A Comparison of Personality Characteristics and Psychiatric Symptomatology between Upper Airway Resistance Syndrome and Obstructive Sleep Apnea Syndrome.
- Author:
Soo Jung SO
1
;
Heon Jeong LEE
;
Seung Gul KANG
;
Chul Hyun CHO
;
Ho Kyoung YOON
;
Leen KIM
Author Information
- Publication Type:Original Article
- Keywords: Upper airway resistance syndrome; Obstructive sleep apnea; Personality characteristics
- MeSH: Airway Resistance*; Humans; Polysomnography; Surveys and Questionnaires; Sleep Apnea, Obstructive*; Sleep Initiation and Maintenance Disorders
- From:Psychiatry Investigation 2015;12(2):183-189
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: To investigate the personality characteristics of patients with upper airway resistance syndrome (UARS) and those of patients with obstructive sleep apnea syndrome (OSAS). METHODS: Eighty-eight patients with UARS and 365 patients with OSAS participated. All patients had a diagnostic full-night attended polysomnography (PSG) and completed the Athens Insomnia Scale (AIS), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Symptom Checklist-90-Revision (SCL-90-R) and Eysenck Personality Questionnaire (EPQ). RESULTS: The UARS group scored significantly higher than the OSAS group on the ESS, AIS, and PSQI (p<0.001). The scores of all SCL-90-R subscales in the UARS group were significantly higher than those in the OSA group (all p<0.001, except for somatization, p=0.016). Patients with UARS scored lower on EPQ-E (extroversion/introversion) (p=0.006) and EPQ-L (lie) (p<0.001) than those with OSA. UARS patients also showed higher scores on EPQ-P (psychoticism) (p=0.002) and EPQ-N (neuroticism) (p<0.001) than OSAS patients. CONCLUSION: Our results suggest that patients with UARS have worse subjective sleep quality than OSAS patients in spite of their better PSG findings. UARS patients tend to have more neurotic and sensitive personalities than patients with OSAS, which may be a cause of the clinical features of UARS.