Cited by 108Obstructive Sleep Apnea ResearchSleep and related disordersTemporomandibular Joint Disorders

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Insomnia symptoms influence CPAP compliance

Pieh, Christoph, Bach, Magdalena, Popp, Roland, Jara, Cecilia, Crönlein, Tatjana, Hajak, Göran, Geisler, Peter·2013·Sleep And Breathing

DOI 10.1007/s11325-012-0655-9

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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.

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Authors: Pieh, C., Bach, M., Popp, R., Jara, C., Crönlein, T., Hajak, G., & Geisler, P.
Affiliations: University Hospital Regensburg (DE)
Corresponding author: Pieh, Christoph
ORCID: Pieh, Christoph
Popp, Roland
Crönlein, Tatjana
Hajak, Göran
Geisler, Peter
Venue: Sleep And Breathing
Publisher: Springer Science and Business Media LLC
Published: 2012-02-04
Volume: 17
Issue: 1
Pages: 99-104
ISSN: 1520-9512 (ISSN-L)
1522-1709
DOI: 10.1007/s11325-012-0655-9
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 (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Dentistry › Oral Surgery › 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

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Insomnia symptoms influence CPAP compliance

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