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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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Recommendations for a standard research assessment of insomnia
Buysse, D. J., Ancoli-Israel, S., Edinger, J. D., Lichstein, K. L., & Morin, C. M. (2006) · Sleep · doi:10.1093/sleep/29.9.1155 · Cited by 1,206
Self-citationEdinger, J. D., Bonnet, M. H., Bootzin, R. R., Doghramji, K., Dorsey, C. M., Espie, C. A., Jamieson, A. O., McCall, W. V., Morin, C. M., & Stepanski, E. J. (2004) · Sleep · doi:10.1093/sleep/27.8.1567 · Cited by 1,039
Comorbidity of Chronic Insomnia With Medical Problems
Taylor, D. J., Mallory, L. J., Lichstein, K. L., Durrence, H. H., Riedel, B. W., & Bush, A. J. (2007) · Sleep · doi:10.1093/sleep/30.2.213 · Cited by 875
Self-citationQuantitative criteria for insomnia
Lichstein, K. L., Durrence, H. H., Taylor, D. J., Bush, A. J., & Riedel, B. W. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00023-2 · Cited by 531
Self-citationComorbid insomnia and obstructive sleep apnea: Challenges for clinical practice and research
Luyster, F. S., Buysse, D. J., & Strollo, P. J. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27772 · Cited by 374
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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