Developing a successful treatment for co-morbid insomnia and sleep apnoea

Sweetman, Alexander M., Lack, Leon C., Catcheside, Peter G., Antic, Nick A., Chai-Coetzer, Ching Li, Smith, Simon S., Douglas, James A. and McEvoy, R. Doug (2017) Developing a successful treatment for co-morbid insomnia and sleep apnoea. Sleep Medicine Reviews, 33 28-38. doi:10.1016/j.smrv.2016.04.004

Author Sweetman, Alexander M.
Lack, Leon C.
Catcheside, Peter G.
Antic, Nick A.
Chai-Coetzer, Ching Li
Smith, Simon S.
Douglas, James A.
McEvoy, R. Doug
Title Developing a successful treatment for co-morbid insomnia and sleep apnoea
Journal name Sleep Medicine Reviews   Check publisher's open access policy
ISSN 1087-0792
Publication date 2017-06-01
Year available 2017
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.smrv.2016.04.004
Open Access Status Not yet assessed
Volume 33
Start page 28
End page 38
Total pages 11
Place of publication Issy les Moulineaux, France
Publisher Elsevier Masson
Language eng
Abstract Insomnia and sleep apnoea are the two most common sleep disorders, found in 6% and 23–50% of the general population respectively. These disorders also frequently co-occur, with 39–58% of sleep apnoea patients reporting symptoms indicative of co-morbid insomnia. When these disorders co-occur, clinicians are faced with difficult treatment decisions, patients experience the additive detrimental impacts of both disorders, and the effectiveness of discrete treatments for each disorder may be impaired. A common finding is that co-morbid insomnia and sleep apnoea (COMISA) is more difficult to treat than either disorder presenting alone. Co-morbid insomnia reduces the initial acceptance of, and later adherence to, continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea. This has resulted in recent recommendations that treatment approaches should initially target COMISA patients' insomnia to remove this barrier to CPAP treatment, and improve patient outcomes. However, no randomised controlled trial outcomes investigating this treatment approach currently exist. The current article aims to review and integrate recent research examining the prevalence, characteristics, and theoretical mechanistic relationships between co-occurring insomnia and OSA, and discuss previous treatment attempts.
Keyword Insomnia
Obstructive sleep apnoea
Sleep-disordered breathing
Secondary insomnia
Cognitive behaviour therapy
Continuous positive airway pressure
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Institute for Social Science Research - Publications
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