title: Management of Obstructive Sleep Apnea and Comorbid Insomnia: A Mixed-Methods Evaluation.
abstract: The purpose of this study was to examine the process of care in an interdisciplinary sleep clinic for patients with obstructive sleep apnea (OSA) and comorbid insomnia. A mixed-methods approach was used to examine clinical and patient-centered measures for 34 patients who received positive-airway pressure for OSA or cognitive-behavior therapy for insomnia. The results revealed baseline-to-follow-up improvements on several self-reported sleep parameters and measures of daytime functioning. Qualitative analyses from patient interviews revealed three themes: conceptual distinctions about each sleep disorder, importance of treating both sleep disorders, and preferences with regard to the sequence of treatment. These findings indicate that patients with OSA and comorbid insomnia encounter unique challenges. A dimensional approach to assessment and treatment is proposed for future research.
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: Jason C
authors.initials: JC
authors.lastname: Ong
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: Megan R
authors.initials: MR
authors.lastname: Crawford
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: Allison
authors.initials: A
authors.lastname: Kong
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: Margaret
authors.initials: M
authors.lastname: Park
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: Jamie A
authors.initials: JA
authors.lastname: Cvengros
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Crisostomo
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: Ewa I
authors.initials: EI
authors.lastname: Alexander
authors.affiliation: a Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
authors.forename: James K
authors.initials: JK
authors.lastname: Wyatt
mesh_terms: D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012890:Sleep; D020181:Sleep Apnea, Obstructive / Q000150:complications* / Q000628:therapy*; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000628:therapy*