Management of insomnia in sleep disordered breathing
Open accessAbstract
Both obstructive sleep apnoea (OSA) and chronic insomnia disorder are highly prevalent in the general population. Whilst both disorders may occur together by mere coincidence, it appears that they share clinical features and that they may aggravate each other as a result of reciprocally adverse pathogenetic mechanisms. Comorbidity between chronic insomnia disorder and OSA is a clinically relevant condition that may confront practitioners with serious diagnostic and therapeutic challenges. Current data, while still scarce, advocate an integrated and multidisciplinary approach that seems superior over the isolated treatment of each sleep disorder alone.
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There has been a lack of research attention in bi-directional relationships between COMISA.
“Although several research groups have discussed the potential bi-directional relationships between COMISA, there has been a lack of research attention in this important area [39,40,95,108].”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [108]
The ‘Is there a reciprocal influence’ section discusses a potential bidirectional feedback loop, and ‘Methodological issues’ notes a limited number of high-quality COMISA publications. The paper does not specifically establish a lack of research attention to bidirectional relationships; its assessment of the limited literature concerns co-occurrence and treatment more broadly. (LLM, conf=0.79)
Experimental — accuracy not yet measuredIn a 75 year old male, CPAP adherence data indicated an increased residual AHI during acute episodes of stress-induced insomnia symptoms.
“Interestingly, Janssen and colleagues recently reported case study data from a 75 year old male in which a CPAP adherence data indicated an increased residual AHI during acute episodes of stress-induced insomnia symptoms [108].”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [108]
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- Authors
- Janssen, H. C. J. P., Venekamp, L. N., Peeters, G. A. M., Pijpers, A., & Pevernagie, D. A. A.
- Affiliations
- Kempenhaeghe (NL)
- Ghent University (BE)
- Corresponding author
- Pevernagie, Dirk A.A.
- Venue
- European Respiratory Review
- Publisher
- European Respiratory Society (ERS)
- Published
- 2019-09-30
- Volume
- 28
- Issue
- 153
- Pages
- 190080
- ISSN
- 0905-9180 (ISSN-L)
- 1600-0617
- PMC
- PMC9488948
- OpenAlex
- W2979454350
- Cited by
- 55
- References
- 33
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 9 · 2023: 9 · 2022: 7 · 2021: 11 · 2020: 7 · 2019: 1
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- European Respiratory Review (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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, obstructive sleep apnea, chronic insomnia, sleep-disordered breathing, comorbidities, multidisciplinary treatment, integrated treatment
- MeSH terms
- Humans, Sleep Initiation and Maintenance Disorders, Lung, Respiration, Risk Factors, Sleep, Sleep Apnea Syndromes, Comorbidity, Treatment Outcome
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 ›
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