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.
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“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
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“The titration procedure was performed similar to the clinical guidelines for manual titration of the American Academy of Sleep Medicine [21].”
Method
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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
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
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
Karimi, M., Hedner, J. A., Häbel, H., Nerman, O., & Grote, L. (2015) · SLEEP · doi:10.5665/sleep.4486 · Cited by 176
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
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
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