title: Manifestations of Insomnia in Sleep Apnea: Implications for Screening and Treatment.
abstract: The aims of this study were to examine the presence, type, and severity of insomnia complaints in obstructive sleep apnea (OSA) patients and to assess the utility of the Sleep Symptom Checklist (SSC) for case identification in primary care. Participants were 88 OSA patients, 57 cognitive-behavioral therapy for insomnia (CBT-I) patients, and 14 healthy controls (Ctrl). Each completed a sleep questionnaire as well as the SSC, which includes insomnia, daytime functioning, psychological, and sleep disorder subscales. Results showed that OSA patients could be grouped according to 3 insomnia patterns: no insomnia (OSA), n = 21; insomnia (OSA-I), n = 30, with a subjective complaint and disrupted sleep; and noncomplaining poor sleepers (OSA-I-NC), n = 37. Comparisons among the OSA, CBT-I, and Ctrl groups demonstrate distinct profiles on the SSC subscales, indicating its potential utility for both case identification and treatment planning.
authors.affiliation: a Department of Psychiatry , Jewish General Hospital , Montreal , Canada.|b Department of Psychiatry , McGill University , Montreal , Canada.
authors.forename: Sally
authors.initials: S
authors.lastname: Bailes
authors.affiliation: a Department of Psychiatry , Jewish General Hospital , Montreal , Canada.|c Biomedical Sciences , Université de Montréal , Montreal , Canada.
authors.forename: Dorrie
authors.initials: D
authors.lastname: Rizzo
authors.affiliation: d OSR Medical , Montreal , Canada.|g Respiratory Care , Mount Sinai Hospital Centre , Montreal , Canada.|h Epidemiology and Biostatistics , McGill University , Montreal , Canada.
authors.forename: Marc
authors.initials: M
authors.lastname: Baltzan
authors.affiliation: e Department of Family Medicine , McGill University , Montreal , Canada.|i Department of Family Medicine , Jewish General Hospital , Montreal , Canada.
authors.forename: Roland
authors.initials: R
authors.lastname: Grad
authors.affiliation: e Department of Family Medicine , McGill University , Montreal , Canada.|j Department of Family Medicine , St. Mary's Hospital Centre , Montreal , Canada.
authors.forename: Alan
authors.initials: A
authors.lastname: Pavilanis
authors.affiliation: a Department of Psychiatry , Jewish General Hospital , Montreal , Canada.|b Department of Psychiatry , McGill University , Montreal , Canada.
authors.forename: Laura
authors.initials: L
authors.lastname: Creti
authors.affiliation: a Department of Psychiatry , Jewish General Hospital , Montreal , Canada.|b Department of Psychiatry , McGill University , Montreal , Canada.|f Psychology Department , Dawson College , Montreal , Canada.
authors.forename: Catherine S
authors.initials: CS
authors.lastname: Fichten
authors.affiliation: a Department of Psychiatry , Jewish General Hospital , Montreal , Canada.|b Department of Psychiatry , McGill University , Montreal , Canada.
authors.forename: Eva
authors.initials: E
authors.lastname: Libman
mesh_terms: D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012890:Sleep; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000503:physiopathology* / Q000628:therapy; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D011795:Surveys and Questionnaires