Relationships and CPAP adherence among women with obstructive sleep apnea

Abstract Background Obstructive sleep apnea contributes to daytime sleepiness, poor quality of life and increased risk for heart disease and hypertension among women. Continuous positive airway pressure improves sleepiness and quality of life and may reduce health risks but few studies have evaluate...

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Main Authors: Kelly Glazer Baron, Heather E. Gunn, Lisa F. Wolfe, Phyllis C. Zee
Format: Article
Language:English
Published: BMC 2017-05-01
Series:Sleep Science and Practice
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41606-017-0011-x
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author Kelly Glazer Baron
Heather E. Gunn
Lisa F. Wolfe
Phyllis C. Zee
author_facet Kelly Glazer Baron
Heather E. Gunn
Lisa F. Wolfe
Phyllis C. Zee
author_sort Kelly Glazer Baron
collection DOAJ
description Abstract Background Obstructive sleep apnea contributes to daytime sleepiness, poor quality of life and increased risk for heart disease and hypertension among women. Continuous positive airway pressure improves sleepiness and quality of life and may reduce health risks but few studies have evaluated predictors of adherence among women. The goal of this study was to evaluate the role of relationship factors in women’s continuous positive airway pressure (CPAP) adherence and change in relationship quality among married/partnered women. Methods Women recently diagnosed with obstructive sleep apnea completed relationship quality, social support questionnaires and spousal involvement interviews. CPAP adherence was collected at 12 weeks. Results Data were available for 16 women. Average CPAP adherence was 3.6 SD = 2.7 h per night. Women with higher reports of social support had higher adherence. None of the unmarried/partnered participants were adherent to the recommendation of CPAP use ≥ 4 h per night at 12 week follow-up. Marital status was not associated with demographic, disease severity or social support measures. Relationship conflict among married/partnered participants was associated with lower adherence. In qualitative surveys, encouragement and support were the two most commonly reported types of partner involvement. Relationship quality did not change between baseline and 3 months. Conclusion Results suggest relationship factors are robust predictors of CPAP adherence among women with obstructive sleep apnea.
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spelling doaj.art-9494760f84ab4cbaa31d10b543493b532022-12-21T20:18:36ZengBMCSleep Science and Practice2398-26832017-05-01111810.1186/s41606-017-0011-xRelationships and CPAP adherence among women with obstructive sleep apneaKelly Glazer Baron0Heather E. Gunn1Lisa F. Wolfe2Phyllis C. Zee3Department of Behavioral Sciences, Rush University Medical CenterDepartment of Psychiatry, University of PittsburghCenter for Circadian and Sleep Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Circadian and Sleep Medicine, Feinberg School of Medicine, Northwestern UniversityAbstract Background Obstructive sleep apnea contributes to daytime sleepiness, poor quality of life and increased risk for heart disease and hypertension among women. Continuous positive airway pressure improves sleepiness and quality of life and may reduce health risks but few studies have evaluated predictors of adherence among women. The goal of this study was to evaluate the role of relationship factors in women’s continuous positive airway pressure (CPAP) adherence and change in relationship quality among married/partnered women. Methods Women recently diagnosed with obstructive sleep apnea completed relationship quality, social support questionnaires and spousal involvement interviews. CPAP adherence was collected at 12 weeks. Results Data were available for 16 women. Average CPAP adherence was 3.6 SD = 2.7 h per night. Women with higher reports of social support had higher adherence. None of the unmarried/partnered participants were adherent to the recommendation of CPAP use ≥ 4 h per night at 12 week follow-up. Marital status was not associated with demographic, disease severity or social support measures. Relationship conflict among married/partnered participants was associated with lower adherence. In qualitative surveys, encouragement and support were the two most commonly reported types of partner involvement. Relationship quality did not change between baseline and 3 months. Conclusion Results suggest relationship factors are robust predictors of CPAP adherence among women with obstructive sleep apnea.http://link.springer.com/article/10.1186/s41606-017-0011-xObstructive apneaContinuous positive airway pressureAdherence
spellingShingle Kelly Glazer Baron
Heather E. Gunn
Lisa F. Wolfe
Phyllis C. Zee
Relationships and CPAP adherence among women with obstructive sleep apnea
Sleep Science and Practice
Obstructive apnea
Continuous positive airway pressure
Adherence
title Relationships and CPAP adherence among women with obstructive sleep apnea
title_full Relationships and CPAP adherence among women with obstructive sleep apnea
title_fullStr Relationships and CPAP adherence among women with obstructive sleep apnea
title_full_unstemmed Relationships and CPAP adherence among women with obstructive sleep apnea
title_short Relationships and CPAP adherence among women with obstructive sleep apnea
title_sort relationships and cpap adherence among women with obstructive sleep apnea
topic Obstructive apnea
Continuous positive airway pressure
Adherence
url http://link.springer.com/article/10.1186/s41606-017-0011-x
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