Effect of personality traits on adherence with positive airway pressure therapy in obstructive sleep apnea patients

Çopur, Ahmet; Everhart, D. Erik; Zhang, Chao; Shekhani, Haris; Mathevosian, Sipan; Loveless, James P.; Watson, Eric; Kadri, Imtiazali; Wallace, Leandra; Simon, Edwin; Fulambarker, Ashok

doi:10.1007/s11325-017-1559-5

Cited by 8 publications

(6 citation statements)

References 31 publications

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“…This noteworthy result may be of relevance to clinical and research practice as, although negative affect has been associated to non-compliance to CPAP use [61], positive affect has generally been closely related to lower allostatic load profiles including neuroendocrine, inflammatory, cardiovascular and metabolic biomarkers such as levels of cortisol, C-reactive protein, systolic blood pressure, diastolic blood pressure, heart rate, total cholesterol, triglycerides, low-density lipids, high-density lipids, albumin, glucose, HbA1c, and waist circumference [62][63][64]. As alterations of these neuroendocrine, inflammatory, cardiovascular and metabolic markers, in turn, are causes and consequences of not only OSA but also other severe chronic conditions [65,66], addressing positive affect may play an important role in the assessment and treatment of these conditions.…”

Section: Discussionmentioning

confidence: 78%

Anxiety and Depression in Patients with Obstructive Sleep Apnoea before and after Continuous Positive Airway Pressure: The ADIPOSA Study

Carneiro‐Barrera

Amaro‐Gahete

Sáez-Roca

et al. 2019

JCM

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The prevalence and treatment response of depression and anxiety symptoms in obstructive sleep apnoea (OSA), although widely addressed in research and clinical settings, still remain unclear due to overlapping symptoms. The ADIPOSA study sought to elucidate the presence of non-overlapping symptoms of depression and anxiety in patients with moderate to severe OSA before and after continuous positive airway pressure (CPAP) treatment. Forty-eight adults aged 18-80 (68.75% men) with moderate to severe OSA were enrolled in this twelve-week longitudinal single-arm trial and completed a full-night ambulatory sleep diagnostic test and an assessment of cognitive-affective depression and anxiety symptoms using the Beck-Depression Inventory-Fast Screen (BDI-FS), the State-Trait Depression Inventory (IDER) and the State-Trait Anxiety Inventory (STAI). We found no cognitive-affective depression or anxiety symptoms of clinical relevance at baseline. The amelioration of depression and anxiety symptoms after CPAP use was only statistically significant when considering anxiety-trait (p < 0.01; d = 0.296) and euthymia (p < 0.05; d = 0.402), the distinctive component of depression. Although dysthymia or high negative affect remained unchanged, CPAP may be effective at reducing the lack of positive affect, a well-established health-protective factor. However, not until depression and anxiety disorders related to OSA are accurately measured in clinical and research settings will it be possible to obtain robust conclusions on the occurrence and amelioration of these symptoms after treatment.

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Section: Discussionmentioning

confidence: 78%

Anxiety and Depression in Patients with Obstructive Sleep Apnoea before and after Continuous Positive Airway Pressure: The ADIPOSA Study

Carneiro‐Barrera

Amaro‐Gahete

Sáez-Roca

et al. 2019

JCM

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“…We also conducted a study on 321 OSA patients by using Behavioral Inhibition and Behavioral Activation Systems Scales (BIS/BAS), The Mini-International Personality Item Pool (Mini-IPIP) and Positive and Negative Affect Scales (PANAS). Interestingly we found BAS-Fun seeking (BAS-FS) was the strongest predictor for patient adherence with PAP therapy 25 . Also, there were significant relationships between the personality facets of intellect/imagination (Mini-IPIP) and negative affect (PANAS) when considering PAP adherence only from the perspective of usage time.…”

Section: Psychological/personality Characteristics and Pap Adherence Of Sdb Patientsmentioning

confidence: 79%

A Review of Psychological and Personality Characteristics on Pap Therapy Adherence Among Sleep Disordered Breathing Patients

Çopur¹,

Everhart²

2018

J Lung Health Dis

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Sleep disordered breathing (SDB) is a common health problem with significant morbidity and mortality. Positive airway pressure (PAP) therapy is the accepted first-line treatment for SDB. Despite the documented efficacy of PAP therapy in the treatment of SDB, patient adherence is problematic. Proposed reasons for this nonadherence include patient-related, therapy/medicationrelated, and health professional-related factors. Some research studies have been published regarding the relationship between patient psychological or personality characteristics and adherence with PAP therapy. These studies can be divided into two groups. The first group focuses on psychological/personality characteristics of SDB patients. These studies claim that hypochondriasis, depression, memory and some cognitive function impairment are prevalent among SDB patients. Patients with these psychological and personality characteristics report more symptoms and complaints compared to other SDB patients. The second group examines the PAP adherence and psychological/ personality characteristics. They report that PAP adherence may negatively correlate with Type D personality, hypochondriasis, claustrophobia, depression, neuroticism, and BIS while may be positively associated with BAS-FS, and intellect imagination.However, limited data, the significant difference of the methods, techniques, number of cases and results of the studies, and contribution of multiple other factors make it difficult to draw a reliable conclusion. More specific studies with larger sample size on proposed psychological/personality variables would give a more clear understanding of this problem.

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“…Adherence to CPAP use might, therefore, depends on factors other than disease-specific characteristics or technological advancements in the delivery of positive airway pressure, including psychological, motivational, and environmental aspects. These encompass characteristics of negative affectivity and social inhibition associated with Type-D (distressed) personality (Broström et al, 2007 ; Copur et al, 2018 ), or symptoms of claustrophobia (Chasens et al, 2005 ), while research findings are inconclusive on the association between mood disorders, such as anxiety and depression, and adherence to CPAP (Stepnowsky et al, 2002 ; Garbarino et al, 2018 ; Yang et al, 2020 ; Scarpina et al, 2021 ). Additional factors include coping styles with challenging situations (active vs. passive), treatment expectations, and perceived self-efficacy (i.e., confidence in one's own ability to carry out a particular behavior) (Aloia et al, 2005 ; Olsen et al, 2008 ; Baron et al, 2011 ; Sawyer et al, 2011 ; Mehrtash et al, 2019 ), together with social support (Lewis et al, 2004 ; Xu et al, 2020 ), and marital satisfaction (i.e., problems with the bed partner) (Batool-Anwar et al, 2017 ; Luyster, 2017 ; Gentina et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions

et al. 2021

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Objective: This scoping review aims to provide an accessible summary of available evidence on the efficacy of motivational interventions to increase adherence to Continuous Positive Airway Pressure (CPAP) among patients with Obstructive Sleep Apnea Syndrome (OSAS) and of their specific aspects and strategies by assessing adherence measures.Methods: A literature search was performed in PubMed, Scopus, Medline, PsycINFO, and Web of Science databases using the concepts of “obstructive sleep apnea syndrome,” “continuous positive airway pressure,” “motivational intervention,” and “adherence.” Rigorous inclusion criteria and screening by at least two reviewers were applied. Data were extracted to address the review aims and were presented as a narrative synthesis.Results: Search for databases produced 11 randomized controlled trials, all including naïve CPAP users. Findings showed that motivational interventions were more effective than usual care and educational programs in increasing adherence to CPAP, despite results were not always maintained over time across studies.Discussion: To our knowledge, this is the first scoping review of the literature aimed to explore the characteristics and impact of motivational interventions to promote adherence to CPAP in patients with OSAS. More research providing a detailed description of motivational strategies, and testing of their association with positive treatment outcomes via both direct and indirect measures are needed to increase awareness on active mechanisms of change.

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Effect of personality traits on adherence with positive airway pressure therapy in obstructive sleep apnea patients

Abstract: BAS-FS, negative affect, and intellect/imagination are significant factors for adherence to PAP therapy in obstructive sleep apnea patients.

Cited by 8 publications

References 31 publications

Anxiety and Depression in Patients with Obstructive Sleep Apnoea before and after Continuous Positive Airway Pressure: The ADIPOSA Study

Anxiety and Depression in Patients with Obstructive Sleep Apnoea before and after Continuous Positive Airway Pressure: The ADIPOSA Study

A Review of Psychological and Personality Characteristics on Pap Therapy Adherence Among Sleep Disordered Breathing Patients

Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions

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