Sleep apnea and insomnia emerging evidence for effective clinical management
Ong, Jason C. and Crawford, Megan R. and Wallace, Douglas M. (2021) Sleep apnea and insomnia emerging evidence for effective clinical management. CHEST, 159 (5). pp. 2020-2028. ISSN 0012-3692 (https://doi.org/10.1016/j.chest.2020.12.002)
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Abstract
Comorbid insomnia and sleep apnea (COMISA) are the most common co-occurring sleep disorders and present many challenges to clinicians. This review provides an overview of the clinical challenges in the management of patients with COMISA, with a focus on recent evidence regarding the evaluation and treatment of COMISA. Innovations in the assessment of COMISA have used profile analyses or dimensional approaches to examine symptom clusters or symptom severity that could be particularly useful in the assessment of COMISA. Recent randomized controlled trials have provided important evidence about the safety and effectiveness of a concomitant treatment approach to COMISA using cognitive-behavioral therapy for insomnia (CBT-I) with positive airway pressure (PAP). Furthermore, patient-centered considerations that integrate patient characteristics, treatment preferences, and accessibility to treatment in the context of COMISA are discussed as opportunities to improve patient care. Based on these recent advances and clinical perspectives, a model for using multidisciplinary, patient-centered care is recommended to optimize the clinical management of patients with COMISA.
ORCID iDs
Ong, Jason C., Crawford, Megan R. ORCID: https://orcid.org/0000-0002-3167-1398 and Wallace, Douglas M.;-
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Item type: Article ID code: 79372 Dates: DateEvent1 May 2021Published9 December 2020Published Online14 October 2020AcceptedSubjects: Philosophy. Psychology. Religion > Psychology
Medicine > Internal medicine > Neuroscience. Biological psychiatry. NeuropsychiatryDepartment: Faculty of Humanities and Social Sciences (HaSS) > Psychological Sciences and Health > Psychology Depositing user: Pure Administrator Date deposited: 28 Jan 2022 15:29 Last modified: 16 Oct 2024 15:45 Related URLs: URI: https://strathprints.strath.ac.uk/id/eprint/79372