Adherence to positive airway pressure therapy in U.S. military personnel with sleep apnea improves sleepiness, sleep quality, and depressive symptoms
Abstract
OBJECTIVES: Obstructive sleep apnea (OSA) is frequently diagnosed in U.S. military personnel. OSA is associated with sleepiness, poor sleep quality, and service-related illnesses of insomnia, depression, post-traumatic stress disorder, and traumatic brain injury. METHODS: Observational study of active duty military personnel with OSA and adherence to positive airway pressure (PAP) assessed with smart chip technology. RESULTS: 58 men with mean age 36.2 ± 7.7 years, mean body mass index 31.4 ± 3.7 with mean apnea-hypopnea index (AHI) 19.1 ± 19.0 are reported. 23 (39.7%) participants were adherent to PAP, and 35 (60.3%) were nonadherent. No significant differences in baseline demographics, apnea-hypopnea index, service-related illnesses, or clinical instrument scores. Military personnel adherent to PAP had significantly improved sleepiness (p = 0.007), sleep quality (p = 0.013), depressive symptoms (p = 0.01), energy/fatigue (p = 0.027), and emotional well-being (p = 0.024). Participants with moderate-severe OSA were more likely to be in the adherent group when compared with participants diagnosed with mild OSA. CONCLUSIONS: Military personnel with OSA have low adherence to PAP. Adherence is associated with improved depressive symptoms, sleepiness, sleep quality, energy/fatigue, emotional well-being, and social functioning. Future research should focus on interventions to improve the management of OSA in military personnel.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Although some studies report no association, the majority of research suggests that the presence of insomnia symptoms reduces CPAP acceptance and use.
“Although some studies report no association [63,73,74], the majority of research suggests that the presence of insomnia symptoms reduces CPAP acceptance and use.”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [74]
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364 · see citing works
Prevalence and Trends in Obesity Among US Adults, 1999-2008
Flegal, K. M. (2010) · JAMA · doi:10.1001/jama.2009.2014 · Cited by 7,580 · see citing works
The International Classification of Sleep Disorders
Daroff, R. B. (1991) · Neurology · doi:10.1212/wnl.41.1.160 · Cited by 5,025 · see citing works
Marin, J. M., Carrizo, S. J., Vicente, E., & Agusti, A. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71141-7 · Cited by 4,678 · see citing works
McHorney, C. A., Ware, J. E., Rachel Lu, J. F., & Sherbourne, C. D. (1994) · Medical Care · doi:10.1097/00005650-199401000-00004 · Cited by 4,458 · see citing works
The International Classification of Sleep Disorders: Diagnostic and Coding Manual
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-115-5-413_1 · Cited by 2,416 · see citing works
Definition of mild traumatic brain injury
&NA;, &. (1993) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-199309000-00010 · Cited by 1,910 · see citing works
Adherence to Continuous Positive Airway Pressure Therapy: The Challenge to Effective Treatment
Weaver, T. E., & Grunstein, R. R. (2008) · Proceedings of the American Thoracic Society · doi:10.1513/pats.200708-119mg · Cited by 1,680 · see citing works
Mortality and Apnea Index in Obstructive Sleep Apnea
He, J., Kryger, M. H., Zorick, F. J., Conway, W. A., & Roth, T. G. (1988) · CHEST Journal · doi:10.1378/chest.94.1.9 · Cited by 1,515 · see citing works
TRIVEDI, M. H., RUSH, A. J., IBRAHIM, H. M., CARMODY, T. J., BIGGS, M. M., SUPPES, T., CRISMON, M. L., SHORES-WILSON, K., TOPRAC, M. G., DENNEHY, E. B., et al. (2004) · Psychological Medicine · doi:10.1017/s0033291703001107 · Cited by 968 · cited 2× · see citing works
“The diagnosis of depression, as well as changes in symptoms, was assessed through the QIDS.(34) A score of 11, which is indicative of moderate–severe depression, resulted in a positive screen for this disorder.”
MethodInfluentialWilkins, K. C., Lang, A. J., & Norman, S. B. (2011) · Depression and Anxiety · doi:10.1002/da.20837 · Cited by 946 · see citing works
Sawyer, A. M., Gooneratne, N. S., Marcus, C. L., Ofer, D., Richards, K. C., & Weaver, T. E. (2011) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2011.01.003 · Cited by 900 · see citing works
Jenkinson, C., Davies, R. J., Mullins, R., & Stradling, J. R. (1999) · The Lancet · doi:10.1016/s0140-6736(98)10532-9 · Cited by 826 · see citing works
Peker, Y., Hedner, J. A., Norum, J., Kraiczi, H., & Carlson, J. T. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2105124 · Cited by 788 · see citing works
Traumatic Brain Injury Screening
Terrio, H. P., Brenner, L. A., Ivins, B. J., Cho, J. M., Helmick, K. M., Schwab, K. A., Scally, K., Bretthauer, R., & Warden, D. L. (2009) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0b013e31819581d8 · Cited by 761 · see citing works
Evaluation of Positive Airway Pressure Treatment for Sleep Related Breathing Disorders in Adults
Gay, P., Weaver, T., Loube, D., & Iber, C. (2006) · Sleep · doi:10.1093/sleep/29.3.381 · Cited by 614 · see citing works
Antic, N. A., Catcheside, P., Buchan, C., Hensley, M., Naughton, M. T., Rowland, S., Williamson, B., Windler, S., & McEvoy, R. D. (2011) · Sleep · doi:10.1093/sleep/34.1.111 · Cited by 533 · see citing works
Sassani, A., Findley, L. J., Kryger, M., Goldlust, E., George, C., & Davidson, T. M. (2004) · Sleep · doi:10.1093/sleep/27.3.453 · Cited by 506 · see citing works
Reduction in motor vehicle collisions following treatment of sleep apnoea with nasal CPAP
George, C. F. (2001) · Thorax · doi:10.1136/thorax.56.7.508 · Cited by 454 · see citing works
Updates on Definition, Consequences, and Management of Obstructive Sleep Apnea
Park, J. G., Ramar, K., & Olson, E. J. (2011) · Mayo Clinic Proceedings · doi:10.4065/mcp.2010.0810 · Cited by 434 · see citing works
Sleep Apnea Syndrome Due to Upper Airway Obstruction
Guilleminault, C. (1977) · Archives of Internal Medicine · doi:10.1001/archinte.1977.03630150020008 · Cited by 276 · see citing works
Depression and Obstructive Sleep Apnea (OSA)
Schroder, C. M., & O'Hara, R. M. (2005) · Annals of General Psychiatry · doi:10.1186/1744-859x-4-13 · Cited by 275 · see citing works
Sleep Disorders and Associated Medical Comorbidities in Active Duty Military Personnel
Mysliwiec, V., McGraw, L. K., Pierce, R., Smith, P. R., Trapp, B., & Roth, B. J. (2013) · SLEEP · doi:10.5665/sleep.2364 · Cited by 267 · see citing works
Self-citationSleep Patterns Before, During, and After Deployment to Iraq and Afghanistan
Seelig, A. D., Jacobson, I. G., Smith, B., Hooper, T. I., Boyko, E. J., Gackstetter, G. D., Gehrman, P., Macera, C. A., Smith, T. C., & Millennium Cohort Study Team (2010) · SLEEP · doi:10.1093/sleep/33.12.1615 · Cited by 265 · see citing works
Prevalence and impact of short sleep duration in redeployed OIF soldiers
Luxton, D. D., Greenburg, D., Ryan, J., Niven, A., Wheeler, G., & Mysliwiec, V. (2011) · Sleep · doi:10.5665/sleep.1236 · Cited by 226 · see citing works
Self-citationMillman, R. P., Fogel, B. S., McNamara, M. E., & Carlisle, C. C. (1989) · PubMed · Cited by 219 · see citing works
Treatment with Nasal CPAP Decreases Automobile Accidents in Patients with Sleep Apnea
Findley, L. J., Smith, C. E., Hooper, J., DINEEN, M., & Suratt, P. M. (2000) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.161.3.9812154 · Cited by 205 · see citing works
Sleep Disorders in US Military Personnel
Mysliwiec, V., Gill, J., Lee, H., Baxter, T., Pierce, R., Barr, T. L., Krakow, B., & Roth, B. J. (2013) · Chest · doi:10.1378/chest.13-0088 · Cited by 184 · see citing works
Self-citationSelf-Reported vs Measured Compliance with Nasal CPAP for Obstructive Sleep Apnea
Rauscher, H., Formanek, D., Popp, W., & Zwick, H. (1993) · CHEST Journal · doi:10.1378/chest.103.6.1675 · Cited by 177 · see citing works
Sleep maintenance insomnia complaints predict poor CPAP adherence: a clinical case series
Wickwire, E. M., Smith, M. T., Birnbaum, S., & Collop, N. A. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.03.012 · Cited by 149 · see citing works
Predictors of symptoms of anxiety and depression in obstructive sleep apnea
Kjelsberg, F. N., Ruud, E. A., & Stavem, K. (2005) · Sleep Medicine · doi:10.1016/j.sleep.2005.02.004 · Cited by 144 · see citing works
Krakow, B. J., Lowry, C., Germain, A., Gaddy, L., Hollifield, M. A., Koss, M. P., Tandberg, D., Johnston, L. G., & Melendrez, D. C. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00147-1 · Cited by 142 · see citing works
Depressive psychopathology in male sleep apneics.
Cf, R., Dj, K., Ab, M., Taska, L. S., De, S., & Coble, P. A. (1984) · PubMed · Cited by 138 · see citing works
Bardwell, W. A., Ancoli‐Israel, S., Berry, C. C., & Dimsdale, J. E. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200107000-00010 · Cited by 137 · see citing works
Henke, K. G., Grady, J. J., & Kuna, S. T. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.4.9910025 · Cited by 135 · see citing works
Reduction in motor vehicle collisions following treatment of sleep apnoea with nasal CPAP
George, C. F. (2001) · Thorax · doi:10.1136/thx.56.7.508 · Cited by 133 · see citing works
Sleep Disturbances Among Soldiers With Combat-Related Traumatic Brain Injury
Collen, J. F., Orr, N., Lettieri, C. J., Carter, K., & Holley, A. B. (2012) · CHEST Journal · doi:10.1378/chest.11-1603 · Cited by 132 · see citing works
Sleep Disruptions Among Returning Combat Veterans From Iraq and Afghanistan
Capaldi, V. F., Guerrero, M. L., & Killgore, W. D. S. (2011) · Military Medicine · doi:10.7205/milmed-d-10-00440 · Cited by 125 · see citing works
Self-citationOverweight and Obesity in Military Personnel: Sociodemographic Predictors
Smith, T. J., Marriott, B. P., Dotson, L., Bathalon, G. P., Funderburk, L., White, A., Hadden, L. S., & Young, A. (2012) · Obesity · doi:10.1038/oby.2012.25 · Cited by 117 · see citing works
Means, M. K., Lichstein, K. L., Edinger, J. D., Taylor, D. J., Durrence, H. H., Husain, A. M., Aguillard, R. N., & Radtke, R. A. (2003) · Sleep And Breathing · doi:10.1007/s11325-003-0031-x · Cited by 99 · see citing works
Sleep Apnea and Commercial Motor Vehicle Operators:
Hartenbaum, N. P., Collop, N. A., Rosen, I. M., Phillips, B. A., George, C. F., Rowley, J. A., Freedman, N. S., Weaver, T. E., Gurubhagavatula, I., Strohl, K. P., et al. (2006) · Journal of Occupational and Environmental Medicine · doi:10.1097/01.jom.0000236404.96857.a2 · Cited by 97 · see citing works
Eirini, A., Kapsimalis, F., Varouchakis, G., Vardavas, C. I., & BEHRAKIS, P. K. (2011) · Sleep And Breathing · doi:10.1007/s11325-011-0543-8 · Cited by 97 · see citing works
Collen, J. F., Lettieri, C. J., & Hoffman, M. (2012) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2260 · Cited by 92 · see citing works
Positive Airway Pressure Adherence in Veterans with Posttraumatic Stress Disorder
El-Solh, A., Ayyar, L., Akinnusi, M., Relia, S., & Akinnusi, O. (2010) · SLEEP · doi:10.1093/sleep/33.11.1495 · Cited by 89 · see citing works
Poulet, C., Veale, D., Arnol, N., Levy, P. A., Pépin, J., & Tyrrell, J. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2009.01.007 · Cited by 89 · see citing works
CPAP Adherence of Patients With Obstructive Sleep Apnea
Salepçi, B. M., Caglayan, B. N., Kıral, N., Parmaksız, E. T., Cömert, S. Ş., Saraç, G., Fidan, A., & Güngör, G. A. (2013) · Respiratory Care · doi:10.4187/respcare.02139 · Cited by 84 · see citing works
Schwartz, D. J., & Karatinos, G. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26975 · Cited by 70 · see citing works
Sleep apnea syndrome due to upper airway obstruction: a review of 25 cases
Guilleminault, C. (1977) · Archives of Internal Medicine · doi:10.1001/archinte.137.3.296 · Cited by 68 · see citing works
Sin, D. D., Mayers, I., Man, G. C. W., Ghahary, A., & Pawluk, L. (2002) · CHEST Journal · doi:10.1378/chest.122.5.1679 · Cited by 60 · see citing works
Obstructive Sleep Apnea Syndrome: Are We Missing an At-Risk Population?
Lettieri, C. J., Eliasson, A. H., Andrada, T., Khramtsov, A., Raphaelson, M., & Kristo, D. A. (2005) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26366 · Cited by 55 · see citing works
Profant, J., Ancoli‐Israel, S., & Dimsdale, J. E. (2003) · Heart & Lung · doi:10.1067/mhl.2003.8 · Cited by 33 · see citing works
Bodily Pain, Poor Physical Functioning, and Poor Glycemic Control in Adults With Diabetes
Sinnott, C., Rogers, M. A. M., Lehmann, D. F., & Weinstock, R. S. (2005) · Diabetes Care · doi:10.2337/diacare.28.6.1534 · Cited by 15 · see citing works
Serra, M. M., Greenburg, D. L., Barnwell, M. L., Fallah, D., Keith, K., & Mysliwiec, V. (2012) · Military Medicine · doi:10.7205/milmed-d-12-00172 · Cited by 15 · see citing works
Self-citationOBSTRUCTIVE SLEEP APNEA SYNDROME: ARE WE MISSING AN AT-RISK POPULATION?
Lettieri, C. J., Eliasson, A. H., Andrada, T., Khramtsov, A., Raphaelson, M., & Kristo, D. A. (2005) · CHEST Journal · doi:10.1378/chest.128.4_meetingabstracts.133s-b · Cited by 12 · see citing works
The Link between OSA and Depression: Another Reason for Integrative Sleep Medicine Teams
Haynes, P. L. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2654 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Sweetman, A., Lack, L., & Bastien, C. (2019) · Brain Sciences · doi:10.3390/brainsci9120371 · Cited by 253 · see citing works
“Although some studies report no association [63,73,74], the majority of research suggests that the presence of insomnia symptoms reduces CPAP acceptance and use.”
BackgroundGarbarino, S., Bardwell, W. A., Guglielmi, O., Chiorri, C., Bonanni, E., & Magnavita, N. (2018) · Behavioral Sleep Medicine · doi:10.1080/15402002.2018.1545649 · Cited by 225 · see citing works
Sleep Disorders in Patients With Posttraumatic Stress Disorder
El-Solh, A., Riaz, U., & Roberts, J. (2018) · CHEST Journal · doi:10.1016/j.chest.2018.04.007 · Cited by 53 · see citing works
Optimizing Sleep in the Military
Capaldi, V. F., Balkin, T. J., & Mysliwiec, V. (2018) · CHEST Journal · doi:10.1016/j.chest.2018.08.1061 · Cited by 49 · see citing works
Self-citationComorbid Insomnia and Sleep Apnea
Sweetman, A., Lack, L. C., Crawford, M., & Wallace, D. M. (2022) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2022.07.006 · Cited by 50 · see citing works
Mysliwiec, V., Brock, M. S., Pruiksma, K. E., Straud, C. L., Taylor, D. J., Hansen, S. L., Foster, S. N., Mithani, S., Zwetzig, S. E., Gerwell, K. M., et al. (2022) · SLEEP · doi:10.1093/sleep/zsac203 · Cited by 46 · see citing works
Self-citationEszopiclone and Zolpidem Do Not Affect the Prevalence of the Low Arousal Threshold Phenotype
Smith, P. R., Sheikh, K. L., Costan-Toth, C., Forsthoefel, D., Bridges, E. E., Andrada, T., & Holley, A. B. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6402 · Cited by 32 · see citing works
Krakow, B. J., McIver, N. D., Ulibarri, V. A., Krakow, J., & Schrader, R. M. (2019) · EClinicalMedicine · doi:10.1016/j.eclinm.2019.06.011 · Cited by 24 · see citing works
Silva, M. A., Calvo, D., Brennan, E. M., Reljic, T., Drasher-Phillips, L., Schwartz, D. J., Kumar, A., Cotner, B. A., Taylor, D. J., & Nakase‐Richardson, R. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.01.016 · Cited by 17 · see citing works
Deering, S., Liu, L., Zamora, T., Hamilton, J., & Stepnowsky, C. J. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6838 · Cited by 16 · see citing works
Zolpidem and Eszopiclone Pre-medication for PSG: Effects on Staging, Titration, and Adherence
Holley, A. B., Londeree, W., Sheikh, K. L., Andrada, T., Powell, T. A., Khramtsov, A., & Hostler, J. (2018) · Military Medicine · doi:10.1093/milmed/usx038 · Cited by 12 · see citing works
Patil, R. D., Sarber, K. M., Epperson, M. V., Tabangin, M. E., Altaye, M., Mesa, F., & Ishman, S. L. (2020) · The Laryngoscope · doi:10.1002/lary.29292 · Cited by 12 · see citing works
Mysliwiec, V., Matsangas, P., Gill, J., Baxter, T., O'Reilly, B., Collen, J. F., & Roth, B. J. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.5272 · Cited by 11 · see citing works
Self-citationNakase‐Richardson, R., Hoffman, J. M., Magalang, U. J., Almeida, E. J., Schwartz, D. J., Drasher-Phillips, L., Ketchum, J. M., Whyte, J., Bogner, J. A., & Dismuke‐Greer, C. E. (2020) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2020.03.020 · Cited by 5 · see citing works
Sleep Apnea Treatment Considerations in Patients with Comorbidities
Patil, R. D., & Sarber, K. M. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.02.001 · Cited by 4 · see citing works
Pierobon, A., Vigorè, M., Taurino, A. E., Grassi, G., Torlaschi, V., Maffoni, M., Maestroni, R., Maestri, R., & Fanfulla, F. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12051907 · Cited by 4 · see citing works
Sleep-Disordered Breathing in the Active-Duty Military Population and Its Civilian Care Cost.
Eliason, M. J., Jardine, D. A., Pelchy, K., Meyer, C. D., & McIntyre, N. (2017) · Europe PMC (PubMed Central) · Cited by 4 · see citing works
Moradi, Y., Dowran, B., & Sepandi, M. (2021) · Research Square · doi:10.21203/rs.3.rs-274705/v1 · Cited by 3 · see citing works
Ee, J. S., Pham, C. K., Shaha, D. P., Rogers, M. C., Cacace, G. S., & Mounts, C. W. (2021) · Military Medicine · doi:10.1093/milmed/usaa306 · Cited by 2 · see citing works
Goodwin, C. E., Grier, T., & Mahlmann, O. M. (2024) · Journal of Dental Sleep Medicine · doi:10.15331/jdsm.7320 · Cited by 2 · see citing works
Tsalatsanis, A., Dismuke‐Greer, C. E., Kumar, A., Hoffman, J. M., Monden, K. R., Magalang, U. J., Schwartz, D., Martin, A. M., & Nakase‐Richardson, R. (2024) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000000951 · Cited by 2 · see citing works
Sleep Disturbances in TBI and PTSD and Potential Risk of Neurodegeneration
Weymann, K. B., & Lim, M. M. (2017) · Current Sleep Medicine Reports · doi:10.1007/s40675-017-0077-0 · Cited by 2 · see citing works
Vanderperre, G., Nguyen-Huy-Thui, G., Marsan, P., Desjeux, G., & Marcaillou, M. (2018) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2018.05.562 · Cited by 2 · see citing works
Shaha, D. P., Ee, J. S., Pham, C. K., Choi, L. S., Dogbey, G. Y., & Pogorzelski, N. (2024) · Military Medicine · doi:10.1093/milmed/usae133 · Cited by 1 · see citing works
Qualidade de sono e obesidade em militares: uma revisão narrativa
Portugal, G., Ferreira, F. G., & Doimo, L. A. (2023) · Revista de Educação Física / Journal of Physical Education · doi:10.37310/ref.v91i2.2850
Ee, J. S., Pham, C. K., Shaha, D. P., Mounts, C. W., Dogbey, G. Y., & Pogorzelski, N. (2024) · Military Medicine · doi:10.1093/milmed/usae126
Silva, M. A., Radwan, C. K., Arriola, N. B., & Nakase‐Richardson, R. (2025) · Brain Injury · doi:10.1080/02699052.2025.2554249
- Authors
- Mysliwiec, V., Capaldi, V. F., Gill, J., Baxter, T., O'Reilly, B. M., Matsangas, P., & Roth, B. J.
- Affiliations
- Madigan Army Medical Center (US)
- Walter Reed Army Institute of Research (US)
- National Institutes of Health (US)
- Naval Postgraduate School (US)
- Venue
- Military Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-04
- Volume
- 180
- Issue
- 4
- Pages
- 475-482
- ISSN
- 0026-4075 (ISSN-L)
- 1930-613X
- OpenAlex
- W2126478215
- Cited by
- 27
- References
- 56
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 4 · 2015: 1
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Military Medicine (publishedVersion)
- PubMed (publishedVersion)
- Calhoun: The Naval Postgraduate School Institutional Archive (Naval Postgraduate School) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- obstructive sleep apnea, positive airway pressure, medication adherence, military personnel, sleepiness, sleep quality, depressive symptoms, fatigue, emotional well-being, apnea-hypopnea index
- MeSH terms
- Adult, Depression, Fatigue, Humans, Male, Middle Aged, Military Personnel, Patient Compliance, Sleep, United States, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure, Young Adult
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 ›
Are you an author, or do you see a problem with this page? Request a review
