Comorbid psychiatric disorders among patients with narcolepsy

Purpose This case-control study assessed the prevalence of psychiatric disorders in Arab (Saudi) patients with narcolepsy using a structured clinical interview. Methods The study included 74 adult patients with narcolepsy and 265 controls matched for age and sex. Narcolepsy diagnosis was made accord...

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Veröffentlicht in:Sleep & breathing 2020-06, Vol.24 (2), p.629-636
Hauptverfasser: Alasim, Haithm, AlQazlan, Salman, Albanyan, Saleh, Alsalhi, Abdulaziz, Buraik, Alwalid, Olaish, Awad H., Almeneessier, Aljohara S., Alosaimi, Fahad D., AlHadi, Ahmad, BaHammam, Ahmed S.
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container_issue 2
container_start_page 629
container_title Sleep & breathing
container_volume 24
creator Alasim, Haithm
AlQazlan, Salman
Albanyan, Saleh
Alsalhi, Abdulaziz
Buraik, Alwalid
Olaish, Awad H.
Almeneessier, Aljohara S.
Alosaimi, Fahad D.
AlHadi, Ahmad
BaHammam, Ahmed S.
description Purpose This case-control study assessed the prevalence of psychiatric disorders in Arab (Saudi) patients with narcolepsy using a structured clinical interview. Methods The study included 74 adult patients with narcolepsy and 265 controls matched for age and sex. Narcolepsy diagnosis was made according to the International Classification of Sleep Disorders-Third Edition. Psychiatric disorders were diagnosed via using a validated Arabic version of the Mini International Neuropsychiatric Interview DSM-IV (MINI version 6). A multivariate logistic regression model was used to assess the potential influence of narcolepsy on the comorbidity of psychiatric disorders. Results The mean age of the patients was 29.4 ± 10.2 years, and males accounted for 81% of the study sample. Forty-four patients (60%) were diagnosed with narcolepsy type-1 (NT1) and 30 (40%) with narcolepsy type-2 (NT2). Psychiatric disorders were diagnosed in 45% of patients with narcolepsy compared with 15% of the controls ( p  
doi_str_mv 10.1007/s11325-019-01890-8
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Methods The study included 74 adult patients with narcolepsy and 265 controls matched for age and sex. Narcolepsy diagnosis was made according to the International Classification of Sleep Disorders-Third Edition. Psychiatric disorders were diagnosed via using a validated Arabic version of the Mini International Neuropsychiatric Interview DSM-IV (MINI version 6). A multivariate logistic regression model was used to assess the potential influence of narcolepsy on the comorbidity of psychiatric disorders. Results The mean age of the patients was 29.4 ± 10.2 years, and males accounted for 81% of the study sample. Forty-four patients (60%) were diagnosed with narcolepsy type-1 (NT1) and 30 (40%) with narcolepsy type-2 (NT2). Psychiatric disorders were diagnosed in 45% of patients with narcolepsy compared with 15% of the controls ( p  &lt; 0.001). The multivariate logistic regression models demonstrated that compared with the controls, patients with narcolepsy were more likely to have major depressive disorders (OR, 4.3 [CI, 2.2–8.2]), and generalized anxiety disorders (OR, 9.5 [CI, 1.8–50.2]). No difference was detected between the prevalence of various psychiatric disorders in patients with NT1 and NT2. Conclusion Comorbid psychiatric disorders are common among Arab (Saudi) patients with narcolepsy compared with the general population. Therefore, clinicians should be aware of the comorbidity of narcolepsy and psychiatric disorders, particularly depression.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-019-01890-8</identifier><identifier>PMID: 31280401</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Anxiety ; Comorbidity ; Dentistry ; Health risk assessment ; Internal Medicine ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Mental disorders ; Narcolepsy ; Neurology ; Neurology • Original Article ; Neurotrophin 1 ; Neurotrophin 2 ; Otorhinolaryngology ; Pediatrics ; Pneumology/Respiratory System ; Regression analysis ; Sleep ; Sleep disorders</subject><ispartof>Sleep &amp; breathing, 2020-06, Vol.24 (2), p.629-636</ispartof><rights>Springer Nature Switzerland AG 2019</rights><rights>Springer Nature Switzerland AG 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e5019d19644bc8ed1ab553ceab5c084eeac632775d75b5cf986b51574d3b4fbe3</citedby><cites>FETCH-LOGICAL-c375t-e5019d19644bc8ed1ab553ceab5c084eeac632775d75b5cf986b51574d3b4fbe3</cites><orcidid>0000-0002-1706-6167</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-019-01890-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-019-01890-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31280401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alasim, Haithm</creatorcontrib><creatorcontrib>AlQazlan, Salman</creatorcontrib><creatorcontrib>Albanyan, Saleh</creatorcontrib><creatorcontrib>Alsalhi, Abdulaziz</creatorcontrib><creatorcontrib>Buraik, Alwalid</creatorcontrib><creatorcontrib>Olaish, Awad H.</creatorcontrib><creatorcontrib>Almeneessier, Aljohara S.</creatorcontrib><creatorcontrib>Alosaimi, Fahad D.</creatorcontrib><creatorcontrib>AlHadi, Ahmad</creatorcontrib><creatorcontrib>BaHammam, Ahmed S.</creatorcontrib><title>Comorbid psychiatric disorders among patients with narcolepsy</title><title>Sleep &amp; breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Purpose This case-control study assessed the prevalence of psychiatric disorders in Arab (Saudi) patients with narcolepsy using a structured clinical interview. Methods The study included 74 adult patients with narcolepsy and 265 controls matched for age and sex. Narcolepsy diagnosis was made according to the International Classification of Sleep Disorders-Third Edition. Psychiatric disorders were diagnosed via using a validated Arabic version of the Mini International Neuropsychiatric Interview DSM-IV (MINI version 6). A multivariate logistic regression model was used to assess the potential influence of narcolepsy on the comorbidity of psychiatric disorders. Results The mean age of the patients was 29.4 ± 10.2 years, and males accounted for 81% of the study sample. Forty-four patients (60%) were diagnosed with narcolepsy type-1 (NT1) and 30 (40%) with narcolepsy type-2 (NT2). Psychiatric disorders were diagnosed in 45% of patients with narcolepsy compared with 15% of the controls ( p  &lt; 0.001). The multivariate logistic regression models demonstrated that compared with the controls, patients with narcolepsy were more likely to have major depressive disorders (OR, 4.3 [CI, 2.2–8.2]), and generalized anxiety disorders (OR, 9.5 [CI, 1.8–50.2]). No difference was detected between the prevalence of various psychiatric disorders in patients with NT1 and NT2. Conclusion Comorbid psychiatric disorders are common among Arab (Saudi) patients with narcolepsy compared with the general population. Therefore, clinicians should be aware of the comorbidity of narcolepsy and psychiatric disorders, particularly depression.</description><subject>Anxiety</subject><subject>Comorbidity</subject><subject>Dentistry</subject><subject>Health risk assessment</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Narcolepsy</subject><subject>Neurology</subject><subject>Neurology • Original Article</subject><subject>Neurotrophin 1</subject><subject>Neurotrophin 2</subject><subject>Otorhinolaryngology</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Regression analysis</subject><subject>Sleep</subject><subject>Sleep disorders</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kDtPwzAUhS0EoqXwBxhQJBaWgK8ftTMwoIqXVIkFZstxnDZVEgc7Eeq_x214SAwM1rXs75x7dBA6B3wNGIubAEAJTzFk8cgMp_IATYETkoLA2eH-jtOMA5mgkxA2GAOTGRyjCQUiMcMwRbcL1zifV0XSha1ZV7r3lUmKKjhfWB8S3bh2lXS6r2zbh-Sj6tdJq71xtY2CU3RU6jrYs685Q28P96-Lp3T58vi8uFumhgrep5bHjAVkc8ZyI20BOuecGhuHwZJZq82cEiF4IXh8KjM5zzlwwQqaszK3dIauRt_Ou_fBhl41VTC2rnVr3RAUIZxKSqSgEb38g27c4NuYbkcRAQxjFikyUsa7ELwtVeerRvutAqx25aqxXBWDq325SkbRxZf1kDe2-JF8txkBOgIhfrUr6393_2P7CZvLhGI</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Alasim, Haithm</creator><creator>AlQazlan, Salman</creator><creator>Albanyan, Saleh</creator><creator>Alsalhi, Abdulaziz</creator><creator>Buraik, Alwalid</creator><creator>Olaish, Awad H.</creator><creator>Almeneessier, Aljohara S.</creator><creator>Alosaimi, Fahad D.</creator><creator>AlHadi, Ahmad</creator><creator>BaHammam, Ahmed S.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1706-6167</orcidid></search><sort><creationdate>20200601</creationdate><title>Comorbid psychiatric disorders among patients with narcolepsy</title><author>Alasim, Haithm ; 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Methods The study included 74 adult patients with narcolepsy and 265 controls matched for age and sex. Narcolepsy diagnosis was made according to the International Classification of Sleep Disorders-Third Edition. Psychiatric disorders were diagnosed via using a validated Arabic version of the Mini International Neuropsychiatric Interview DSM-IV (MINI version 6). A multivariate logistic regression model was used to assess the potential influence of narcolepsy on the comorbidity of psychiatric disorders. Results The mean age of the patients was 29.4 ± 10.2 years, and males accounted for 81% of the study sample. Forty-four patients (60%) were diagnosed with narcolepsy type-1 (NT1) and 30 (40%) with narcolepsy type-2 (NT2). Psychiatric disorders were diagnosed in 45% of patients with narcolepsy compared with 15% of the controls ( p  &lt; 0.001). The multivariate logistic regression models demonstrated that compared with the controls, patients with narcolepsy were more likely to have major depressive disorders (OR, 4.3 [CI, 2.2–8.2]), and generalized anxiety disorders (OR, 9.5 [CI, 1.8–50.2]). No difference was detected between the prevalence of various psychiatric disorders in patients with NT1 and NT2. Conclusion Comorbid psychiatric disorders are common among Arab (Saudi) patients with narcolepsy compared with the general population. Therefore, clinicians should be aware of the comorbidity of narcolepsy and psychiatric disorders, particularly depression.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31280401</pmid><doi>10.1007/s11325-019-01890-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1706-6167</orcidid></addata></record>
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source Springer Nature - Complete Springer Journals
subjects Anxiety
Comorbidity
Dentistry
Health risk assessment
Internal Medicine
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Narcolepsy
Neurology
Neurology • Original Article
Neurotrophin 1
Neurotrophin 2
Otorhinolaryngology
Pediatrics
Pneumology/Respiratory System
Regression analysis
Sleep
Sleep disorders
title Comorbid psychiatric disorders among patients with narcolepsy
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