Management of obstructive sleep apnea and comorbid insomnia: a mixed-methods evaluation

Jason C. Ong, Megan R. Crawford, Allison Kong, Margaret Park, Jamie A. Cvengros, M. Isabel Crisostomo, Ewa I. Alexander, James K. Wyatt

Research output: Contribution to journalArticle

14 Citations (Scopus)
12 Downloads (Pure)

Abstract

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.

Original languageEnglish
Pages (from-to)180-197
Number of pages18
JournalBehavioral Sleep Medicine
Volume15
Issue number3
Early online date15 Dec 2015
DOIs
Publication statusPublished - 4 May 2017

Keywords

  • obstructive sleep apnea
  • comorbid insomnia
  • mixed-method approach
  • sleep parameters
  • daytime functioning

Cite this