Sleep Disturbance and Depressive Tendency in Bed Partners of Patients With Obstructive Sleep Apnea

Snoring, apnea, and arousal are commonly observed during sleep in patients with obstructive sleep apnea (OSA), and these nocturnal symptoms frequently disturb their bed partners. We aimed to evaluate the sleep disturbance and depressive tendency in the bed partners of patients with OSA. A cross-sectional, prospective study was conducted. A total of 136 patients with OSA and their bed partners were recruited. We analyzed the demographic data of both patients with OSA and bed partners and the polysomnography parameters of patients with OSA. The sleep quality of bed partners was assessed using the Chinese version of the Pittsburgh Sleep Quality Index (PSQI), and depressive symptoms were evaluated using the Center for Epidemiologic Studies Depression Scale (CES-D). The mean apnea–hypopnea index (AHI) was 43.5/h among all participants (76.5% male). Among bed partners, the mean PSQI score was 7.8 and the mean CES-D score was 15.4. The prevalence of chronic disease was significantly higher in bed partners with sleep disturbance (PSQI > 5) and depressive tendency (CES-D ≥ 16). The AHI and snore index of patients with OSA were not associated with bed partners’ sleep disturbance and depressive tendency, which were stratified according to PSQI (> 5 and ≤ 5) and CES-D (≥ 16 and < 16), respectively. The CES-D score was positively correlated with the PSQI score in the bed partners of patients with OSA (r = 0.426, p < 0.001). Bed partners tended to have sleep disturbance, which was unrelated to the severity of AHI and snoring in patients with OSA. Poor sleep quality may cause depressive tendency and chronic disease in the bed partners of patients with OSA.

Association between Self-Restraint Behavior, Stigma and Depressive Tendency in Office Workers during the COVID-19 Pandemic in Japan—Self-Restraint Behavior and Depression during the COVID-19

Background: The COVID-19 pandemic has forced people to change their lifestyles, especially with respect to restrictions on going out. Forced quarantine (i.e., lockdown) and self-restraint behavior (SRB), including self-quarantine, are suggested to induce potential negative impacts on public mental health. SRB seems to be related to governmental policies, each individual’s social background and mental condition; however, no empirical studies have been conducted. Methods: 1053 participants (mainly office workers) from epidemic areas and non-epidemic areas in Japan voluntarily conducted an online survey in June 2020. We assessed COVID-19-related aspects such as the degree of SRB, motivation for SRB, stigma, anxiety and depressive feelings due to COVID-19 by original questionnaires) and general mental health status (social anxiety by MINI-SPIN, depressive tendency by PHQ-9, depression-related personality traits by TACS-22 and resilience by TRS). Results: Regional comparison showed significant differences in SRB and social anxiety. People in epidemic areas tend to refrain from going out. Conversely, people in non-epidemic areas tend to shun the public eye. Regardless of epidemic status, proactive SRB was associated with higher motivation for SRB, higher social anxiety, higher depressive tendency, stronger COVID-19-related psychological factors and lower resilience. Moreover, people with proactive SRB in non-epidemic areas had the highest depressive tendency. Discussion: The present cross-sectional survey among office workers in Japan showed that people with proactive SRB have stronger COVID-19-related anxiety and depressive feelings, regardless of where they live. Our key finding is that people with proactive SRB in non-epidemic areas have the highest depressive tendency. Based on the present finding, we herein propose the following hypothesis: Higher levels of depressive tendency may enhance proactive SRB, which may be partly associated with higher levels of stigma, anxiety and depressive feelings related to COVID-19. Limitations: The general tendencies to avoid danger and stigma were not evaluated. Conclusions: Depressive tendency is suggested to be associated with proactive SRB against COVID-19. Intervention for depressive tendency in non-clinical settings (e.g., workplaces) may help citizens understand the infectious situation appropriately and to behave effectively during the pandemic. Further investigations should be conducted to clarify the present findings.

Impact of Coronavirus Anxiety on Depressive Tendencies among Emerging and Young Adults

Coronavirus, our new chemical enemy, has become successful in changing our lives to an extent that now we have to think twice before stepping out of the house. It has impacted negatively on not only our physical health but also psychological health. The current study was done to see the impact of coronavirus-related anxiety on depressive tendencies. Further, it was assessed whether there is any interaction between gender and coronavirus anxiety on depressive tendencies. The linear regression indicated that coronavirus anxiety is strongly related to depressive tendencies and that coronavirus anxiety is a predictor of depressive tendency. How?ever, two-way ANOVA indicated that there is an insignificant difference as to how males and females face depressive tendencies. Finally, there is insignificant interaction between gender and coronavirus anxiety on depressive tendencies. The implications, limitations, and future suggestions are also given on the basis of the findings so obtained.

IMPACT OF RATIONAL EMOTIVE BEHAVIOR THERAPY (REBT) ON THE MANAGEMENT OF SUICIDAL IDEATION AND DEPRESSIVE TENDENCY AMONG INMATES IN CORRECTIONAL CENTER IN NSUKKA EDUCATION ZONE, NIGERIA

The problem of ineffective and inefficient rehabilitation of inmates as well as in reducing their high rates of unprecedented unwholesome behaviors informed this study. Two research questions were answered and two hypotheses were tested. The study was a quasi-experimental study that adopts pre-test and posttest control group design. The treatment session lasted for a period of 12 weeks representing 24 sessions. The study was able to identify 35 inmates with depressive tendencies and suicidal ideation. Out of the 35 consent forms distributed to 35 inmates with depressive tendencies and suicidal ideation, 20 consent forms were returned showing interest in the study. Beck Scale for Suicide Ideation (BSS) developed in 1991 with a self-report of 21 items was used for data collection with reliability ranging from α = .87 to α = .89 across samples. The Center for Epidemiology Study Depression Scale (CES-D) with 20items developed by Radloff (1977) was used to measure depression of any population of people. The internal consistency reliability coefficient of 0.88 was computed for CES-D through Cronbach Alpha statistics. Mean and standard deviation were used to answer the research questions while Analysis of Covariance (ANCOVA) was used to test the null hypotheses at 0.05 level of significance. It was found that Rational Emotive Behavior Therapy (REBT) significantly improved the management of suicidal ideation and depressive tendency among inmates in correctional centers. It was concluded that REBT has been found to be significant in handling behaviuoral problems as well as in improving the management of suicidal ideation and depressive tendency among inmates in correctional centers. It was recommended that inmates should be given close monitoring by their supervisors and warders in order to emancipate them from self defeating perception, thoughts and feeling that could endanger their emotion. Counseling-psychologists and religious leaders should make it a point of duty to be rekindling hope freedom, future and belongingness.