Sleep maintenance insomnia complaints predict poor CPAP adherence: A clinical case series

Emerson M. Wickwire, Michael T Smith, Sandra Birnbaum, Nancy A. Collop

Research output: Contribution to journalArticle

Abstract

Background: Although CPAP is a highly efficacious treatment for obstructive sleep apnea (OSA), low adherence presents a significant challenge for sleep medicine clinicians. The present study aimed to evaluate the relationship between insomnia symptoms and CPAP use. We hypothesized that pre-treatment insomnia complaints would be associated with poorer CPAP adherence at clinical follow-up. Methods: This was a retrospective chart review of 232 patients (56.5% men, mean age = 53.6 ± 12.4 years) newly diagnosed with OSA (mean AHI = 41.8 ± 27.7) and prescribed CPAP in the Johns Hopkins Sleep Disorder Center. Difficulty initiating sleep, difficulty maintaining sleep, and early morning awakening were measured via three self-report items. CPAP use was measured via objective electronic monitoring cards. Results: Thirty-seven percent of the sample reported at least one frequent insomnia complaint, with 23.7% reporting difficulty maintaining sleep, 20.6% reporting early morning awakening and 16.6% reporting difficulty initiating sleep. After controlling for age and gender, sleep maintenance insomnia displayed a statistically significant negative relationship with average nightly minutes of CPAP use (p

Original languageEnglish (US)
Pages (from-to)772-776
Number of pages5
JournalSleep Medicine
Volume11
Issue number8
DOIs
StatePublished - Sep 2010

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Sleep Initiation and Maintenance Disorders
Sleep
Maintenance
Obstructive Sleep Apnea
Self Report
Medicine
Therapeutics

Keywords

  • Adherence
  • Apnea
  • Comprehensive sleep medicine
  • CPAP
  • Insomnia
  • Interdisciplinary
  • Sleep

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sleep maintenance insomnia complaints predict poor CPAP adherence : A clinical case series. / Wickwire, Emerson M.; Smith, Michael T; Birnbaum, Sandra; Collop, Nancy A.

In: Sleep Medicine, Vol. 11, No. 8, 09.2010, p. 772-776.

Research output: Contribution to journalArticle

Wickwire, Emerson M. ; Smith, Michael T ; Birnbaum, Sandra ; Collop, Nancy A. / Sleep maintenance insomnia complaints predict poor CPAP adherence : A clinical case series. In: Sleep Medicine. 2010 ; Vol. 11, No. 8. pp. 772-776.
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