TY - JOUR
T1 - Claustrophobic tendencies and continuous positive airway pressure therapy non-adherence in adults with obstructive sleep apnea
AU - Edmonds, Janalyn Cantey
AU - Yang, Hyunju
AU - King, Tonya S.
AU - Sawyer, Douglas A.
AU - Rizzo, Albert
AU - Sawyer, Amy M.
N1 - Funding Information:
The research described was supported by Grant Number K99NR011173 (Sawyer, AM, PI) and R00NR011173 (Sawyer, AM, PI) from the National Institute of Nursing Research . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health. The investigators acknowledge Leon Sweer, MD for his contributions to the research at Penn State Hershey Medical Center's sleep center. The investigators also acknowledge the commitment to clinical research and support during data collection of the sleep center staff at both Penn State Hershey Medical Center's sleep center and Sleep and Lung Enhancement Center's sleep center.
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - (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.
AB - (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.
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U2 - 10.1016/j.hrtlng.2015.01.002
DO - 10.1016/j.hrtlng.2015.01.002
M3 - Article
C2 - 25744632
AN - SCOPUS:84924390111
SN - 0147-9563
VL - 44
SP - 100
EP - 106
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
IS - 2
ER -