Sleep Medicine
Volume 11, Issue 8 , Pages 772-776 , September 2010

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

  • Emerson M. Wickwire

      Affiliations

    • Center for Sleep Disorders, Pulmonary Disease and Critical Care Associates, Columbia, MD, USA
    • Behavioral Sleep Medicine Program, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    • Corresponding Author InformationCorresponding author. Address: Center for Sleep Disorders, Pulmonary Disease and Critical Care Associates, 10710 Charter Drive, Suite 310, Columbia, MD 21044, USA. Tel.: +1 (410) 997 5944; fax: +1 (410) 997 1720.
    • ,
  • Michael T. Smith

      Affiliations

    • Behavioral Sleep Medicine Program, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    • ,
  • Sandra Birnbaum

      Affiliations

    • Behavioral Sleep Medicine Program, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    • ,
  • Nancy A. Collop

      Affiliations

    • Johns Hopkins Hospital Sleep Disorders Center, Division of Pulmonary and Critical Care, Johns Hopkins School of Medicine, Baltimore, MD, USA

Received 2 September 2009 ,Revised 10 March 2010 ,Accepted 31 March 2010.

References 

  1. Collop N. The effect of obstructive sleep apnea on chronic medical disorders. Cleve Clin J Med. 2007;74(1):72–78
  2. Taylor DJ, Mallory LJ, Lichstein KL, Durrence HH, Riedel BW, Bush AJ. Comorbidity of chronic insomnia with medical problems. Sleep. 2007;30(2):213–218
  3. Wickwire E, Collop N. Insomnia and sleep-related breathing disorders. Chest (2010), in press.
  4. Chung KF. Relationships between insomnia and sleep-disordered breathing. Chest. 2003;123(1):310–311
  5. Chung KF. Insomnia subtypes and their relationships to daytime sleepiness in patients with obstructive sleep apnea. Respiration. 2005;72(5):460–465
  6. Guilleminault C, Palombini L, Poyares D, Chowdhuri S. Chronic insomnia, postmenopausal women, and sleep disordered breathing: part 1. Frequency of sleep disordered breathing in a cohort. J Psychosom Res. 2002;53(1):611–615
  7. Krakow B, Melendrez D, Ferreira E, Clark J, Warner TD, Sisley B, et al. Prevalence of insomnia symptoms in patients with sleep-disordered breathing. Chest. 2001;120(6):1923–1929
  8. Krell SB, Kapur VK. Insomnia complaints in patients evaluated for obstructive sleep apnea. Sleep Breath. 2005;9(3):104–110
  9. Smith S, Sullivan K, Hopkins W, Douglas J. Frequency of insomnia report in patients with obstructive sleep apnoea hypopnea syndrome (OSAHS). Sleep Med. 2004;5(5):449–456
  10. Lichstein KL, Riedel BW, Lester KW, Aguillard RN. Occult sleep apnea in a recruited sample of older adults with insomnia. J Consult Clin Psychol. 1999;67(3):405–410
  11. Stone J, Morin CM, Hart RP, Remsberg S, Mercer J. Neuropsychological functioning in older insomniacs with or without obstructive sleep apnea. Psychol Aging. 1994;9(2):231–236
  12. Bouscoulet LT, Vazquez-Garcia JC, Muino A, Marquez M, Lopez MV, de Oca MM, et al. Prevalence of sleep related symptoms in four Latin American cities. J Clin Sleep Med. 2008;4(6):579–585
  13. Kapur VK, Baldwin CM, Resnick HE, Gottlieb DJ, Nieto FJ. Sleepiness in patients with moderate to severe sleep-disordered breathing. Sleep. 2005;28(4):472–477
  14. Gooneratne NS, Gehrman PR, Nkwuo JE, Bellamy SL, Schutte-Rodin S, Dinges DF, et al. Consequences of comorbid insomnia symptoms and sleep-related breathing disorder in elderly subjects. Arch Intern Med. 2006;166(16):1732–1738
  15. Guilleminault C, Davis K, Huynh NT. Prospective randomized study of patients with insomnia and mild sleep disordered breathing. Sleep. 2008;31(11):1527–1533
  16. Krakow B, Melendrez D, Lee SA, Warner TD, Clark JO, Sklar D. Refractory insomnia and sleep-disordered breathing: a pilot study. Sleep Breath. 2004;8(1):15–29
  17. Krakow B, Melendrez D, Sisley B, Warner TD, Krakow J, Leahigh L, et al. Nasal dilator strip therapy for chronic sleep-maintenance insomnia and symptoms of sleep-disordered breathing: a randomized controlled trial. Sleep Breath. 2006;10(1):16–28
  18. Machado MA, de Carvalho LB, Juliano ML, Taga M, do Prado LB, do Prado GF. Clinical co-morbidities in obstructive sleep apnea syndrome treated with mandibular repositioning appliance. Respir Med. 2006;100(6):988–995
  19. Wickwire E, Schumacher J, Richert A, Baran A, Roffwarg H. Combined insomnia and poor CPAP compliance: a case study and discussion. Clin Case Studies 2008;4(7):267–86 [ref type: generic].
  20. Rechtschaffen A, Kales A. A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. Washington, DC: US Government Printing Office; 1968;
  21. Stepnowsky CJ, Palau JJ, Gifford AL, Ancoli-Israel S. A self-management approach to improving continuous positive airway pressure adherence and outcomes. Behav Sleep Med. 2007;5(2):131–146
  22. Weaver TE, Maislin G, Dinges DF, Younger J, Cantor C, McCloskey S, et al. Self-efficacy in sleep apnea: instrument development and patient perceptions of obstructive sleep apnea risk, treatment benefit, and volition to use continuous positive airway pressure. Sleep. 2003;26(6):727–732
  23. Harvey AG. A cognitive model of insomnia. Behav Res & Therapy 2002;40:869–93 [ref type: generic].
  24. Edinger JD, Bonnet MH, Bootzin RR, Doghramji K, Dorsey CM, Espie CA, et al. Derivation of research diagnostic criteria for insomnia: report of an American academy of sleep medicine work group. Sleep. 2004;27(8):1567–1596
  25. Wickwire EM. Behavioral management of sleep-disordered breathing. Prim Psychiatry. 2009;16(2):34–41
  26. Poulet C, Veale D, Arnol N, Levy P, Pepin JL, Tyrrell J. Psychological variables as predictors of adherence to treatment by continuous positive airway pressure. Sleep Med. 2009;10(9):993–999
  27. Drake CL, Day R, Hudgel D, Stefadu Y, Parks M, Syron ML, et al. Sleep during titration predicts continuous positive airway pressure compliance. Sleep. 2003;26(3):308–311
  28. Lettieri CJ, Collen JF, Eliasson AH, Quast TM. Sedative use during continuous positive airway pressure titration improves subsequent compliance. A randomized, double-blind, placebo-controlled trial. Chest. 2009;136(5):1263–1268
  29. Lettieri CJ, Shah AA, Holley AB, Kelly WF, Chang AS, Roop SA. Effects of a short course of eszopiclone on continuous positive airway pressure adherence. A randomized trial. Ann Intern Med. 2009;151(10):696–702
  30. Aloia MS, Arnedt JT, Riggs RL, Hecht J, Borrelli B. Clinical management of poor adherence to CPAP: motivational enhancement. Behav Sleep Med. 2004;2(4):205–222
  31. Perils ML, Smith MT. How can we make CBT-I and other BSM services widely available?. J Clin Sleep Med. 2008;4(1):11–13
  32. Smith I, Nadig V, Lasserson TJ. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines for adults with obstructive sleep apnoea. Cochrane Database Syst Rev 2009;2:CD007736.
  33. Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008;4(5):487–504
  34. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed.. Hillsdale, NJ: Lawrence Earlbaum; 1988;

PII: S1389-9457(10)00171-1

doi: 10.1016/j.sleep.2010.03.012

Sleep Medicine
Volume 11, Issue 8 , Pages 772-776 , September 2010

Article Tools