The Relationship of Obstructive Sleep Apnea with Cardiovascular Reactivity, Psychological Distress, and Coping Responses in the South African Context: A Critical Review

Lelanie Malan, Werner de Klerk
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Abstract

Obstructive sleep apnea (OSA) is known around the world to be one of the most common sleep disorders and a significant risk factor for cardiovascular morbidity and death, leading to significant changes in cognitive and daytime functioning, as well as several psychological and physiological challenges. This critical review research study aimed to review scientific literature in order to conceptualize an understanding of the relationship of OSA with both physiological (cardiovascular reactivity) and psychological aspects (psychological distress and coping responses), more specifically within the South African context. The literature search reviewed scientific literature that was peer-reviewed and published in the English language from 2012 to 2022. The SALSA (search, appraisal, synthesis, and analysis) method was used in order to examine the interplay between physiological and psychological aspects associated with OSA in South Africa. However, no studies within the South African context or internationally were found giving account for cardiovascular reactivity, psychological distress, and coping responses in relationship with OSA. Therefore, we provided a summary and discussion on available scientific literature in both the South African context and internationally, on each aspect separately related to OSA. We concluded that OSA has a significant impact on both the physiological and psychological well-being of individuals and it is necessary to gain a deeper understanding of the interplay between these aspects and OSA, in order to inform scientific knowledge and intervention strategies.
在南非背景下,阻塞性睡眠呼吸暂停与心血管反应、心理困扰和应对反应的关系:一个重要的回顾
阻塞性睡眠呼吸暂停(OSA)是世界上已知的最常见的睡眠障碍之一,也是心血管疾病发病率和死亡的重要危险因素,导致认知和白天功能的重大变化,以及一些心理和生理挑战。这项批判性回顾研究旨在回顾科学文献,以便概念化OSA与生理(心血管反应性)和心理方面(心理困扰和应对反应)的关系,更具体地说,在南非的背景下。文献检索回顾了2012年至2022年期间经过同行评审并以英语发表的科学文献。SALSA(搜索、评估、综合和分析)方法用于检查南非与OSA相关的生理和心理方面之间的相互作用。然而,在南非或国际范围内,没有研究发现心血管反应、心理困扰和应对反应与OSA的关系。因此,我们对南非和国际上现有的与OSA相关的科学文献进行了总结和讨论。综上所述,阻塞性睡眠呼吸暂停对个体的生理和心理健康都有显著影响,有必要深入了解这些方面与阻塞性睡眠呼吸暂停的相互作用,以便为科学知识和干预策略提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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