Posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA) are highly prevalent and comorbid among older adult male veterans. Both PTSD and OSA are independently associated with cognitive deficits in older adults, but little research regarding the impact of comorbid PTSD and OSA among older adults exists. The current study aimed to examine the independent and interactive effects of PTSD and OSA on cognitive functioning in older adult veterans. Older adult male veterans with ( = 106) and without PTSD ( = 69), ranging in age from 55 to 89 ( = 63.35). Participants underwent polysomnography evaluation to assess severity of OSA symptoms and comprehensive neuropsychological evaluation to assess cognitive functioning in 3 domains: attention and processing speed, learning and memory, and executive functioning. Multiple regression analyses showed that the interaction between PTSD and OSA did not predict cognitive performance. However, PTSD significantly predicted poorer attention and processing speed, and increased OSA severity predicted poorer learning and memory. While PTSD and OSA did not have a synergistic detrimental impact on cognition, each independently predicted poorer cognitive functioning within certain domains, suggesting that older adults with these comorbid conditions may experience a wider array of cognitive difficulties.
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http://dx.doi.org/10.1177/08919887221149132 | DOI Listing |
J Appl Physiol (1985)
November 2024
Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Obstructive sleep apnea (OSA) is a chronic sleep-related breathing disorder that is highly prevalent in individuals with posttraumatic stress disorder (PTSD). The reason for this high prevalence remains unclear. We hypothesized that breathing instability, one of the key contributors to OSA, may be altered in PTSD and predispose OSA.
View Article and Find Full Text PDFMil Med
October 2024
Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, MD 20814, USA.
Introduction: Compared with the civilian population, a higher rate of reported sleep apnea exists among military service members resulting in inadequate sleep. Those who experience chronic sleep deprivation may suffer from debilitating problems that may compromise military mission readiness and unit safety. The purpose of the study on which this secondary outcome analysis was based was to evaluate the effect of manual standardized stress acupuncture as an adjunct therapy to an abbreviated form of cognitive behavioral therapy for insomnia for sleep disturbances in post-deployment service members.
View Article and Find Full Text PDFJ Psychosoc Nurs Ment Health Serv
October 2024
Purpose: To explore whether continuous positive airway pressure (CPAP) adherence among adult patients with obstructive sleep apnea (OSA) and posttraumatic stress disorder (PTSD) affects the PTSD Checklist (PCL), a validated tool that measures severity of PTSD symptoms.
Method: Studies focusing on PTSD and OSA were searched in PubMed and CINAHL databases. Inclusion and exclusion criteria were applied, decreasing the article yield to nine.
Am J Health Promot
February 2025
San Francisco VA Health Care System, San Francisco, CA, USA.
JAMA Netw Open
June 2024
Department of Neurology, Emory University School of Medicine, Atlanta, Georgia.
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