Polysomnographic Predictors of Treatment Response to Cognitive Behavioral Therapy for Insomnia in Participants With Co-morbid Insomnia and Sleep Apnea: Secondary Analysis of a Randomized Controlled Trial

Frontiers in Psychology

article

Alexander Sweetman¹  Bastien Lechat¹  Peter G. Catcheside¹  Simon Smith⁴  Nick A. Antic¹  Amanda O’Grady¹  Nicola Dunn⁶  R. Doug McEvoy¹  Leon Lack¹ 

[1] The Adelaide Institute for Sleep Health and Flinders Health and Medical Research Institute: Sleep Health, Flinders University;College of Medicine and Public Health, Flinders University;College of Science and Engineering, Flinders University;Institute for Social Science Research, The University of Queensland;Sleep Health Service, Repatriation General Hospital and Respiratory and Sleep Services, Southern Adelaide Local Health Network;Thoracic Program, The Prince Charles Hospital;College of Education Psychology and Social Work, Flinders University

关键词: COMISA;    chronic insomnia;    sleep disordered breathing;    obstructive sleep apnea;    Polysomnogram;    precision medicine;    CBTi;    qEEG;   

DOI  :  10.3389/fpsyg.2021.676763

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective Co-morbid insomnia and sleep apnea (COMISA) is a common and debilitating condition that is more difficult to treat compared to insomnia or sleep apnea-alone. Emerging evidence suggests that cognitive behavioral therapy for insomnia (CBTi) is effective in patients with COMISA, however, those with more severe sleep apnea and evidence of greater objective sleep disturbance may be less responsive to CBTi. Polysomnographic sleep study data has been used to predict treatment response to CBTi in patients with insomnia-alone, but not in patients with COMISA. We used randomized controlled trial data to investigate polysomnographic predictors of insomnia improvement following CBTi, versus control in participants with COMISA.

【 授权许可】

CC BY