Pub Date : 2018-04-02DOI: 10.4172/2167-0277.1000286
Ajele Kenni Wojujutari, Oladejo Teslim Alabi, Olasupo Matthew
The study examined the influence of prenatal stress and sleep quality on pregnant women psychological capital before birth. A cross-sectional survey was used in the study. Convenience sampling technique was used to select 238 antenatal women attending Mother/Child clinic in Ondo State. The result showed significant relationship between prenatal stress and psychological capital among antenatal women. Also sleep quality had a significant influence on psychological capital among antenatal women. It was concluded that inadequate sleep and prenatal stress affect psychological capital. Based on the study findings, it was recommended that health practitioners and maternal health policy makers and nongovernmental agencies should provide adequate prenatal stress management training for antenatal women and maternal health care providers should also provide important information about good sleep quality in relations to their conditions to enhance their psychological capital.
{"title":"Prenatal Stress and Sleep Quality Influence on Antenatal Women Psychological Capital in Mother/Child Hospital in Akure, Ondo State","authors":"Ajele Kenni Wojujutari, Oladejo Teslim Alabi, Olasupo Matthew","doi":"10.4172/2167-0277.1000286","DOIUrl":"https://doi.org/10.4172/2167-0277.1000286","url":null,"abstract":"The study examined the influence of prenatal stress and sleep quality on pregnant women psychological capital before birth. A cross-sectional survey was used in the study. Convenience sampling technique was used to select 238 antenatal women attending Mother/Child clinic in Ondo State. The result showed significant relationship between prenatal stress and psychological capital among antenatal women. Also sleep quality had a significant influence on psychological capital among antenatal women. It was concluded that inadequate sleep and prenatal stress affect psychological capital. Based on the study findings, it was recommended that health practitioners and maternal health policy makers and nongovernmental agencies should provide adequate prenatal stress management training for antenatal women and maternal health care providers should also provide important information about good sleep quality in relations to their conditions to enhance their psychological capital.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47002634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-05DOI: 10.4172/2167-0277.1000281
S. M’saad, S. Kammoun, F. Hajkacem, R. Kammoun, K. Masmoudi, R. Marakchi, Kamel Jammoussi
{"title":"Reflections on Obesity Hypoventilation Syndrome","authors":"S. M’saad, S. Kammoun, F. Hajkacem, R. Kammoun, K. Masmoudi, R. Marakchi, Kamel Jammoussi","doi":"10.4172/2167-0277.1000281","DOIUrl":"https://doi.org/10.4172/2167-0277.1000281","url":null,"abstract":"","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44289667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000289
Reena Chittora, D. Sharma, M. Bhatnagar
Sleep is a period of relaxation and repair. During sleep, waste products of brain metabolism are removed. It plays central role in maintenance of physiological homeostasis and psychological balance. Sufficient sleep helps us think more clearly, complete complex tasks better and more consistently. One of the important function of sleep is to promote synaptic plasticity and neuronal recovery for proper brain functioning. Memory consolidation, brain growth and repair are other functions proposed for sleep. Problems related to sleep deprivation are being increased in today's modern society. Every day there seems to be twice as much work and half as much time to complete it, this results in a decrease in sleep or extended periods of wakefulness. Sleep deprived individuals may not have difficulty of verbal disturbances but research studies have shown that individuals have more difficulty in reacting well, to taking biological discussion and implementing the task with efficiency of action. Although day time performance due to sleep loss is experienced universally but in professionals such as paramilitary forces, army personals, who work under stressful conditions are more vulnerable to the sleep deprivation. These conditions become more stressful during emergencies and war because, after periods of extended wakefulness neurons may begin to malfunction, visibly affecting person's behavior. Rapid eye movement (REM) sleep plays a role in learning due to an activation of the hippocampus involved in encoding new memories. Many experiments have shown that the day after a good night's sleep, one may retain newly acquired knowledge or a newly learned skill more effectively. An enriched environment (EE) which is a complex combination of social, cognitive, and physical stimulation, improves learning and memory. Many changes such as increased brain weight, synaptic plasticity, gliogenesis, growth of dendritic spine as well as change in neurotransmitter content, up regulation of neuronal signaling molecules, neurotrophin levels and adult hippocampal neurogenesis have been reported.
{"title":"Rehabilitation or Recovery Sleep: A Future Potential Therapeutic Target for Sleep Deprivation","authors":"Reena Chittora, D. Sharma, M. Bhatnagar","doi":"10.4172/2167-0277.1000289","DOIUrl":"https://doi.org/10.4172/2167-0277.1000289","url":null,"abstract":"Sleep is a period of relaxation and repair. During sleep, waste products of brain metabolism are removed. It plays central role in maintenance of physiological homeostasis and psychological balance. Sufficient sleep helps us think more clearly, complete complex tasks better and more consistently. One of the important function of sleep is to promote synaptic plasticity and neuronal recovery for proper brain functioning. Memory consolidation, brain growth and repair are other functions proposed for sleep. Problems related to sleep deprivation are being increased in today's modern society. Every day there seems to be twice as much work and half as much time to complete it, this results in a decrease in sleep or extended periods of wakefulness. Sleep deprived individuals may not have difficulty of verbal disturbances but research studies have shown that individuals have more difficulty in reacting well, to taking biological discussion and implementing the task with efficiency of action. Although day time performance due to sleep loss is experienced universally but in professionals such as paramilitary forces, army personals, who work under stressful conditions are more vulnerable to the sleep deprivation. These conditions become more stressful during emergencies and war because, after periods of extended wakefulness neurons may begin to malfunction, visibly affecting person's behavior. Rapid eye movement (REM) sleep plays a role in learning due to an activation of the hippocampus involved in encoding new memories. Many experiments have shown that the day after a good night's sleep, one may retain newly acquired knowledge or a newly learned skill more effectively. An enriched environment (EE) which is a complex combination of social, cognitive, and physical stimulation, improves learning and memory. Many changes such as increased brain weight, synaptic plasticity, gliogenesis, growth of dendritic spine as well as change in neurotransmitter content, up regulation of neuronal signaling molecules, neurotrophin levels and adult hippocampal neurogenesis have been reported.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000295
Rapee Opasatian, A. Preutthipan
Methods: We performed a prospective cohort study in 2-18 year-old children with OSA referred for CPAP titration under PSG. Children were instructed to use auto-CPAP devices at home for 8 weeks, either before or after PSG titration. One night PSG titration was performed following AASM clinical guidelines for the manual titration of positive airway pressure. Data from only those children who used auto-CPAP ≥ 4 hours per day, for >consecutive 7 days and percent days with device usage ≥ 80% were selected for analysis. Average device pressure ≤ 90% of time from auto-CPAP were obtained and compared with PSG titrating pressure.
{"title":"Can Auto-CPAP Determine Therapeutic CPAP Pressure in Children with OSA?","authors":"Rapee Opasatian, A. Preutthipan","doi":"10.4172/2167-0277.1000295","DOIUrl":"https://doi.org/10.4172/2167-0277.1000295","url":null,"abstract":"Methods: We performed a prospective cohort study in 2-18 year-old children with OSA referred for CPAP titration under PSG. Children were instructed to use auto-CPAP devices at home for 8 weeks, either before or after PSG titration. One night PSG titration was performed following AASM clinical guidelines for the manual titration of positive airway pressure. Data from only those children who used auto-CPAP ≥ 4 hours per day, for >consecutive 7 days and percent days with device usage ≥ 80% were selected for analysis. Average device pressure ≤ 90% of time from auto-CPAP were obtained and compared with PSG titrating pressure.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"55 43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000295","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000297
M. Chennaoui, D. Gomez-Merino, P. Beers, M. Guillard, C. Drogou, D. Lagarde, C. Bougard
Objective: Thalassotherapy, which combines seawater hydrotherapy and the marine climate, improves mood, fatigue, general well-being, and physical capacities in the working population, but little is known on the interest to add sleep management to cares. We investigated effects of three days of thalassotherapy cares combined with sleep management on psychological and physical capacities using subjective and objective tests in healthy workers. Methods: Cares were undertaken in the morning after tests (10:15-12:15) and in the afternoon (14:15-16:15). Participants were asked to go to sleep from 22:30 to 07:00. Tests were performed at 09:00 before arriving to the resort (T0), the day after arrival (T1), the days following cares (T2, T3, T4), the day after week-end at home (T5) and after three days working (T6). Results: Polysomnographic sleep analysis showed that Total Sleep Time was significantly higher (+6%) the second night compared to the first, indicating an immediate positive effect of hydrotherapy cares. Self-reported mood states and health outcomes scores were improved at T2 in comparison with T1 (-67% for total mood disturbances, -17% for anxiety, -71% for fatigue, +23% for general well-being), as was daytime sleepiness (-26%). The number of lapses in the Psychomotor Vigilance Test (as objective marker of sustained attention) was significantly lower (-59%) at T2 compared to T1, whereas a delayed increase of lower limb flexibility was observed at T4 compared to T1 (+38%). Conclusion: Three days of thalassotherapy combined to sleep management have immediate beneficial effects on self-reported mood states, anxiety, fatigue, well-being and daytime sleepiness, as well as on the objective evaluation of sustained attention, in healthy workers. Beneficial effects on lower limb flexibility are observed after 3 days of cares. Positive effects were still observed after the weekend back home and after 3 days of return to work.
{"title":"Benefits of Thalassotherapy with Sleep Management on Mood States and Well-being, and Cognitive and Physical Capacities in Healthy Workers","authors":"M. Chennaoui, D. Gomez-Merino, P. Beers, M. Guillard, C. Drogou, D. Lagarde, C. Bougard","doi":"10.4172/2167-0277.1000297","DOIUrl":"https://doi.org/10.4172/2167-0277.1000297","url":null,"abstract":"Objective: Thalassotherapy, which combines seawater hydrotherapy and the marine climate, improves mood, fatigue, general well-being, and physical capacities in the working population, but little is known on the interest to add sleep management to cares. We investigated effects of three days of thalassotherapy cares combined with sleep management on psychological and physical capacities using subjective and objective tests in healthy workers. Methods: Cares were undertaken in the morning after tests (10:15-12:15) and in the afternoon (14:15-16:15). Participants were asked to go to sleep from 22:30 to 07:00. Tests were performed at 09:00 before arriving to the resort (T0), the day after arrival (T1), the days following cares (T2, T3, T4), the day after week-end at home (T5) and after three days working (T6). Results: Polysomnographic sleep analysis showed that Total Sleep Time was significantly higher (+6%) the second night compared to the first, indicating an immediate positive effect of hydrotherapy cares. Self-reported mood states and health outcomes scores were improved at T2 in comparison with T1 (-67% for total mood disturbances, -17% for anxiety, -71% for fatigue, +23% for general well-being), as was daytime sleepiness (-26%). The number of lapses in the Psychomotor Vigilance Test (as objective marker of sustained attention) was significantly lower (-59%) at T2 compared to T1, whereas a delayed increase of lower limb flexibility was observed at T4 compared to T1 (+38%). Conclusion: Three days of thalassotherapy combined to sleep management have immediate beneficial effects on self-reported mood states, anxiety, fatigue, well-being and daytime sleepiness, as well as on the objective evaluation of sustained attention, in healthy workers. Beneficial effects on lower limb flexibility are observed after 3 days of cares. Positive effects were still observed after the weekend back home and after 3 days of return to work.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"07 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000e143
K. Sexton-Radek
It is estimated that the some 18% of the population have taken an over-the-counter (OTC) sleep aid with some 41% using OTC sleep aids for more than one year [1].While the Federal Drug Administration recognizes OTC Insomnia drugs of Benadryl (diphenhydramine) and Unisom (doxylamine), the marketing of other products fill pharmacy shelfs and offerings from online mailings [2]. Insomnia has been reported in some 30% of the general population based on large scale survey studies (Sleep In America Polls).Thus, the high need for a treatment to address the poor sleep quality of Insomnia is eminent. Measurements of OTC use of Sleep aids are survey are restricted to the reporting’s of the usage but not the reasons and ways in which the OTC sleep aids are used. Further, the measurement of possible complicating factors such as interaction effects with other medicines the patient is taking, the effectiveness of the OTC counter sleep aid, the aftereffects of the OTC sleep aids, and habit forming behaviours are reduced to reporting’s rather than measurement.
据估计，约18%的人服用过非处方(OTC)助眠药，其中约41%的人使用OTC助眠药的时间超过一年。虽然联邦药物管理局承认非处方失眠药物苯海拉明(苯海拉明)和Unisom(多西克胺)，但其他产品的市场营销充斥着药房的货架和在线邮件。根据大规模调查研究(Sleep in America Polls)，大约30%的普通人群患有失眠症。因此，迫切需要一种治疗方法来解决失眠患者睡眠质量差的问题。对非处方助眠剂使用情况的调查仅限于报告使用情况，而不包括使用非处方助眠剂的原因和方式。此外，对可能的复杂因素的测量，如与患者正在服用的其他药物的相互作用，非处方助眠药的有效性，非处方助眠药的副作用，以及习惯形成行为的测量被减少到报告而不是测量。
{"title":"Widely Used, Rarely Studied-the Over-the-Counter Sleep Aids","authors":"K. Sexton-Radek","doi":"10.4172/2167-0277.1000e143","DOIUrl":"https://doi.org/10.4172/2167-0277.1000e143","url":null,"abstract":"It is estimated that the some 18% of the population have taken an over-the-counter (OTC) sleep aid with some 41% using OTC sleep aids for more than one year [1].While the Federal Drug Administration recognizes OTC Insomnia drugs of Benadryl (diphenhydramine) and Unisom (doxylamine), the marketing of other products fill pharmacy shelfs and offerings from online mailings [2]. Insomnia has been reported in some 30% of the general population based on large scale survey studies (Sleep In America Polls).Thus, the high need for a treatment to address the poor sleep quality of Insomnia is eminent. Measurements of OTC use of Sleep aids are survey are restricted to the reporting’s of the usage but not the reasons and ways in which the OTC sleep aids are used. Further, the measurement of possible complicating factors such as interaction effects with other medicines the patient is taking, the effectiveness of the OTC counter sleep aid, the aftereffects of the OTC sleep aids, and habit forming behaviours are reduced to reporting’s rather than measurement.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000e143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70797125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000285
Edward T. Chang, Justin M. Wei, M. Camacho
Some studies have indicated a relationship between the development of Alzheimers Disease (AD) and having obstructive sleep apnea (OSA), while others argue that AD itself leads to sleep disturbances and sleep disordered breathing. Whether peripheral due to the direct effects of abnormal protein aggregation or central due to the systemic effects of Beta - A aggregation in functionally important areas of the central nervous system, there seems to be an association between misfolded protein and sleep disordered breathing. These findings from studies into another proteopathy lends further credence to the revelations reported from the prion related research and brings us closer to understanding the disease mechanism behind both OSA and protein misfolding. The conglomeration of findings from studies into proteopathies clearly provides significant impetus into continuing research in proteopathies to improve our understanding of not only sleep disordered breathing but the enigma that is proteopathy.
{"title":"Protein Misfolding in Alzheimer s Disease and Sleep Related Disorders","authors":"Edward T. Chang, Justin M. Wei, M. Camacho","doi":"10.4172/2167-0277.1000285","DOIUrl":"https://doi.org/10.4172/2167-0277.1000285","url":null,"abstract":"Some studies have indicated a relationship between the development of Alzheimers Disease (AD) and having obstructive sleep apnea (OSA), while others argue that AD itself leads to sleep disturbances and sleep disordered breathing. Whether peripheral due to the direct effects of abnormal protein aggregation or central due to the systemic effects of Beta - A aggregation in functionally important areas of the central nervous system, there seems to be an association between misfolded protein and sleep disordered breathing. These findings from studies into another proteopathy lends further credence to the revelations reported from the prion related research and brings us closer to understanding the disease mechanism behind both OSA and protein misfolding. The conglomeration of findings from studies into proteopathies clearly provides significant impetus into continuing research in proteopathies to improve our understanding of not only sleep disordered breathing but the enigma that is proteopathy.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000287
Anqiong Ji, Rufang Wang
In order to understand the current status of sleep quality of students in Chengdu University of Traditional Chinese Medicine, and to propose countermeasures. A simple random sampling method was used to select 255 university students as the survey subjects, and Pittsburgh Sleep Quality Index (PSQI) scale was used as a tool to evaluate the quality of college students' sleep. The survey found that the average score of PSQI was about 7.6 points. There were 128 people above 7 points, which accounted for 50.2% of the total number of students. This indicated that the overall quality of sleep of the undergraduates was poorer; the quality of sleep for boys was better than that of girls, and the quality of sleep among rural college students was better than that of girls. Urban college students, seniors and undergraduates have worse sleep than sophomores and juniors. The sleep quality of students in Chengdu University of Traditional Chinese Medicine is generally poor, and it is necessary to implement measures that target different populations for different demographic differences to achieve proper treatment and improve sleep quality.
{"title":"Study on the Current Situation of College Students' Sleep Quality in China","authors":"Anqiong Ji, Rufang Wang","doi":"10.4172/2167-0277.1000287","DOIUrl":"https://doi.org/10.4172/2167-0277.1000287","url":null,"abstract":"In order to understand the current status of sleep quality of students in Chengdu University of Traditional Chinese Medicine, and to propose countermeasures. A simple random sampling method was used to select 255 university students as the survey subjects, and Pittsburgh Sleep Quality Index (PSQI) scale was used as a tool to evaluate the quality of college students' sleep. The survey found that the average score of PSQI was about 7.6 points. There were 128 people above 7 points, which accounted for 50.2% of the total number of students. This indicated that the overall quality of sleep of the undergraduates was poorer; the quality of sleep for boys was better than that of girls, and the quality of sleep among rural college students was better than that of girls. Urban college students, seniors and undergraduates have worse sleep than sophomores and juniors. The sleep quality of students in Chengdu University of Traditional Chinese Medicine is generally poor, and it is necessary to implement measures that target different populations for different demographic differences to achieve proper treatment and improve sleep quality.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"8 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.4172/2167-0277.1000298
J. Stanley
Background: Non-compliance with continuous positive airway pressure (CPAP) is a significant problem in the treatment of obstructive sleep apnea (OSA). When compliance is defined as an average CPAP use >4 hours/night, 46%-83% of patients are non-compliant. Poor compliance leaves undertreated patients at increased risk for cardiovascular and neurocognitive sequelae of OSA. Factors known to affect CPAP compliance include disease severity, perceived symptomatic benefit, and intensive and early support through the sleep clinic. Objectives: The objective of this study was to assess the effect of a family history of successful CPAP treatment on CPAP compliance. Methods: An anonymous survey of 410 adult patients attending CPAP follow-up clinic at a tertiary medical center was conducted between March 2010 and February 2011. Patterns of CPAP use were assessed. Compliance was defined as an average CPAP use >4 hours/night. Subjects were also surveyed regarding the presence of first degree relatives with a diagnosis of OSA, their use of CPAP, whether they described their CPAP as “helpful” and whether or not they “liked” using their CPAP. Results: Thirty-eight percent of the patients surveyed (n=157) had a family member who also had a diagnosis of OSA and used CPAP. Of those with a family history of CPAP use, 92% of compliant patients had a family member who described their CPAP as “helpful” vs. 71% of non-compliant patients (p=0.002). Logistic regression analysis to predict compliance vs. non-compliance, controlling for age, gender, ethnicity, and a diagnosis of co-morbid hypertension or diabetes showed that having a family member who found CPAP “helpful” was associated with an odds ratio for compliance of 4.70 (95% CI 1.99-11.07, p value <0.001). In addition, 72% of compliant vs. 60% of noncompliant patients had a family history of CPAP use with a family member who “liked” their CPAP (p=0.3). Conclusion: CPAP non-compliance is a complex multifactorial clinical problem. This study shows that familial social support, in the form of modeling CPAP use and self-described helpfulness of CPAP therapy, is associated with CPAP compliance.
背景:不遵守持续气道正压通气(CPAP)是阻塞性睡眠呼吸暂停(OSA)治疗中的一个重要问题。当依从性被定义为平均使用CPAP 4小时/晚时，46%-83%的患者不依从。依从性差使未接受治疗的患者患OSA心血管和神经认知后遗症的风险增加。已知影响CPAP依从性的因素包括疾病严重程度、感知到的症状益处以及通过睡眠诊所进行的强化和早期支持。目的:本研究的目的是评估成功的CPAP治疗家族史对CPAP依从性的影响。方法:对2010年3月至2011年2月在某三级医疗中心CPAP随访门诊就诊的410例成年患者进行匿名调查。评估CPAP使用模式。依从性定义为平均CPAP使用bbbb4小时/晚。受试者还被调查了一级亲属是否被诊断为OSA，他们是否使用CPAP，他们是否将CPAP描述为“有用”以及他们是否“喜欢”使用CPAP。结果:接受调查的患者中(n=157)有38%的家庭成员也被诊断为OSA并使用CPAP。在有CPAP家族史的患者中，92%的依从性患者有一个家庭成员描述他们的CPAP“有用”，而非依从性患者为71% (p=0.002)。在控制年龄、性别、种族和合并高血压或糖尿病诊断的情况下，预测依从性与不依从性的Logistic回归分析显示，如果有家庭成员认为CPAP“有帮助”，依从性的比值比为4.70 (95% CI 1.99-11.07, p值<0.001)。此外，72%的依从性患者和60%的不依从性患者有使用CPAP的家族史，并且有一个家庭成员“喜欢”他们的CPAP (p=0.3)。结论:CPAP不依从性是一个复杂的多因素临床问题。本研究表明，以模拟CPAP使用和自我描述的CPAP治疗有用性的形式出现的家庭社会支持与CPAP依从性相关。
{"title":"Family History of Successful CPAP Treatment is Associated with Improved CPAP Compliance","authors":"J. Stanley","doi":"10.4172/2167-0277.1000298","DOIUrl":"https://doi.org/10.4172/2167-0277.1000298","url":null,"abstract":"Background: Non-compliance with continuous positive airway pressure (CPAP) is a significant problem in the treatment of obstructive sleep apnea (OSA). When compliance is defined as an average CPAP use >4 hours/night, 46%-83% of patients are non-compliant. Poor compliance leaves undertreated patients at increased risk for cardiovascular and neurocognitive sequelae of OSA. Factors known to affect CPAP compliance include disease severity, perceived symptomatic benefit, and intensive and early support through the sleep clinic. Objectives: The objective of this study was to assess the effect of a family history of successful CPAP treatment on CPAP compliance. Methods: An anonymous survey of 410 adult patients attending CPAP follow-up clinic at a tertiary medical center was conducted between March 2010 and February 2011. Patterns of CPAP use were assessed. Compliance was defined as an average CPAP use >4 hours/night. Subjects were also surveyed regarding the presence of first degree relatives with a diagnosis of OSA, their use of CPAP, whether they described their CPAP as “helpful” and whether or not they “liked” using their CPAP. Results: Thirty-eight percent of the patients surveyed (n=157) had a family member who also had a diagnosis of OSA and used CPAP. Of those with a family history of CPAP use, 92% of compliant patients had a family member who described their CPAP as “helpful” vs. 71% of non-compliant patients (p=0.002). Logistic regression analysis to predict compliance vs. non-compliance, controlling for age, gender, ethnicity, and a diagnosis of co-morbid hypertension or diabetes showed that having a family member who found CPAP “helpful” was associated with an odds ratio for compliance of 4.70 (95% CI 1.99-11.07, p value <0.001). In addition, 72% of compliant vs. 60% of noncompliant patients had a family history of CPAP use with a family member who “liked” their CPAP (p=0.3). Conclusion: CPAP non-compliance is a complex multifactorial clinical problem. This study shows that familial social support, in the form of modeling CPAP use and self-described helpfulness of CPAP therapy, is associated with CPAP compliance.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"07 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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