The DOI matches its Crossref record.
Occult sleep apnea in a recruited sample of older adults with insomnia
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 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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Items 101–121 of 121
Comorbid insomnia and sleep apnea (COMISA)
Sweetman, A. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-13954-3.00039-5 · Cited by 1
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Escobar, D. V., & Castillo, J. K. (2012) · Revista Médica Herediana · doi:10.20453/rmh.v17i3.872 · Cited by 1
Shochat, T., & Ancoli‐Israel, S. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00153-7 · Cited by 2
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Krakow, B. J. (2022) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10276 · Cited by 1
Bailes, S., Rizzo, D., Fichten, C. S., Baltzan, M., Grad, R. M., Creti, L., Amsel, R., & Libman, E. (2023) · Psychology Health & Medicine · doi:10.1080/13548506.2023.2176525 · Cited by 1
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Sarber, K. M., & Patil, R. D. (2024) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2024.02.019 · Cited by 1
RetractedErweiterte ambulante Polygraphie bei Patienten mit Ein- und/oder Durchschlafstörungen
Fietze, I., Nötzel, K., Blau, A., Glos, M., & Penzel, T. (2012) · Der Nervenarzt · doi:10.1007/s00115-012-3556-z · Cited by 1
Insomnie et syndrome d’apnée obstructive du sommeil : une liaison dangereuse
Mollo, J.-L. (2014) · Médecine du Sommeil · doi:10.1016/j.msom.2014.10.003 · Cited by 1
Ruiter, M. E., Wal, G. S. V., & Lichstein, K. L. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511770661.028 · Cited by 8
Self-citationInsomnia in Other Sleep Disorders: Breathing Disorders
Wickwire, E. M., Smith, M. T., & Collop, N. A. (2010) · Medical psychiatry · doi:10.3109/9781420080803.019 · Cited by 1
Yu, Y., Jackson, S. L., Björnsdóttir, E., & Oulton, C. (2020) · medRxiv · doi:10.1101/2020.05.15.20096404 · Cited by 2
Attarian, H. P. (2004) · Humana Press eBooks · doi:10.1007/978-1-59259-662-1_6 · Cited by 1
Differential Diagnosis of Insomnia
Attarian, H. P. (2004) · Humana Press eBooks · doi:10.1007/978-1-59259-662-1_4
Management of Sleep Issues in Older Adults with Dementia
Manjunath, S. K., & Alapat, P. (2020) · Springer eBooks · doi:10.1007/978-3-030-46398-4_10
CBT-I in patients with obstructive sleep apnea
Crew, E. C. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00001-3
Impact of Intrinsic Sleep Disorders on Sleep Disordered Breathing
Verbraecken, J. A. (2021) · Elsevier eBooks · doi:10.1016/b978-0-08-102723-3.00133-5
Gooneratne, N. S. (2011) · Informa Healthcare eBooks · doi:10.3109/9781420020885.020
Testing for Sleep-Disordered Breathing in Psychiatric Practice
Krakow, B. J. (2024) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.23lr15004
Krakow, B. J., & Krakow, J. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.03.014
Metadata
- 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
- Published
- 1999-06
- Volume
- 67
- Issue
- 3
- Pages
- 405-410
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- 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 (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
- 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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