TY - JOUR
T1 - Management of obstructive sleep apnea and comorbid insomnia
T2 - a mixed-methods evaluation
AU - Ong, Jason C.
AU - Crawford, Megan R.
AU - Kong, Allison
AU - Park, Margaret
AU - Cvengros, Jamie A.
AU - Crisostomo, M. Isabel
AU - Alexander, Ewa I.
AU - Wyatt, James K.
PY - 2017/5/4
Y1 - 2017/5/4
N2 - The purpose of this study was to examine the process of care in an interdisciplinary sleep clinic for patients with obstructive sleep apnea (OSA) and comorbid insomnia. A mixed-methods approach was used to examine clinical and patient-centered measures for 34 patients who received positive-airway pressure for OSA or cognitive-behavior therapy for insomnia. The results revealed baseline-to-follow-up improvements on several self-reported sleep parameters and measures of daytime functioning. Qualitative analyses from patient interviews revealed three themes: conceptual distinctions about each sleep disorder, importance of treating both sleep disorders, and preferences with regard to the sequence of treatment. These findings indicate that patients with OSA and comorbid insomnia encounter unique challenges. A dimensional approach to assessment and treatment is proposed for future research.
AB - The purpose of this study was to examine the process of care in an interdisciplinary sleep clinic for patients with obstructive sleep apnea (OSA) and comorbid insomnia. A mixed-methods approach was used to examine clinical and patient-centered measures for 34 patients who received positive-airway pressure for OSA or cognitive-behavior therapy for insomnia. The results revealed baseline-to-follow-up improvements on several self-reported sleep parameters and measures of daytime functioning. Qualitative analyses from patient interviews revealed three themes: conceptual distinctions about each sleep disorder, importance of treating both sleep disorders, and preferences with regard to the sequence of treatment. These findings indicate that patients with OSA and comorbid insomnia encounter unique challenges. A dimensional approach to assessment and treatment is proposed for future research.
KW - obstructive sleep apnea
KW - comorbid insomnia
KW - mixed-method approach
KW - sleep parameters
KW - daytime functioning
UR - http://www.scopus.com/inward/record.url?scp=84949764552&partnerID=8YFLogxK
U2 - 10.1080/15402002.2015.1087000
DO - 10.1080/15402002.2015.1087000
M3 - Article
C2 - 26670949
AN - SCOPUS:84949764552
SN - 1540-2002
VL - 15
SP - 180
EP - 197
JO - Behavioral Sleep Medicine
JF - Behavioral Sleep Medicine
IS - 3
ER -