Insomnia symptoms influence CPAP compliance
Abstract
Purpose The aim of this study is to determine parameters which influence 6-month compliance of continuous positive airway pressure therapy (CPAP) in patients with obstructive sleep apnea syndrome (OSAS).Methods This prospective study investigated 73 patients (24 females) with OSAS and medical indication for CPAP therapy: age 55.1 ± 11.5 years, body mass index (BMI) 30.8 ± 5.0 kg/m2, Apnea-Hypopnea Index (AHI) 39.2 ± 26.7/h, Oxygen Desaturation Index (ODI) 33.2 ± 25.4/h, minimum O(2) saturation 78.9 ± 7.6%. The influence of baseline parameters (demographic and polysomnographic data, sleeping medication intakes, BMI, psychometrics [Epworth Sleepiness Scale, Regensburg Insomnia Scale, Vigilance test and Beck Depression Inventory]) on 6-month compliance was evaluated with a correlation and a linear regression analysis.Results The baseline value of the Regensburg Insomnia Scale (RIS) predicts 6-month CPAP compliance (r = -0.376, R (2) = 0.14, p < 0.001), although no other baseline parameter correlates. Patients with a compliance of <4 h/night show higher RIS scores, i.e., more insomnia symptoms (17.6 ± 8.8) compared to those with ≥4 h/night (12.6 ± 6.9; p < 0.05).Conclusions Insomnia symptoms prior to the beginning of CPAP treatment show a negative influence on CPAP compliance. Further studies should clarify, if a treatment of insomnia symptoms leads to a benefit in compliance.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
OSA patients with comorbid insomnia are less likely to accept and use CPAP therapy compared to OSA patients without insomnia.
“Importantly, recent research indicates that OSA patients with comorbid insomnia are less likely to accept and use CPAP therapy compared to OSA patients without insomnia [19][20][21][22][23][24].”
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364 · see citing works
Beck, A. T., Steer, R. A., & Brown, G. (2011) · PsycTESTS Dataset · doi:10.1037/t00742-000 · Cited by 7,535 · cited 2× · see citing works
“Beck Depression Inventory (BDI) second version [24] in German language [25]: A 21-item self-report inventory for measuring the severity of depression.”
MethodResultMarin, J. M., Carrizo, S. J., Vicente, E., & Agusti, A. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71141-7 · Cited by 4,678 · see citing works
International Classification of Sleep Disorders
Thorpy, M. (2017) · Sleep Disorders Medicine · doi:10.1007/978-1-4939-6578-6_27 · Cited by 2,505 · see citing works
Reliability and factor analysis of the Epworth Sleepiness Scale.
Johns, M. (1992) · Sleep · doi:10.1093/sleep/15.4.376 · Cited by 2,193 · see citing works
Sleep Apnea and Cardiovascular Disease
Somers, V. K., White, D. P., Amin, R. S., Abraham, W. T., Costa, F., Culebras, A., Daniels, S. R., Floras, J. S., Hunt, C. E., Olson, L. J., et al. (2008) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.05.002 · Cited by 1,510 · see citing works
Weaver, T. E., Maislin, G., Dinges, D. F., Bloxham, T., George, C. F. P., Greenberg, H., Kader, G., Mahowald, M., Younger, J., & Pack, A. I. (2007) · Sleep · doi:10.1093/sleep/30.6.711 · Cited by 1,058 · see citing works
Kushida, C. A., Littner, M. R., Hirshkowitz, M., Morgenthaler, T. I., Alessi, C., Bailey, D. R., Boehlecke, B. A., Brown, T. M., Coleman, J., Friedman, L., et al. (2006) · SLEEP · doi:10.1093/sleep/29.3.375 · Cited by 774 · see citing works
Task Force Members, Kushida, C. A., Chediak, A., Berry, R. B., Brown, L. K., Gozal, D., Iber, C., Parthasarathy, S., Quan, S. F., & Rowley, J. A. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27133 · Cited by 749 · cited 1× · see citing works
“The titration procedure was performed similar to the clinical guidelines for manual titration of the American Academy of Sleep Medicine [21].”
MethodImproving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS)
Engleman, H. M., & Wild, M. R. (2003) · Sleep Medicine Reviews · doi:10.1053/smrv.2001.0197 · Cited by 473 · see citing works
S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen
Riemann, D. W., Baum, E., Cohrs, S., Crönlein, T., Hajak, G., Hertenstein, E., Klose, P., Langhorst, J., Mayer, G., Nissen, C., et al. (2017) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-016-0097-x · Cited by 339 · see citing works
Self-citationPredictors of long-term compliance with continuous positive airway pressure
Kohler, M., Smith, D., Tippett, V., & Stradling, J. R. (2010) · Thorax · doi:10.1136/thx.2010.135848 · Cited by 275 · see citing works
Frequency of insomnia report in patients with obstructive sleep apnoea hypopnea syndrome (OSAHS)
Smith, S. S., Sullivan, K. A., Hopkins, W., & Douglas, J. A. (2004) · Sleep Medicine · doi:10.1016/j.sleep.2004.03.005 · Cited by 187 · see citing works
Factors that influence CPAP adherence: an overview
Shapiro, G., & Shapiro, C. (2010) · Sleep and Breathing · doi:10.1007/s11325-010-0391-y · Cited by 172 · see citing works
Ballard, R. D., Gay, P. C., & Strollo, P. J. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27027 · Cited by 137 · see citing works
Improving Compliance with Nasal CPAP and Vigilance in Older Adults with OSAHS
Aloia, M. S., Dio, L. D., Ilniczky, N., Perlis, M. L., Greenblatt, D. W., & Giles, D. E. (2001) · Sleep And Breathing · doi:10.1007/s11325-001-0013-9 · Cited by 133 · see citing works
Compliance with nasal CPAP in obstructive sleep apnea patients
Collard, P., Pieters, T., Aubert, G., Delguste, P., & Rodenstein, D. O. (1997) · Sleep Medicine Reviews · doi:10.1016/s1087-0792(97)90004-6 · Cited by 125 · see citing works
CPAP compliance: video education may help!
Wiese, H. J., Boethel, C. D., Phillips, B. A., Wilson, J. F., Peters, J. C., & Viggiano, T. (2005) · Sleep Medicine · doi:10.1016/j.sleep.2004.08.006 · Cited by 122 · see citing works
Broström, A., Nilsén, P., Johansson, P., Ulander, M., Strömberg, A., Svanborg, E., & Fridlund, B. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2009.04.010 · Cited by 118 · see citing works
Improving Compliance with Nasal CPAP and Vigilance in Older Adults with OSAHS
Aloia, M. S., Dio, L. D., Ilniczky, N., Perlis, M. L., Greenblatt, D. W., & Giles, D. E. (2001) · Sleep And Breathing · doi:10.1055/s-2001-12789 · Cited by 117 · see citing works
Olsen, S., Smith, S. S., & Oei, T. P. S. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.07.004 · Cited by 104 · see citing works
CPAP compliance in patients with obstructive sleep apnea syndrome
Yetkin, O., Kunter, E., & Gunen, H. (2008) · Sleep And Breathing · doi:10.1007/s11325-008-0188-4 · Cited by 102 · see citing works
Psychological Status, Syndromatic Measures, and Compliance with Nasal CPAP Therapy for Sleep Apnea
Edinger, J. D., Carwile, S. T., Miller, P. P., Hope, V. T., & Mayti, C. (1994) · Perceptual and Motor Skills · doi:10.2466/pms.1994.78.3c.1116 · Cited by 91 · see citing works
Poulet, C., Veale, D., Arnol, N., Levy, P. A., Pépin, J., & Tyrrell, J. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2009.01.007 · Cited by 89 · see citing works
Social-cognitive correlates of CPAP adherence in experienced users
Stepnowsky, C. J., Marler, M., Palau, J. J., & Brooks, J. A. (2006) · Sleep Medicine · doi:10.1016/j.sleep.2005.11.004 · Cited by 75 · see citing works
Nguyên, X.-L., Chaskalovic, J., Rakotonanahary, D., & Fleury, B. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.04.008 · Cited by 69 · see citing works
(2009) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-009-0430-8 · Cited by 52 · see citing works
CPAP Compliance in Sleep Apnea Patients with and without Laboratory CPAP Titration
Means, M. K., Edinger, J. D., & Husain, A. M. (2004) · Sleep And Breathing · doi:10.1007/s11325-004-0007-5 · Cited by 50 · see citing works
Predictors of continuous positive airway pressure adherence
CATCHESIDE, P. G. (2010) · F1000 Medicine Reports · doi:10.3410/m2-70 · Cited by 49 · see citing works
Sopkova, Z., Dorková, Z., & Tkáčová, R. (2009) · Wiener klinische Wochenschrift · doi:10.1007/s00508-009-1181-z · Cited by 45 · see citing works
Alves, C., Caminha, J. M. P. C., da Silva, A. M., & Mendonça, D. M. (2011) · Sleep And Breathing · doi:10.1007/s11325-011-0542-9 · Cited by 34 · see citing works
Die Kontrollüberzeugung ist ein Prädiktor für CPAP-Compliance bei obstruktivem Schlafapnoesyndrom
de Zeeuw, J., Baberg, H. T., Duchna, H., Kempkens, D., Walther, J., Schultze‐Werninghaus, G., Rasche, K., & Orth, M. (2007) · Pneumologie · doi:10.1055/s-2007-959162 · Cited by 16 · see citing works
Langzeit-Compliance der CPAP-Therapie - aktueller Stand, Prädiktoren und Interventionsmöglichkeiten
Orth, M., Kotterba, S., Walther, J., Rasche, K., Schultze‐Werninghaus, G., & Duchna, H. W. (2006) · Pneumologie · doi:10.1055/s-2006-944234 · Cited by 7 · see citing works
Flagged first, then by citations
2 of the 36 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Predictors of Continuous Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea
Mehrtash, M., Bakker, J. P., & Ayas, N. (2019) · Lung · doi:10.1007/s00408-018-00193-1 · Cited by 231 · see citing works
Bi-directional relationships between co-morbid insomnia and sleep apnea (COMISA)
Sweetman, A., Lack, L., McEvoy, R. D., Smith, S., Eckert, D. J., Osman, A., Carberry, J. C., Wallace, D., Nguyen, P. D., & Catcheside, P. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101519 · Cited by 203 · see citing works
Developing a successful treatment for co-morbid insomnia and sleep apnoea
Sweetman, A. M., Lack, L. C., Catcheside, P. G., Antic, N. A., Chai-Coetzer, C. L., Smith, S. S., Douglas, J. A., & McEvoy, R. D. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.04.004 · Cited by 185 · see citing works
Karimi, M., Hedner, J. A., Häbel, H., Nerman, O., & Grote, L. (2015) · SLEEP · doi:10.5665/sleep.4486 · Cited by 176 · see citing works
Björnsdóttir, E., Janson, C., Sigurdsson, J. F., Gehrman, P., Perlis, M., Juliusson, S., Arnardottir, E. S., Kuna, S. T., Pack, A. I., Gislason, T., et al. (2013) · Sleep · doi:10.5665/sleep.3226 · Cited by 174 · see citing works
Clinical Phenotypes and Comorbidity in European Sleep Apnoea Patients
Saaresranta, T., Hedner, J., Bonsignore, M. R., Riha, R. L., McNicholas, W. T., Penzel, T., Anttalainen, U., Kvamme, J. A., Pretl, M., Sliwinski, P., et al. (2016) · PLOS ONE · doi:10.1371/journal.pone.0163439 · Cited by 154 · see citing works
Sweetman, A., Lack, L., Catcheside, P. G., Antic, N. A., Smith, S., Chai-Coetzer, C. L., Douglas, J., O’grady, A., Dunn, N., Robinson, J., et al. (2019) · Sleep · doi:10.1093/sleep/zsz178 · Cited by 149 · see citing works
Comorbid Insomnia With Obstructive Sleep Apnea: Clinical Characteristics and Risk Factors
Cho, Y. W., Kim, K. T., Moon, H.-J., Korostyshevskiy, V. R., Motamedi, G. K., & Yang, K. I. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6988 · Cited by 114 · see citing works
Integrating psychology and medicine in CPAP adherence – New concepts?
Crawford, M., Espie, C. A., Bartlett, D. J., & Grunstein, R. R. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2013.03.002 · Cited by 112 · see citing works
Crönlein, T., Langguth, B., Popp, R., Lukesch, H., Pieh, C., Hajak, G., & Geisler, P. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-65 · Cited by 109 · see citing works
Self-citationInsomnia and Obstructive Sleep Apnea
Ong, J., & Crawford, M. R. (2013) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2013.04.004 · Cited by 84 · see citing works
Collen, J. F., Lettieri, C. J., & Hoffman, M. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2260 · Cited by 92 · see citing works
Ong, J. C., Crawford, M., & Wallace, D. M. (2020) · CHEST Journal · doi:10.1016/j.chest.2020.12.002 · Cited by 94 · see citing works
Sweetman, A., Lack, L., Lambert, S., Gradisar, M., & Harris, J. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.09.003 · Cited by 84 · see citing works
Bonsignore, M. R., Suarez-Giron, M. C., Marrone, O., Castrogiovanni, A., & Montserrat, J. M. (2017) · European Respiratory Review · doi:10.1183/16000617.0069-2017 · Cited by 78 · see citing works
Ong, J. C., Crawford, M. R., Dawson, S. C., Fogg, L. F., Turner, A. D., Wyatt, J. K., Crisostomo, M. I., Chhangani, B. S., Kushida, C. A., Edinger, J. D., et al. (2020) · Sleep · doi:10.1093/sleep/zsaa041 · Cited by 74 · see citing works
Wallace, D. M., Sawyer, A. M., & Shafazand, S. (2018) · Sleep And Breathing · doi:10.1007/s11325-017-1605-3 · Cited by 70 · see citing works
Depression May Reduce Adherence during CPAP Titration Trial
Law, M. M., Naughton, M. T., Ho, S., Roebuck, T., & Dabscheck, E. J. (2014) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.3444 · Cited by 69 · see citing works
Attempters, adherers, and non-adherers: Latent profile analysis of CPAP use with correlates
Wohlgemuth, W. K., Chirinos, D. A., Domingo, S., & Wallace, D. M. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.08.013 · Cited by 68 · see citing works
Gupta, M. A., & Knapp, K. (2014) · PLoS ONE · doi:10.1371/journal.pone.0090021 · Cited by 64 · see citing works
Sweetman, A., McEvoy, R. D., Smith, S., Catcheside, P. G., Antic, N. A., Chai-Coetzer, C. L., Douglas, J., O’Grady, A., Dunn, N., Robinson, J., et al. (2020) · Sleep · doi:10.1093/sleep/zsaa002 · Cited by 62 · see citing works
Predictors and patterns of insomnia symptoms in OSA before and after PAP therapy
Glidewell, R. N., Renn, B. N., Roby, E., & Orr, W. C. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.05.001 · Cited by 61 · see citing works
Wallace, D. M., Vargas, S. S., Schwartz, S. J., Aloia, M. S., & Shafazand, S. (2013) · Sleep and Breathing · doi:10.1007/s11325-012-0702-6 · Cited by 59 · see citing works
Baptista, P., Costantino, A., Moffa, A., Rinaldi, V., & Casale, M. (2020) · Nature and Science of Sleep · doi:10.2147/nss.s221542 · Cited by 52 · see citing works
Diagnosis and treatment of insomnia comorbid with obstructive sleep apnea
Lack, L., & Sweetman, A. (2016) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2016.05.006 · Cited by 47 · see citing works
Comorbid Insomnia and Sleep Apnea
Sweetman, A., Lack, L. C., Crawford, M., & Wallace, D. M. (2022) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2022.07.006 · Cited by 50 · see citing works
El-Solh, A., Vermont, L. N., Homish, G. G., & Kufel, T. J. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2016.12.025 · Cited by 45 · see citing works
Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients
Philip, P., Bioulac, S., Altena, E., Morin, C. M., Ghorayeb, I., Coste, O., Monteyrol, P.-J., & Micoulaud-Franchi, J.-A. (2018) · PLOS ONE · doi:10.1371/journal.pone.0195343 · Cited by 43 · see citing works
Bahr‐Hamm, K., Cámara, R. J. A., Gouveris, H. T., & Tuin, I. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.00804 · Cited by 38 · see citing works
Krakow, B. J., Ulibarri, V. A., Romero, E. A., & McIver, N. D. (2013) · Sleep Medicine · doi:10.1016/j.sleep.2013.02.015 · Cited by 37 · see citing works
Bjorvatn, B., Pallesen, S., Grønli, J., Sivertsen, B., & Lehmann, S. (2014) · Perceptual and Motor Skills · doi:10.2466/15.06.pms.118k20w3 · Cited by 34 · see citing works
Romero-Peralta, S., Rio, F. G., Barrio, P. R., Viejo-Ayuso, E., Izquierdo-Alonso, J. L., Sabroso, R., Castelao, J., Francés, J. F., & Mediano, O. (2021) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2021.02.022 · Cited by 34 · see citing works
Management of Obstructive Sleep Apnea and Comorbid Insomnia: A Mixed-Methods Evaluation
Ong, J. C., Crawford, M., Kong, A., Park, M. M., Cvengros, J. A., Crisostomo, M. I., Alexander, E. I., & Wyatt, J. K. (2015) · Behavioral Sleep Medicine · doi:10.1080/15402002.2015.1087000 · Cited by 31 · see citing works
Crawford, M. R., Turner, A. D., Wyatt, J. K., Fogg, L. F., & Ong, J. C. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.12.017 · Cited by 30 · see citing works
Hypoglossal Nerve Stimulation in Veterans With Comorbid Insomnia and Sleep Apnea
Patil, R. D., Hong, M. P., & Ishman, S. L. (2021) · Otolaryngology · doi:10.1177/0194599820982638 · Cited by 27 · see citing works
Brooker, E. J., Landry, S. A., Thomson, L. D. J., Hamilton, G. S., Genta, P. R., Drummond, S. P. A., & Edwards, B. A. (2023) · Annals of the American Thoracic Society · doi:10.1513/annalsats.202304-350oc · Cited by 29 · see citing works
Sleep Deficiency in Obstructive Sleep Apnea
Adekolu, O., & Zinchuk, A. V. (2022) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2022.02.013 · Cited by 24 · see citing works
Obstructive sleep apnea: management considerations in psychiatric patients
Zolezzi, M., & Heck, T. (2015) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s90521 · Cited by 22 · see citing works
Remote Monitoring of Positive Airway Pressure Data
Bottaz‐Bosson, G., Midelet, A., Mendelson, M., Borel, J., Martinot, J., Hy, R. L., Schaeffer, M.-C., Samson, A., Hamon, A., Tamisier, R., et al. (2022) · CHEST Journal · doi:10.1016/j.chest.2022.11.034 · Cited by 18 · see citing works
Impact of Insomnia on Hypoglossal Nerve Stimulation Outcomes in the ADHERE Registry
Patil, R. D., Ishman, S. L., Chang, J. L., Thaler, E. R., & Suurna, M. V. (2023) · The Laryngoscope · doi:10.1002/lary.30933 · Cited by 17 · see citing works
Richards, K. C., Lozano, A. J., Morris, J. L., Moelter, S. T., Ji, W., Vallabhaneni, V., Wang, Y., Chi, L., Davis, E. M., Cheng, C. I.-F., et al. (2023) · The Journals of Gerontology Series A · doi:10.1093/gerona/glad099 · Cited by 15 · see citing works
Niu, Y., Xi, H., Zhu, R., Guo, Y., Wang, S., Xiong, X., Wang, S., & Guo, L. (2023) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2023.105108 · Cited by 16 · see citing works
Jennum, P., Baandrup, L., Tønnesen, P., Ibsen, R., & Kjellberg, J. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.11.1142 · Cited by 15 · see citing works
Brooker, E. J., Landry, S. A., Genta, P. R., Abdelmessih, G. T., Edwards, B. A., & Drummond, S. P. A. (2025) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.11636 · Cited by 13 · see citing works
Lam, A. S., Collop, N. A., Bliwise, D. L., & Dedhia, R. C. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6692 · Cited by 14 · see citing works
Refining the Measurement of Insomnia in Patients With Obstructive Sleep Apnea
Sweetman, A., Lack, L., & McEvoy, D. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8108 · Cited by 13 · see citing works
Park, S. K., & Choi, J. H. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14217586 · Cited by 13 · see citing works
Multi-night home assessment of sleep structure in OSA with and without insomnia
Wulterkens, B. M., Teuling, N. D., Hermans, L. W., Asin, J., Duis, N., Overeem, S., Fonseca, P. M., & van Gilst, M. M. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.03.031 · Cited by 13 · see citing works
Sweetman, A., Lechat, B., CATCHESIDE, P. G., Smith, S. S., Antic, N. A., O’Grady, A., Dunn, N., McEvoy, R. D., & Lack, L. C. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.676763 · Cited by 14 · see citing works
Kaffenberger, T. M., Chandna, M., Kaki, P. C., Corr, A. M., Plawecki, A. M., Doghramji, K., Boon, M. S., & Huntley, C. T. (2023) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10752 · Cited by 14 · see citing works
Comorbid Insomnia and Sleep Apnea
Sarber, K. M., & Patil, R. D. (2023) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2023.11.001 · Cited by 19 · see citing works
Delivering Cognitive Behavioral Therapy for Insomnia in Military Personnel and Veterans
Kelly, M. R., Robbins, R., & Martin, J. L. (2019) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2019.01.003 · Cited by 14 · see citing works
Páramo-Brando, A. M., Durán, P., del Río‐Portilla, Y., Poblano, A., & Haro, R. (2019) · Sleep And Breathing · doi:10.1007/s11325-019-01951-y · Cited by 12 · see citing works
Jomha, M., Dabboussi, T., Parker, N. P., Manchanda, S., Chernyak, Y., & Stahl, S. M. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.06.016 · Cited by 12 · see citing works
Bogan, R., & Wells, C. (2017) · Sleep Disorders · doi:10.1155/2017/3978073 · Cited by 12 · see citing works
Men and women with chronic insomnia disorder and OSAS: Different responses to CPAP
Amorim, I., Bentes, C. C., & Peralta, A. R. (2019) · Sleep Science · doi:10.5935/1984-0063.20190085 · Cited by 12 · see citing works
Rosenthal, M., Lyons, M. M., Schweller, J., Yildiz, V. O., Chio, E. G., & Khan, M. S. (2021) · Sleep And Breathing · doi:10.1007/s11325-021-02366-4 · Cited by 11 · see citing works
Insomnia in Patients Undergoing Hypoglossal Nerve Stimulation Therapy for Obstructive Sleep Apnea
Pordzik, J., Ludwig, K., Seifen, C., Huppertz, T., Bahr‐Hamm, K., Matthias, C., & Gouveris, H. T. (2023) · Biology · doi:10.3390/biology12010098 · Cited by 11 · see citing works
Intervención psicológica en trastornos del sueño: una revisión actualizada
García, H. B. Á., & Jiménez‐Correa, U. (2020) · Clínica Contemporánea · doi:10.5093/cc2020a9 · Cited by 8 · see citing works
Patel, S. R., Sawyer, A. M., & Gottlieb, D. J. (2024) · SLEEP · doi:10.1093/sleep/zsae063 · Cited by 8 · see citing works
Cammalleri, A., Perrault, A. A., Hillcoat, A., Carrese‐Chacra, E., Tarelli, L., Patel, R. S., Baltzan, M., Chouchou, F., Dang‐Vu, T. T., Gouin, J., et al. (2024) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.2023-0139 · Cited by 9 · see citing works
Liu, J., Zang, C., Yi, M., & Zhang, Y. (2024) · Behavioral Sleep Medicine · doi:10.1080/15402002.2024.2324361 · Cited by 7 · see citing works
El-Solh, A., Lawson, Y., Martinson, A. A., & Wilding, G. E. (2025) · Psychiatric Quarterly · doi:10.1007/s11126-025-10143-9 · Cited by 7 · see citing works
COMISA (Comorbid Insomnia and Sleep Apnea): a Practical Approach
Brock, M. S., Foster, S. N., Motamedi, V., & Mysliwiec, V. (2018) · Current Sleep Medicine Reports · doi:10.1007/s40675-018-0127-2 · Cited by 9 · see citing works
Bertrand, M., Bastien, C., Boutin, I., & Vallières, A. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2021.11.016 · Cited by 7 · see citing works
Li, Y., Wang, Y., Geater, A. F., Chai, Y., Luo, J., Niu, X., Hai, B., & Qin, J. (2015) · Patient Preference and Adherence · doi:10.2147/ppa.s83105 · Cited by 7 · see citing works
El-Solh, A., Martinson, A. A., Attai, P., Homish, G. G., Aibangbee, K. E., & Gould, E. (2025) · Sleep And Breathing · doi:10.1007/s11325-025-03298-z · Cited by 5 · see citing works
Insomnia and Upper Airway Stimulation Therapy Benefit and Adherence: A Case Series
Stahl, S. M., Manchanda, S., Parker, N. P., & Chernyak, Y. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-022-09885-6 · Cited by 5 · see citing works
Unmet need for a holistic approach to insomnia diagnosis – a review of current tools in practice
Chakravarty, K., Ray, S., & Shukla, G. (2022) · Sleep Epidemiology · doi:10.1016/j.sleepe.2022.100055 · Cited by 5 · see citing works
Positive Airway Pressure Therapy Compliance in Patients With Comorbid Insomnia and Sleep Apnea
Bae, M. R., Lee, Y.-H., Lee, S. W., Chung, S., & Chung, Y. (2024) · Clinical and Experimental Otorhinolaryngology · doi:10.21053/ceo.2023.00017 · Cited by 5 · see citing works
Comorbid Insomnia and Sleep Disordered Breathing
Glidewell, R. N. (2013) · Current Treatment Options in Neurology · doi:10.1007/s11940-013-0259-0 · Cited by 5 · see citing works
Does Positive Airway Pressure Therapy Result in Improved Sleep Quality?
Stepnowsky, C. J., Zamora, T., & Edwards, C. (2014) · Health · doi:10.4236/health.2014.618278 · Cited by 5 · see citing works
Sleep Deficiency in Obstructive Sleep Apnea
Adekolu, O., Ahsan, M., Anwar, A. I., & Zinchuk, A. V. (2024) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2024.08.002 · Cited by 4 · see citing works
Yanagimori, M., Fernandes, M. D. S., Grad, G. F., Monare, A. B., Garcia, B. M. S. P., Rosanelli, I., Mariano, P. M. M. S., Drummond, S. P. A., O’Driscoll, D. M., Edwards, B. A., et al. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.11.035 · Cited by 4 · see citing works
Micoulaud‐Franchi, J., Monteyrol, P.-J., Guichard, K., Bioulac, S., & Philip, P. (2017) · Médecine du Sommeil · doi:10.1016/j.msom.2017.04.001 · Cited by 4 · see citing works
Factors Affecting Adherence to CPAP Therapy in Patients with Obstructive Sleep Apnea Syndrome
Rubanenko, A., Dyachkov, V., & Miroshnichenko, A. I. (2024) · Neuroscience and Behavioral Physiology · doi:10.1007/s11055-024-01699-3 · Cited by 5 · see citing works
Pépin, J., Gagnadoux, F., Foote, A., Vicars, R., Ogra, B., Viot-Blanc, V., Benmerad, M., d’Ortho, M., & Tamisier, R. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-015836 · Cited by 4 · see citing works
Sleep Apnea Treatment Considerations in Patients with Comorbidities
Patil, R. D., & Sarber, K. M. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.02.001 · Cited by 4 · see citing works
Effects of Insomnia and Depression on CPAP Adherence in a Military Population.
Mitzkewich, M. P., Seda, G., Jameson, J., & Markwald, R. R. (2019) · Europe PMC (PubMed Central) · Cited by 4 · see citing works
Overview of Medication Treatment for Co-Morbid Insomnia and Sleep Apnea (COMISA)
Lowe, A. D., & Lowe, M. S. (2022) · Springer eBooks · doi:10.1007/978-3-030-93146-9_18 · Cited by 3 · see citing works
Pordzik, J., Petrowski, K., Ludwig, K., Seifen, C., Matthias, C., & Gouveris, H. T. (2024) · Nature and Science of Sleep · doi:10.2147/nss.s459690 · Cited by 3 · see citing works
Hein, M., Wacquier, B., Conenna, M., Lanquart, J., & Point, C. (2024) · Clocks & Sleep · doi:10.3390/clockssleep6030026 · Cited by 3 · see citing works
Takahashi, H., Yoshida, S., Nakajima, A., Koto, R., & Nakayama, H. (2025) · Sleep And Breathing · doi:10.1007/s11325-025-03417-w · Cited by 2 · see citing works
Obstructive Sleep Apnoea: Therapeutic Options and Challenges
Vakulin, A., Yap, C., McEvoy, R. D., & Chai‐Coetzer, C. L. (2017) · Clinical Medicine Insights Therapeutics · doi:10.1177/1179559x17711932 · Cited by 2 · see citing works
Cho, S., Jung, J. H., Kang, J. M., Cho, M. Y., Lee, Y. S., Kang, S., & Kim, S.-T. (2024) · Psychiatry Investigation · doi:10.30773/pi.2023.0175 · Cited by 2 · see citing works
Relationship of Nocturnal Insomnia Symptoms and Outcomes After Hypoglossal Nerve Stimulation
Patil, R. D., Suurna, M. V., Steffen, A., Soose, R. J., Coxe, J., Chan, T. V., & Ishman, S. L. (2024) · OTO Open · doi:10.1002/oto2.134 · Cited by 2 · see citing works
Sleep Onset Insomnia and Depression Discourage Patients from Using Positive Airway Pressure
Park, Y. K., & Joo, E. Y. (2018) · Journal of Sleep Medicine · doi:10.13078/jsm.18013 · Cited by 2 · see citing works
Talamini, L. M. (2022) · Springer eBooks · doi:10.1007/978-3-030-89504-4_19 · Cited by 2 · see citing works
CPAP adherence after ambulatory and in-hospital management in patients aged 65 years and older
Collard, C. V., Régnier, M., & Maury, G. (2023) · Acta Clinica Belgica · doi:10.1080/17843286.2023.2260137 · Cited by 1 · see citing works
Factors affecting adherence to CPAP therapy in patients with obstructive sleep apnea syndrome
Рубаненко, А. О., Dyachkov, V. A., & Miroshnichenko, A. I. (2024) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202412405258 · Cited by 1 · see citing works
Insomnia and Hypoglossal Nerve Stimulation
Dabboussi, T., Manchanda, S., Parker, N. P., Chernyak, Y., & Stahl, S. M. (2023) · Current Sleep Medicine Reports · doi:10.1007/s40675-023-00255-8 · Cited by 1 · see citing works
Comorbid Insomnia and Sleep Apnea
Sarber, K. M., & Patil, R. D. (2024) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.02.019 · Cited by 1 · see citing works
RetractedSpecial Cases in Hypoglosal Nerve Implantation
Baptista, P., Thaler, E. R., Tschopp, K. P., & de Linera-Alperi, M. Á. (2022) · Springer eBooks · doi:10.1007/978-3-030-89504-4_20 · Cited by 1 · see citing works
Cho, S., Jung, J. H., Kang, J. M., Cho, M., Lee, Y. S., Kang, S., & Kim, S.-T. (2023) · Preprints.org · doi:10.20944/preprints202305.1767.v1 · Cited by 1 · see citing works
Jokic, R. (2018) · Springer eBooks · doi:10.1007/978-3-642-54836-9_12 · Cited by 1 · see citing works
Diagnosis of sleep-disordered breathing
Zeineddine, S., Alquadan, A. F., Badr, M. S., & Salloum, A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815290-4.00012-9
CBT-I in patients with obstructive sleep apnea
Crew, E. C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00001-3
Soft Styles of Motivating Patients to Adopt CPAP
Khullar, A. (2022) · Springer eBooks · doi:10.1007/978-3-030-93146-9_4
Role of the Behavioral Sleep Specialist Psychologist in Promoting CPAP Adherence
Zalai, D. M. (2022) · Springer eBooks · doi:10.1007/978-3-030-93146-9_6
Adjunctive Therapies for Dental Sleep Appliances
de Courcey-Bayley, C., & McCloy, K. (2022) · Springer eBooks · doi:10.1007/978-3-031-10646-0_12
- Authors
- Pieh, C., Bach, M., Popp, R., Jara, C., Crönlein, T., Hajak, G., & Geisler, P.
- Affiliations
- University Hospital Regensburg (DE)
- Corresponding author
- Pieh, Christoph
- Venue
- Sleep And Breathing
- Published
- 2012-02-04
- Volume
- 17
- Issue
- 1
- Pages
- 99-104
- ISSN
- 1520-9512 (ISSN-L)
- 1522-1709
- OpenAlex
- W1980731633
- Cited by
- 107
- References
- 36
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 14 · 2023: 12 · 2022: 13 · 2021: 6 · 2020: 7 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 3 · 2015: 5 · 2014: 6 · 2013: 6 · 2012: 2
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sleep And Breathing (publishedVersion)
- PubMed (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Keywords
- CPAP adherence, insomnia symptoms, obstructive sleep apnea
- MeSH terms
- Adult, Female, Follow-Up Studies, Germany, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Compliance, Prospective Studies, Statistics as Topic, Utilization Review, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
