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Review
. 2022 Dec;17(4):597-617.
doi: 10.1016/j.jsmc.2022.07.006. Epub 2022 Oct 9.

Comorbid Insomnia and Sleep Apnea: Assessment and Management Approaches

Alexander Sweetman  1 , Leon Lack  2 , Megan Crawford  3 , Douglas M Wallace  4
Affiliations
Free article
Review

Comorbid Insomnia and Sleep Apnea: Assessment and Management Approaches

Alexander Sweetman et al. Sleep Med Clin. 2022 Dec.
Free article

Abstract

Comorbid insomnia and sleep apnea (COMISA) is a highly prevalent and debilitating condition that is more difficult to treat compared with insomnia alone or sleep apnea alone. Approximately 30% to 50% of sleep clinic patients with sleep apnea report comorbid insomnia symptoms. Comorbid insomnia is associated with lower adherence to positive airway pressure therapy for obstructive sleep apnea. Management approaches that include targeted treatments for both insomnia and sleep apnea lead to the best treatment outcomes for patients with COMISA. Therefore, sleep clinics should incorporate insomnia and COMISA management pathways including access to cognitive behavioral therapy for insomnia.

Keywords: CBTi; COMISA; Cognitive behavioral therapy for insomnia; OSA; PAP adherence; PAP therapy.

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Conflict of interest statement

Disclosure D.M. Wallace has no conflicts of interest to declare. A. Sweetman and L. Lack declare research funding and equipment support from the National Health and Medical Research Council (NHMRC), Flinders Foundation, ResMed, and Philips Respironics. A. Sweetman is supported by an NHMRC Centres of Research Excellence grant (GNT1134954). L. Lack has received research funding and is a shareholder of Re-time Aus. M. Crawford has received research funding from Brain Research UK and Chief Scientist Office.

MeSH terms