The DOI matches its Crossref record; 34 of the 36 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“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].”
Citations
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
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
Beck, A. T., Steer, R. A., & Brown, G. (2011) · PsycTESTS Dataset · doi:10.1037/t00742-000 · Cited by 7,535 · cited 2×
“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
International Classification of Sleep Disorders
Thorpy, M. (2017) · Sleep Disorders Medicine · doi:10.1007/978-1-4939-6578-6_27 · Cited by 2,505
Reliability and factor analysis of the Epworth Sleepiness Scale.
Johns, M. (1992) · Sleep · doi:10.1093/sleep/15.4.376 · Cited by 2,193
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 1,530
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
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 784
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×
“The titration procedure was performed similar to the clinical guidelines for manual titration of the American Academy of Sleep Medicine [21].”
Method
Flagged first, then by citations
2 of the 36 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Hautzinger M, Keller F, Kühner C (2006) Das Beck Depressionsinventar II. Deutsche Bearbeitung und Handbuch zum BDI II. Harcourt Test Services, Frankfurt
Cited by
Sorted by citations
Items 101–108 of 108
Ryczkowski, A. J., Rudnicka-Drożak, E., & Karakuła, K. H. (2023) · Current Problems of Psychiatry · doi:10.12923/2353-8627/2023-0008
The many faces of obstructive sleep apnea
Carter, G. L. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.1003062
Zhang, C., Liu, Y., Guo, X., Shen, Y., & Ma, J. (2025) · Postgraduate Medical Journal · doi:10.1093/postmj/qgaf203
Zheng, X., Yuan, L., & Jiang, H. (2026) · PeerJ · doi:10.7717/peerj.21071
Poka-Mayap, V., Balkissou, A. D., Massongo, M., Pefura-Yone, E. W., & Noseda, A. (2026) · Journal of the Pan African Thoracic Society · doi:10.25259/jpats_6_2026
Li, S., Li, B., Zhu, W., Hou, Y., Wang, M., Dong, X., Han, F., & Xu, L. (2026) · Sleep And Breathing · doi:10.1007/s11325-026-03781-1
Dunietz, G. L., Agyare, B. O., Vijayakumar, P., Gavidia, R., Lyu, X., Sankari, A., Attarian, H. P., Kaleba, E., Ancoli‐Israel, S., & Shedden, K. (2026) · SLEEP · doi:10.1093/sleep/zsag257
Hypoglossal Nerve Stimulation Therapy
Suurna, M. V., Nord, R., Steffen, A., & Heiser, C. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-12563-8.00048-3
Metadata
- 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 (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
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
