{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T01:54:22Z","timestamp":1790906062555,"version":"4.1.0"},"reference-count":137,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n \n People with severe mental illness (\n SMIs<\/jats:styled-content>\n ) are at an increased risk of morbidity and reduced life expectancy. Obstructive sleep apnoea (\n OSA<\/jats:styled-content>\n ), a prevalent but underdiagnosed condition in\n SMIs<\/jats:styled-content>\n , may precipitate more physical health complications. This meta\u2010analysis aimed to estimate the prevalence of\n OSA<\/jats:styled-content>\n and assess its risk in\n SMIs<\/jats:styled-content>\n populations.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We conducted a systematic review and meta\u2010analysis on studies reporting either diagnosis or high risk of\n OSA<\/jats:styled-content>\n in bipolar disorder (\n BD<\/jats:styled-content>\n ), schizophrenia (\n SCZ<\/jats:styled-content>\n ), and major depressive disorder (\n MDD<\/jats:styled-content>\n ). Databases were searched through January 2026. Pooled prevalence of\n OSA<\/jats:styled-content>\n was calculated through a single\u2010group meta\u2010analysis, while odds ratios (\n ORs<\/jats:styled-content>\n ) comparing\n SMIs<\/jats:styled-content>\n and control groups were estimated by a two\u2010group meta\u2010analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 47 articles were included in the meta\u2010analysis. The pooled prevalence of\n OSA<\/jats:styled-content>\n in\n SMIs<\/jats:styled-content>\n was 41.2%, largely influenced by clinical and sleep\u2010referral settings, with a 38.3% prevalence in\n SCZ<\/jats:styled-content>\n , 38.2% in\n MDD<\/jats:styled-content>\n and 35.6% in\n BD<\/jats:styled-content>\n . Compared to healthy controls (\n HCs<\/jats:styled-content>\n ) without psychiatric diagnosis, participants with\n SMIs<\/jats:styled-content>\n had significantly higher odds of being diagnosed with\n OSA<\/jats:styled-content>\n (\n OR<\/jats:styled-content>\n \u2009=\u20096.96; 95%\n CI<\/jats:styled-content>\n \u2009=\u20092.48, 19.51;\n k<\/jats:italic>\n \u2009=\u20092;\n p<\/jats:italic>\n \u2010value <\u20090.001). High risk of\n OSA<\/jats:styled-content>\n was present in 46.7% of\n SMI<\/jats:styled-content>\n individuals.\n BD<\/jats:styled-content>\n participants showed significantly higher excessive daytime sleepiness compared to\n HCs<\/jats:styled-content>\n (\n SMD<\/jats:styled-content>\n \u2009=\u20090.63; 95%\n CI<\/jats:styled-content>\n \u2009=\u20090.28, 0.98;\n k<\/jats:italic>\n \u2009=\u20092;\n p<\/jats:italic>\n \u2010value <\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n People with\n SMIs<\/jats:styled-content>\n have a high prevalence of\n OSA<\/jats:styled-content>\n and are at an increased risk of\n OSA<\/jats:styled-content>\n compared to the general population. These findings highlight the considerable burden of\n OSA<\/jats:styled-content>\n in\n SMIs<\/jats:styled-content>\n and support the need for systematic assessment within psychiatric care settings.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/acps.70119","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:34:15Z","timestamp":1782221655000},"page":"322-341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Prevalence of Obstructive Sleep Apnoea in Schizophrenia, Bipolar Disorder and Major Depressive Disorder: A Systematic Review With Meta\u2010Analysis"],"prefix":"10.1111","volume":"154","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3985-5101","authenticated-orcid":false,"given":"Constanza","family":"Sommerhoff","sequence":"first","affiliation":[{"name":"Bipolar and Depressive Disorders Unit, Hospital Clinic de Barcelona Barcelona Spain"},{"name":"Institut 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