• Ayşe Ö Mete, İlkay Karaoğlan, Kübra Koçak, Begüm Şahin, Elif Yaşamali, Ali E Kilisli, and Meral Uyar.
• From the Department of Infectious Diseases and Clinical Microbiology (Mete, Karaoğlan, Koçak, Yaşamali, Kilisli); from the Department of Pulmonary Diseases (Uyar), Gaziantep University Medical Faculty, Gaziantep; and from the Department of Infectious Diseases and Clinical Microbiology (Şahin), Karabük Training and Research Hospital, Karabük, Turkey.
• Saudi Med J. 2023 Dec 1; 44 (12): 124812531248-1253.

ObjectivesTo examine the possible association of obstructive sleep apnea (OSA) and depression on sleep quality in people living with human immunodeficiency virus (PWLHIV).MethodsAdult PWLHIV were included in this prospective, cross-sectional, case-control study. Our study was completed with 99 patients and 80 control subjects. To investigate sleep quality, the Pittsburgh Sleep Quality Scale and Stanford Sleepiness Scale were used; to determine the risk of OSA, the Berlin and STOP-BANG questionnaires were used; and to evaluate the existence and degree of depression, the Beck Depression Inventory was applied.ResultsPatients had significantly higher daytime sleepiness (p=0.002) and absent-mindedness (p=0.004). The rate of being able to concentrate on one's work was significantly higher in the control group compared with the patient group (p=0.000). More participants in the patient group had poor sleep quality (57% versus [vs.] 47.5%). The sleep quality score was significantly higher in the patient group (6.32 vs 5.23; p=0.032). Daytime dysfunction was significantly higher in the patient group (p=0.004). The rate of OSA risk was similar between the patient group and the control group on both the Berlin and STOP-BANG questionnaires (p=0.443 and p=0.581). Rates and numbers of depression the patient group were significantly higher (p=0.007).ConclusionThe results suggest that depression may be the most likely cause of sleep disorders in PWLHIV, regardless of OSA.Copyright: © Saudi Medical Journal.

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