title: Diagnosis and Treatment of Insomnia Comorbid with Obstructive Sleep Apnea.
abstract: Insomnia is often comorbid with obstructive sleep apnea. It reduces positive airway pressure (PAP) therapy acceptance and adherence. Comorbid patients show greater daytime impairments and poorer health outcomes. The insomnia often goes undiagnosed, undertreated, or untreated. Pharmacotherapy is not recommended for long-term treatment. Although care should be taken administering behavioral therapies to patients with elevated sleepiness, cognitive behavior therapy for insomnia (CBTi) is an effective and durable nondrug therapy that reduces symptoms and may increase the effectiveness of PAP therapy. Sleep clinics should be alert to comorbid insomnia and provide adequate diagnostic tools and clinicians with CBTi expertise.
authors.affiliation: School of Psychology, Flinders University of South Australia, Adelaide, South Australia, Australia. Electronic address: Leon.lack@flinders.edu.au.
authors.forename: Leon
authors.initials: L
authors.lastname: Lack
authors.affiliation: School of Psychology, Flinders University of South Australia, Adelaide, South Australia, Australia.
authors.forename: Alexander
authors.initials: A
authors.lastname: Sweetman
mesh_terms: D015897:Comorbidity; D006801:Humans; D020181:Sleep Apnea, Obstructive / Q000453:epidemiology*; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy
keywords: CBTi; Comorbid insomnia; Nondrug insomnia treatment; OSA; PAP adherence; PAP therapy