title: Effect of CPAP therapy on job productivity and psychosocial occupational health in patients with moderate to severe sleep apnea.
abstract: OBJECTIVE
  The aim of the present study was to assess the effect of continuous positive airflow pressure (CPAP) therapy on burnout symptoms and job productivity, stress, and satisfaction in patients with obstructive sleep apnea syndrome.
  
  
  METHODS
  The sample was composed of 55 patients (mean age 48.5 ± 8.9, BMI 31.1 ± 5.7, AIH 56.8 ± 22.1), diagnosed with obstructive sleep apnea syndrome (OSAS) using polysomnography (PSG) with a therapeutic indication of CPAP. Before and after 6 months of receiving CPAP therapy, participants completed the following questionnaires: the index of the impact of the disease on job productivity (IMPALA), the job content questionnaire(JCQ), the Maslach burnout inventory-general survey (MBI-GS), the Shirom-Melamed burnout questionnaire (SMBQ), the index of job satisfaction, the Epworth sleepiness scale (ESS), and the Pittsburgh sleep quality index (PSQI). We explored the efficacy of CPAP therapy at improving the indices of severity of OSAS using therapeutic PSG.
  
  
  RESULTS
  CPAP therapy was associated with a beneficial effect on job productivity (IMPALA) (p = 0.000) and decreasing burnout symptoms such as physical fatigue (SMBQ) (p = 0.000), emotional exhaustion (SMBQ) (p = 0.014), cognitive weariness (SMBQ) (p = 0.004), exhaustion (MBI) (p = 0.000), and cynicism (MBI) (p = 0.002). However, CPAP did not decrease job stress or job dissatisfaction.
  
  
  CONCLUSIONS
  In patients with severe OSAS, CPAP therapy has a beneficial effect on patients' occupational well-being and job productivity.
authors.affiliation: Pulmonology Service, Sleep Unit, Reina Sofia University Hospital, Cordoba, Spain.|Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain.
authors.forename: Bernabé
authors.initials: B
authors.lastname: Jurádo-Gámez
authors.affiliation: Psychophysiology Laboratory, Mind, Brain and Behavior Research Center (CIMCYC), School of Psychology, University of Granada, Granada, Spain. ottavia@ugr.es.
authors.forename: Ottavia
authors.initials: O
authors.lastname: Guglielmi
authors.affiliation: Clinical Epidemiology Unit, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Gude-Sampedro
authors.affiliation: Psychophysiology Laboratory, Mind, Brain and Behavior Research Center (CIMCYC), School of Psychology, University of Granada, Granada, Spain.
authors.forename: Gualberto
authors.initials: G
authors.lastname: Buela-Casal
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000523:psychology* / Q000628:therapy*; D045422:Continuous Positive Airway Pressure; D004526:Efficiency; D004650:Employee Performance Appraisal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D020181:Sleep Apnea, Obstructive / Q000523:psychology* / Q000628:therapy*; D011795:Surveys and Questionnaires
keywords: Burnout; CPAP; Job productivity; Job satisfaction; Job stress; Sleep apnea
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