The comorbidity of depression and anxiety with sleep apnea syndrome and their effects on marital adjustment

In this study, it was aimed to evaluate the effects of depression and anxiety comorbidities on marital adjustment in the patients with sleep apnea syndrome and to determine the factors affecting them. Our study designed in cross - sectional study design 148 patients who had polysomnography and sleep apnea syndrome were included in the Söke Fehime Faik Kocagöz State Hospital Sleep Laboratory. Variables related to socio-demographic, marital and health risks of individuals with sleep apnea who were volunteered to participate in the study are as follows: Personal Information Form, depression and anxiety levels Hospital Anxiety and Depression Scale, marital adjustment, Marital Adjustment Test and daytime sleepiness Epworth Sleepiness Scale. The data was collected between 01.10.2017 and 28.02.2018. There was anxiety risk in 19,6% (n=29) and depression in 30,4% (n=45) of individuals with sleep apnea syndrome. The total score of the Marital Adjustment Scale for the individuals with sleep apnea syndrome was 45,0135 and 67,6% (n=100) were high marital adjustment. Among the individuals with sleep apnea syndrome, 36,5% (n=54) had daytime sleepiness according to the Epworth Sleepiness Scale. Among individuals with low sleep maturity, the proportion of individuals with anxiety and depression risk is higher than those with sleep apnea syndrome with high marital adjustment. There is a statistically significant difference in the risk of depression and anxiety among marriage adjustment of individuals with sleep apnea syndrome (p<0.05). In conclusion, there is a relationship between depression and anxiety and marital adjustment in individuals with sleep apnea syndrome. This relationship is most likely a two-way relationship. In both cases it is both the cause and the consequence of the other. Individuals with sleep apnea syndrome should be evaluated for depression and anxiety and treated appropriately. The necessary support should be provided for individuals with sleep apnea syndrome who are experiencing marital adjustment problems. Key words: Sleep apnea syndrome, anxiety, depression, marital adjustment