Symptoms of insomnia among patients with obstructive sleep apnea before and after two years of positive airway pressure treatment.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Sigurdsson, Jón F
Arnardottir, Erna S
Kuna, Samuel T
Pack, Allan I
MetadataShow full item record
CitationSleep 2013, 36 (12):1901-9
AbstractTo assess the changes of insomnia symptoms among patients with obstructive sleep apnea (OSA) from starting treatment with positive airway pressure (PAP) to a 2-y follow-up.
Longitudinal cohort study.
Landspitali--The National University Hospital of Iceland.
There were 705 adults with OSA who were assessed prior to and 2 y after starting PAP treatment.
PAP treatment for OSA.
All patients underwent a medical examination along with a type 3 sleep study and answered questionnaires on health and sleep before and 2 y after starting PAP treatment. The change in prevalence of insomnia symptoms by subtype was assessed by questionnaire and compared between individuals who were using or not using PAP at follow-up. Symptoms of middle insomnia were most common at baseline and improved significantly among patients using PAP (from 59.4% to 30.7%, P < 0.001). Symptoms of initial insomnia tended to persist regardless of PAP treatment, and symptoms of late insomnia were more likely to improve among patients not using PAP. Patients with symptoms of initial and late insomnia at baseline were less likely to adhere to PAP (odds ratio [OR] 0.56, P = 0.007, and OR 0.53, P < 0.001, respectively).
Positive airway pressure treatment significantly reduced symptoms of middle insomnia. Symptoms of initial and late insomnia, however, tended to persist regardless of positive airway pressure treatment and had a negative effect on adherence. Targeted treatment for insomnia may be beneficial for patients with obstructive sleep apnea comorbid with insomnia and has the potential to positively affect adherence to positive airway pressure.
RightsArchived with thanks to Sleep
- Predictors and patterns of insomnia symptoms in OSA before and after PAP therapy.
- Authors: Glidewell RN, Renn BN, Roby E, Orr WC
- Issue date: 2014 Aug
- Insomnia complaints in lean patients with obstructive sleep apnea negatively affect positive airway pressure treatment adherence.
- Authors: Eysteinsdottir B, Gislason T, Pack AI, Benediktsdottir B, Arnardottir ES, Kuna ST, Björnsdottir E
- Issue date: 2017 Apr
- Comorbid insomnia symptoms predict lower 6-month adherence to CPAP in US veterans with obstructive sleep apnea.
- Authors: Wallace DM, Sawyer AM, Shafazand S
- Issue date: 2018 Mar
- Functional outcomes in patients with REM-related obstructive sleep apnea treated with positive airway pressure therapy.
- Authors: Su CS, Liu KT, Panjapornpon K, Andrews N, Foldvary-Schaefer N
- Issue date: 2012 Jun 15
- The impact of a telemedicine monitoring system on positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial.
- Authors: Fox N, Hirsch-Allen AJ, Goodfellow E, Wenner J, Fleetham J, Ryan CF, Kwiatkowska M, Ayas NT
- Issue date: 2012 Apr 1