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Sökning: WFRF:(Benediktsdottir Bryndis) > Symptoms of Insomni...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003427naa a2200433 4500
001oai:DiVA.org:uu-215939
003SwePub
008140117s2013 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2159392 URI
0247 a https://doi.org/10.5665/sleep.32262 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Bjornsdottir, Erla4 aut
2451 0a Symptoms of Insomnia among Patients with Obstructive Sleep Apnea Before and After Two Years of Positive Airway Pressure Treatment
264 1b Oxford University Press (OUP),c 2013
338 a print2 rdacarrier
520 a Study Objectives: To assess the changes of insomnia symptoms among patients with obstructive sleep apnea (OSA) from starting treatment with positive airway pressure (PAP) to a 2-y follow-up. Design: Longitudinal cohort study. Setting: Landspitali-The National University Hospital of Iceland. Participants: There were 705 adults with OSA who were assessed prior to and 2 y after starting PAP treatment. Intervention: PAP treatment for OSA. Measurements and Results: All patients underwent a medical examination along with a type 3 sleep study and answered questionnaires on health and sleep before and 2 y after starting PAP treatment. The change in prevalence of insomnia symptoms by subtype was assessed by questionnaire and compared between individuals who were using or not using PAP at follow-up. Symptoms of middle insomnia were most common at baseline and improved significantly among patients using PAP (from 59.4% to 30.7%, P < 0.001). Symptoms of initial insomnia tended to persist regardless of PAP treatment, and symptoms of late insomnia were more likely to improve among patients not using PAP. Patients with symptoms of initial and late insomnia at baseline were less likely to adhere to PAP (odds ratio [OR] 0.56, P = 0.007, and OR 0.53, P < 0.001, respectively). Conclusion: Positive airway pressure treatment significantly reduced symptoms of middle insomnia. Symptoms of initial and late insomnia, however, tended to persist regardless of positive airway pressure treatment and had a negative effect on adherence. Targeted treatment for insomnia may be beneficial for patients with obstructive sleep apnea comorbid with insomnia and has the potential to positively affect adherence to positive airway pressure.
653 a Adherence
653 a CPAP
653 a insomnia
653 a obstructive sleep apnea
7001 a Janson, Christeru Uppsala universitet,Lungmedicin och allergologi4 aut0 (Swepub:uu)chrisjn
7001 a Sigurdsson, Jon F.4 aut
7001 a Gehrman, Philip4 aut
7001 a Perlis, Michael4 aut
7001 a Juliusson, Sigurdur4 aut
7001 a Arnardottir, Erna S.4 aut
7001 a Kuna, Samuel T.4 aut
7001 a Pack, Allan I.4 aut
7001 a Gislason, Thorarinn4 aut
7001 a Benediktsdottir, Bryndis4 aut
7102 a Uppsala universitetb Lungmedicin och allergologi4 org
7730 t Sleepd : Oxford University Press (OUP)g 36:12, s. 1901-1909q 36:12<1901-1909x 0161-8105x 1550-9109
8564 u https://academic.oup.com/sleep/article-pdf/36/12/1901/26661921/aasm.36.12.1901.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-215939
8564 8u https://doi.org/10.5665/sleep.3226

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