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2010 Neurological Institute Outcomes - Cleveland Clinic

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Functional Status and Depressive Symptoms before and after Treatment<br />

<strong>2010</strong><br />

Mean Score<br />

20<br />

15<br />

10<br />

5<br />

0<br />

N =<br />

Mean Subscale Score<br />

4<br />

3<br />

2<br />

1<br />

0<br />

<strong>Neurological</strong> <strong>Institute</strong><br />

FOSQ<br />

392<br />

General Social<br />

<strong>Outcomes</strong><br />

Activity<br />

Level<br />

FOSQ Subscale<br />

Before Treatment<br />

After Treatment<br />

PHQ-9<br />

358<br />

Functional Status Subscales before and after Treatment (N = 392)<br />

<strong>2010</strong><br />

Before PAP<br />

After PAP<br />

Vigilance Intimate<br />

Relationships<br />

Functional status, as measured by the<br />

Functional <strong>Outcomes</strong> of Sleep Questionnaire<br />

(FOSQ), improved among sleep apnea<br />

patients who were compliant with PAP<br />

treatment (P < 0.0001). The FOSQ is a<br />

condition-specific functional status measure<br />

designed to evaluate the effects of sleep<br />

disorders on activities of daily living. Higher<br />

scores indicate higher levels of quality of life.<br />

Depressive symptoms, as measured with the<br />

PHQ-9, improved in sleep apnea patients<br />

who were compliant with PAP therapy<br />

(P < 0.0001). Lower scores indicate fewer<br />

depressive symptoms. A score less than<br />

5 is considered normal.<br />

Sleep apnea patients who were compliant<br />

with PAP therapy showed improvement<br />

in all five domains of functional status<br />

as measured by the FOSQ subscales<br />

(P < 0.0001). Higher scores indicate<br />

higher levels of functioning.<br />

111

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