Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine

Aim: This study aimed to evaluate the prevalence of obstructive sleep apnea (OSA) and its correlates among schizophrenia spectrum disorder patients receiving clozapine. Methods: For this, 200 schizophrenia spectrum disorder patients receiving clozapine for at least one year were assessed on the Berl...

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Main Authors: Rika Rijal, Sandeep Grover, Subho Chakrabarti, Swapnajeet Sahoo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Psychiatry
Subjects:
Online Access:https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_544_24
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author Rika Rijal
Sandeep Grover
Subho Chakrabarti
Swapnajeet Sahoo
author_facet Rika Rijal
Sandeep Grover
Subho Chakrabarti
Swapnajeet Sahoo
author_sort Rika Rijal
collection DOAJ
description Aim: This study aimed to evaluate the prevalence of obstructive sleep apnea (OSA) and its correlates among schizophrenia spectrum disorder patients receiving clozapine. Methods: For this, 200 schizophrenia spectrum disorder patients receiving clozapine for at least one year were assessed on the Berlin Sleep Questionnaire for OSA. Results: Around one-sixth of the study sample (16.5%) had a high risk for OSA at a body mass index (BMI) cut-off of 30 kg/m2. When a BMI cut-off of 25 kg/m2 was used, the prevalence of OSA was 36%. A high risk for OSA is associated with a higher prevalence of depression, a higher number of psychiatric comorbidities, diabetes mellitus, a higher mean total chlorpromazine equivalent dose, a higher number of total medications, poorer quality of life in some of the domains, and scored high for all domains and the total score of UKU. Conclusion: To conclude, this study suggests that a high risk of OSA is associated with the presence of depression, a higher number of psychiatric comorbidities, diabetes mellitus, use of higher total chlorpromazine equivalent dose, the total number of medications, poorer quality of life, and a higher prevalence of other side effects.
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1998-3794
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spelling doaj-art-720b633dfb4b45278a565f652d64f8202025-01-07T06:32:29ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942024-12-0166121159116410.4103/indianjpsychiatry.indianjpsychiatry_544_24Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapineRika RijalSandeep GroverSubho ChakrabartiSwapnajeet SahooAim: This study aimed to evaluate the prevalence of obstructive sleep apnea (OSA) and its correlates among schizophrenia spectrum disorder patients receiving clozapine. Methods: For this, 200 schizophrenia spectrum disorder patients receiving clozapine for at least one year were assessed on the Berlin Sleep Questionnaire for OSA. Results: Around one-sixth of the study sample (16.5%) had a high risk for OSA at a body mass index (BMI) cut-off of 30 kg/m2. When a BMI cut-off of 25 kg/m2 was used, the prevalence of OSA was 36%. A high risk for OSA is associated with a higher prevalence of depression, a higher number of psychiatric comorbidities, diabetes mellitus, a higher mean total chlorpromazine equivalent dose, a higher number of total medications, poorer quality of life in some of the domains, and scored high for all domains and the total score of UKU. Conclusion: To conclude, this study suggests that a high risk of OSA is associated with the presence of depression, a higher number of psychiatric comorbidities, diabetes mellitus, use of higher total chlorpromazine equivalent dose, the total number of medications, poorer quality of life, and a higher prevalence of other side effects.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_544_24clozapineobstructive sleep apneaside effects
spellingShingle Rika Rijal
Sandeep Grover
Subho Chakrabarti
Swapnajeet Sahoo
Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine
Indian Journal of Psychiatry
clozapine
obstructive sleep apnea
side effects
title Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine
title_full Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine
title_fullStr Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine
title_full_unstemmed Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine
title_short Prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long-term clozapine
title_sort prevalence and factors associated with high risk for obstructive sleep apnea in schizophrenia spectrum disorder patients on long term clozapine
topic clozapine
obstructive sleep apnea
side effects
url https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_544_24
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AT subhochakrabarti prevalenceandfactorsassociatedwithhighriskforobstructivesleepapneainschizophreniaspectrumdisorderpatientsonlongtermclozapine
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