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Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients

Author

Listed:
  • Pierre Philip
  • Stéphanie Bioulac
  • Elemarije Altena
  • Charles M Morin
  • Imad Ghorayeb
  • Olivier Coste
  • Pierre-Jean Monteyrol
  • Jean-Arthur Micoulaud-Franchi

Abstract

This study explores the association between specific insomnia symptoms (sleep onset, sleep maintenance and early morning awakenings symptoms) and self-efficacy (perceived self-confidence in the ability to use CPAP) with CPAP compliance in French patients with obstructive sleep apnea syndrome (OSAS). We performed a retrospective, cross-sectional analysis of CPAP compliance in a cohort of 404 patients diagnosed with OSAS. Patients completed mailed questionnaires on sleepiness (ESS), insomnia (ISI) and self-efficacy in sleep apnea (SEMSA). Linear regression modeling analyses were performed to explore the impact of measured variables on the number of hours of CPAP use. Of the initial pool of 404 patients, 288 returned the questionnaires (71% response rate). Their mean age was 63.16±12.73 yrs, 31% were females, mean BMI was 30.39±6.31 kg/m2, mean daily CPAP use was 6.19±2.03 h, mean number of years of use was 6.58±6.03 yrs, and mean initial AHI before CPAP use was 34.61±20.71 /h. Age (p

Suggested Citation

  • Pierre Philip & Stéphanie Bioulac & Elemarije Altena & Charles M Morin & Imad Ghorayeb & Olivier Coste & Pierre-Jean Monteyrol & Jean-Arthur Micoulaud-Franchi, 2018. "Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-13, April.
    • Handle: RePEc:plo:pone00:0195343
    DOI: 10.1371/journal.pone.0195343
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    References listed on IDEAS

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    1. Sébastien Bailly & Marie Destors & Yves Grillet & Philippe Richard & Bruno Stach & Isabelle Vivodtzev & Jean-Francois Timsit & Patrick Lévy & Renaud Tamisier & Jean-Louis Pépin & scientific council an, 2016. "Obstructive Sleep Apnea: A Cluster Analysis at Time of Diagnosis," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-12, June.
    2. Frédéric Gagnadoux & Marc Le Vaillant & François Goupil & Thierry Pigeanne & Sylvaine Chollet & Philippe Masson & Marie-Pierre Humeau & Acya Bizieux-Thaminy & Nicole Meslier & the IRSR sleep cohort gr, 2011. "Influence of Marital Status and Employment Status on Long-Term Adherence with Continuous Positive Airway Pressure in Sleep Apnea Patients," PLOS ONE, Public Library of Science, vol. 6(8), pages 1-7, August.
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