Occult sleep apnea in a recruited sample of older adults with insomnia

Lichstein, Kenneth L.; Riedel, Brant W.; Lester, Kristin W.; Aguillard, R. Neal

doi:10.1037/0022-006x.67.3.405

Cited by 143Obstructive Sleep Apnea ResearchSleep and related disordersTemporomandibular Joint Disorders

Occult sleep apnea in a recruited sample of older adults with insomnia

Lichstein, Kenneth L., Riedel, Brant W., Lester, Kristin W., Aguillard, R. Neal·1999·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.67.3.405

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Abstract

Although costly polysomnography (PSG) is not routinely performed with people with insomnia, it may be more necessary with recruited older adults with insomnia because this population may pose a greater risk of veiled sleep disorders compared with younger age groups and with referred samples. The present PSG screening of a recruited sample of older adults with insomnia found a 29%-43% rate of undiagnosed sleep apnea (SA), depending on whether an apnea-hypopnea index of 15 or 5 was used, after interviews had already screened out obvious cases of SA. Also, PSGs revealed a 4% rate of occult periodic limb movements. A discriminant analysis identified overweight men reporting dry mouth at highest risk for occult SA, with an apnea-versus-insomnia classification success rate of 78%. Using PSG evaluations in research on insomnia in recruited older adults is requisite to preclude substantial representation of occult SA.

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Of 80 insomnia patients without obvious indicators of OSA, 43% had an AHI of at least five, and 29% had an AHI of at least 15 on an overnight PSG study.
“Of the 80 insomnia patients, 43% had an AHI of at least five (indicative of at least mild OSA), and 29% had an AHI of at least 15 (indicative of at least moderate OSA) on an overnight PSG study.”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [37]

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Authors: Lichstein, K. L., Riedel, B. W., Lester, K. W., & Aguillard, R. N.
Affiliations: University of Memphis (US)
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 1999-06
Volume: 67
Issue: 3
Pages: 405-410
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.67.3.405
OpenAlex: W4256530666
Cited by: 143
References: 0
Citations by year: 2026: 1 · 2025: 6 · 2024: 6 · 2023: 8 · 2022: 5 · 2021: 12 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 7 · 2014: 4 · 2013: 11 · 2012: 9
FWCI: 0.95
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging (AG12136, R01AG012136)
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: insomnia, older adults, sleep-disordered breathing, underdiagnosis
MeSH terms: Aged, Aged, 80 and over, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Mass Screening, Middle Aged, Sleep Apnea Syndromes, Discriminant Analysis, Chi-Square Distribution, Polysomnography

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Occult sleep apnea in a recruited sample of older adults with insomnia

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