4, and education level. Every enrolled participant underwent a standard overnight laboratory-based polysomnography and completed a modified Flanker task. Compared with the controls, the patients with OSA presented a significantly lower correct response rate in all trials (78.9% vs 95.9%, P = .008), congruent trials (84.7% vs 98.3%, P = .016), and incongruent trials (77.4% vs 94.7%, P = .009). The post-error correction rate was significantly lower in the patients with OSA than in the controls (74.9% vs 93.8%, P = .005). Furthermore, strong significant correlations were observed between the arousal index and correct rate in all trials (r = -0.390, P < .05) and in the incongruent trials (r = -0.429, P < .01), as well as between the arousal index and rate of post-error correction (r = -0.435, P < .01). We concluded that the action monitoring function was impaired in the patients with OSA. Sleep fragmentation was a major determinant of impaired action monitoring in these patients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0157575</identifier><identifier>PMID: 27300504</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Alzheimer's disease ; Apnea ; Apolipoprotein E4 ; Arousal ; Biology and Life Sciences ; Case-Control Studies ; Clinical trials ; Cognitive ability ; Cross-Sectional Studies ; Error correction ; Family medical history ; Female ; Frontal lobe ; Frontal Lobe - physiopathology ; Hospitals ; Humans ; Hypoxia ; Male ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Monitoring ; Neural networks ; Neurology ; NMR ; Nuclear magnetic resonance ; Patients ; Physical Sciences ; Pilot Projects ; Polysomnography ; Sleep ; Sleep apnea ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - physiopathology ; Sleep deprivation ; Sleep disorders ; Social Sciences</subject><ispartof>PloS one, 2016-06, Vol.11 (6), p.e0157575-e0157575</ispartof><rights>2016 Chou et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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However, no study has investigated action monitoring, a crucial domain of frontal cognitive functions, in patients with OSA. By using the modified Flanker task, we tested the hypothesis that patients with OSA have an impaired action monitoring function. We recruited 25 untreated patients with moderate-severe OSA and 12 control participants who were matched for age, sex, apolipoprotein E4, and education level. Every enrolled participant underwent a standard overnight laboratory-based polysomnography and completed a modified Flanker task. Compared with the controls, the patients with OSA presented a significantly lower correct response rate in all trials (78.9% vs 95.9%, P = .008), congruent trials (84.7% vs 98.3%, P = .016), and incongruent trials (77.4% vs 94.7%, P = .009). The post-error correction rate was significantly lower in the patients with OSA than in the controls (74.9% vs 93.8%, P = .005). 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Sleep fragmentation was a major determinant of impaired action monitoring in these patients.</description><subject>Adult</subject><subject>Alzheimer's disease</subject><subject>Apnea</subject><subject>Apolipoprotein E4</subject><subject>Arousal</subject><subject>Biology and Life Sciences</subject><subject>Case-Control Studies</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>Error correction</subject><subject>Family medical history</subject><subject>Female</subject><subject>Frontal lobe</subject><subject>Frontal Lobe - physiopathology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Monitoring</subject><subject>Neural networks</subject><subject>Neurology</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Physical Sciences</subject><subject>Pilot Projects</subject><subject>Polysomnography</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chou, Ping-Song</au><au>Hsu, Chung-Yao</au><au>Wu, Meng-Ni</au><au>Liou, Li-Min</au><au>Lu, Shinag-Ru</au><au>Liu, Ching-Kuan</au><au>Lai, Chiou-Lian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Action-Monitoring Dysfunction in Obstructive Sleep Apnea - A Pilot Study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>11</volume><issue>6</issue><spage>e0157575</spage><epage>e0157575</epage><pages>e0157575-e0157575</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Obstructive sleep apnea (OSA) is associated with a broad range of frontal lobe dysfunctions. However, no study has investigated action monitoring, a crucial domain of frontal cognitive functions, in patients with OSA. By using the modified Flanker task, we tested the hypothesis that patients with OSA have an impaired action monitoring function. We recruited 25 untreated patients with moderate-severe OSA and 12 control participants who were matched for age, sex, apolipoprotein E4, and education level. Every enrolled participant underwent a standard overnight laboratory-based polysomnography and completed a modified Flanker task. Compared with the controls, the patients with OSA presented a significantly lower correct response rate in all trials (78.9% vs 95.9%, P = .008), congruent trials (84.7% vs 98.3%, P = .016), and incongruent trials (77.4% vs 94.7%, P = .009). The post-error correction rate was significantly lower in the patients with OSA than in the controls (74.9% vs 93.8%, P = .005). Furthermore, strong significant correlations were observed between the arousal index and correct rate in all trials (r = -0.390, P < .05) and in the incongruent trials (r = -0.429, P < .01), as well as between the arousal index and rate of post-error correction (r = -0.435, P < .01). We concluded that the action monitoring function was impaired in the patients with OSA. Sleep fragmentation was a major determinant of impaired action monitoring in these patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27300504</pmid><doi>10.1371/journal.pone.0157575</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adult Alzheimer's disease Apnea Apolipoprotein E4 Arousal Biology and Life Sciences Case-Control Studies Clinical trials Cognitive ability Cross-Sectional Studies Error correction Family medical history Female Frontal lobe Frontal Lobe - physiopathology Hospitals Humans Hypoxia Male Medicine Medicine and Health Sciences Middle Aged Monitoring Neural networks Neurology NMR Nuclear magnetic resonance Patients Physical Sciences Pilot Projects Polysomnography Sleep Sleep apnea Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - physiopathology Sleep deprivation Sleep disorders Social Sciences |
title | Action-Monitoring Dysfunction in Obstructive Sleep Apnea - A Pilot Study |
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