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Article

Excessive Daytime Sleepiness in Hypertensive Patients: The Role of Major Depressive Disorder

1
Faculté de Médecine, Université Libre de Bruxelles, ULB, 1070 Bruxelles, Belgium
2
Hôpital Universitaire de Bruxelles, Service de Psychiatrie et Laboratoire du Sommeil, Université Libre de Bruxelles, ULB, 1070 Bruxelles, Belgium
3
Laboratoire de Psychologie Médicale et Addictologie (ULB312), Université Libre de Bruxelles, ULB, 1020 Bruxelles, Belgium
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(17), 1854; https://doi.org/10.3390/diagnostics14171854 (registering DOI)
Submission received: 30 July 2024 / Revised: 19 August 2024 / Accepted: 23 August 2024 / Published: 24 August 2024
(This article belongs to the Special Issue Hypertension: Diagnosis and Management)

Abstract

There is a special relationship between major depressive disorder and excessive daytime sleepiness. However, given the negative impact of excessive daytime sleepiness on life quality and cardiovascular outcome in hypertensive patients, the objective of this study was to investigate the potential role played by major depressive disorder in the occurrence of this complaint for this particular subpopulation. Data from 1404 hypertensive patients recruited from the Sleep Unit’s polysomnographic recordings database were analyzed. A score >10 on the Epworth Sleepiness Scale was used to define excessive daytime sleepiness in this study. Logistic regression analyses were performed to investigate the risk of excessive daytime sleepiness associated with major depressive disorder in hypertensive patients. Excessive daytime sleepiness was frequent (40.0%) in our sample of hypertensive patients. After adjustments for major confounding factors, multivariate logistic regression analyses demonstrated that unlike remitted major depressive disorder, only current major depressive disorder was associated with a higher risk of excessive daytime sleepiness in hypertensive patients. Given this potential implication of current major depressive disorder in the occurrence of excessive daytime sleepiness for hypertensive patients, it is therefore essential to achieve the complete remission of this psychiatric disorder to avoid negative consequences associated with this complaint in this particular subpopulation.
Keywords: excessive daytime sleepiness; major depressive disorder; hypertension; sleep disorders; polysomnography excessive daytime sleepiness; major depressive disorder; hypertension; sleep disorders; polysomnography

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MDPI and ACS Style

Younes, A.; Point, C.; Wacquier, B.; Lanquart, J.-P.; Hein, M. Excessive Daytime Sleepiness in Hypertensive Patients: The Role of Major Depressive Disorder. Diagnostics 2024, 14, 1854. https://doi.org/10.3390/diagnostics14171854

AMA Style

Younes A, Point C, Wacquier B, Lanquart J-P, Hein M. Excessive Daytime Sleepiness in Hypertensive Patients: The Role of Major Depressive Disorder. Diagnostics. 2024; 14(17):1854. https://doi.org/10.3390/diagnostics14171854

Chicago/Turabian Style

Younes, Alexandre, Camille Point, Benjamin Wacquier, Jean-Pol Lanquart, and Matthieu Hein. 2024. "Excessive Daytime Sleepiness in Hypertensive Patients: The Role of Major Depressive Disorder" Diagnostics 14, no. 17: 1854. https://doi.org/10.3390/diagnostics14171854

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