Claustrophobic tendencies and continuous positive airway pressure therapy non-adherence in adults with obstructive sleep apnea

Janalyn Cantey Edmonds, Hyunju Yang, Tonya S. King, Douglas A. Sawyer, Albert Rizzo, Amy M. Sawyer

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

(1) Determine claustrophobia frequency in adults with obstructive sleep apnea (OSA) after first CPAP night; (2) determine if claustrophobia influences CPAP non-adherence. Background: Claustrophobia is common among CPAP-treated OSA adults yet few studies have examined the problem. Methods: Secondary analysis of prospective, longitudinal study of OSA adults (n=97). CPAP-Adapted Fear and Avoidance Scale (CPAP-FAAS) collected immediately after CPAP titration polysomnogram. Primary outcome: objective CPAP use at 1week and 1month. Results: Sixty-three percent had claustrophobic tendencies. Females had higher CPAP-FAAS scores than males. FAAS ≥25, positive score for claustrophobic tendencies, was influential on CPAP non-adherence at 1week (aOR= 5.53, 95% CI 1.04, 29.24, p=0.04) and less CPAP use at 1month (aOR=5.06, 95% CI 1.48, 17.37, p = 0.01) when adjusted for body mass index and CPAP mask style. Conclusion: Claustrophobia is prevalent among CPAP-treated OSA adults and influences short-term and longer-term CPAP non-adherence. Interventions are needed to address this treatment-related barrier.

Original languageEnglish (US)
Pages (from-to)100-106
Number of pages7
JournalHeart and Lung: Journal of Acute and Critical Care
Volume44
Issue number2
DOIs
StatePublished - Mar 1 2015

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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