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Obstructive sleep apnea's causal links to depression, well-being, and negative moods: a bidirectional mendelian randomized study

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机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China [2]Capital Med Univ, Obstructive Sleep Apnea Hypopnea Syndrome Clin Dia, Beijing, Peoples R China [3]Chinese Acad Tradit Chinese Med, GuangAnmen Tradit Chinese Med Hosp, Dept Psychol, Beijing, Peoples R China [4]Xinjiang Med Univ, Xinjiang Key Lab Biopharmaceut & Med Devices, Urumqi 830054, Peoples R China
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关键词: Obstructive Sleep Apnea Depression Mood Mendelian randomization

摘要:
Previous observational studies showed associations between obstructive sleep apnea (OSA) and depression and other negative moods. However, the causality has not been determined. Single nucleotide polymorphisms were identified as instrumental variables by screening from genome-wide association studies. Bidirectional two-sample mendelian randomization (MR) was applied to assess the potential causal relationship between OSA and depression, subjective well-being, negative moods. Inverse variance weighting (IVW) method and weight median were chosen as the main methods to estimate possible causal effects. MR-Egger, MR pleiotropy residual sum and outlier and leave-one-out analysis methods, were used as sensitivity analysis methods to ensure robust results. MR analyses indicated significantly causal association of OSA on depression (OR = 1.22, P = .010) and major depressive disorder (OR = 1.02, P = .006). Furthermore, genetically predicted OSA was negatively associated with subjective well-being (beta IVW = -0.06, P = .009), and was positively associated with negative moods including depressed affect (OR = 1.04, P = .012), irritable mood (P = .006), feeling lonely (P = .011), feeling fed-up (P = .005) and mood swings (P = .017). There is no reverse effect of the above psychiatric traits on OSA. Genetic predisposition to OSA causally increased depression and major depressive disorder. Consistently, OSA has causal impacts on both subjective well-being, representing positive emotions, and negative moods.

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出版当年[2025]版:
大类 | 2 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
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出版当年[2023]版:
Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China [2]Capital Med Univ, Obstructive Sleep Apnea Hypopnea Syndrome Clin Dia, Beijing, Peoples R China
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通讯机构: [1]Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China [2]Capital Med Univ, Obstructive Sleep Apnea Hypopnea Syndrome Clin Dia, Beijing, Peoples R China [4]Xinjiang Med Univ, Xinjiang Key Lab Biopharmaceut & Med Devices, Urumqi 830054, Peoples R China
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