0370 Impact of Co-Morbid Obstructive Sleep Apnea in the Treatment of Insomnia

Lack, L; Sweetman, Alexander; Lambert, S; Harris, James O.

doi:10.1093/sleepj/zsx050.369

Cited by 1 publication

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“…Similarly, although CBT-I is an effective treatment for insomnia in the presence of OSA [36 •], it is associated with a small increase in daytime sleepiness during the first 1-2 weeks of sleep restriction therapy [37]. There is at least one documented case of a sleepiness-related motor-vehicle accident during sleep restriction therapy in a patient with undiagnosed OSA [38]. This highlights the importance of identifying COMISA in those presenting with insomnia symptoms and close monitoring of daytime sleepiness/alertness during sleep restriction protocols in such patients.…”

Section: Mental and Physical Health Associations Of Comisamentioning

confidence: 99%

Co-morbid Insomnia and Sleep Apnoea (COMISA): Latest Research from an Emerging Field

Sweetman

2023

Curr Sleep Medicine Rep

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Purpose of Review Insomnia and sleep apnoea are the two most prevalent sleep disorders and frequently co-exist. Co-morbid insomnia and sleep apnoea (COMISA) is increasingly recognised as a highly prevalent condition that is associated with worse sleep, daytime function, physical and mental health compared to either disorder alone. Compared to people with sleep apnoea alone, those with COMISA are less likely to accept and use positive airway pressure therapy, the most effective treatment for sleep apnoea. Given the high prevalence, morbidity and complexities in effectively managing COMISA, it is critical to develop a better understanding of the aetiology, consequences and effective treatments for this condition. This report aims to provide an overview of recent COMISA research. Recent Findings This report presents an overview of emerging areas of COMISA research over the past 5 years, including (1) mental and physical health associations of COMISA, (2) bi-directional relationships between insomnia and sleep apnoea, (3) positive airway pressure therapy for COMISA and (4) cognitive behavioural therapy for COMISA. Future research directions are discussed, including tailored treatment approaches and implementation programs to improve recognition and management of COMISA. Summary COMISA is a highly prevalent and debilitating condition in sleep clinic and population-based settings. Emerging research aims to develop and implement more effective and tailored treatment approaches for COMISA, to improve sleep, mental health, physical health and quality of life in people with COMISA.

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Section: Mental and Physical Health Associations Of Comisamentioning

confidence: 99%

Co-morbid Insomnia and Sleep Apnoea (COMISA): Latest Research from an Emerging Field

Sweetman

2023

Curr Sleep Medicine Rep

View full text Add to dashboard Cite

show abstract

0370 Impact of Co-Morbid Obstructive Sleep Apnea in the Treatment of Insomnia

Cited by 1 publication

References 0 publications

Co-morbid Insomnia and Sleep Apnoea (COMISA): Latest Research from an Emerging Field

Co-morbid Insomnia and Sleep Apnoea (COMISA): Latest Research from an Emerging Field

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