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Sleep Apnea Syndromes: HELP
Articles from Boston College
Based on 6 articles published since 2010

These are the 6 published articles about Sleep Apnea Syndromes that originated from Boston College during 2010-2020.
+ Citations + Abstracts
1 Review Spousal involvement and CPAP adherence: a dyadic perspective. 2015

Ye, Lichuan / Malhotra, Atul / Kayser, Karen / Willis, Danny G / Horowitz, June A / Aloia, Mark S / Weaver, Terri E. ·Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA. Electronic address: yel@bc.edu. · University of California San Diego School of Medicine, La Jolla, CA, USA. · University of Louisville Kent School of Social Work, Louisville, KY, USA. · Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA. · Thomas Jefferson University School of Nursing, Philadelphia, PA, USA. · National Jewish Health, Denver, CO, USA. · University of Illinois at Chicago, College of Nursing, Chicago, IL, USA. ·Sleep Med Rev · Pubmed #24906222.

ABSTRACT: Poor adherence to continuous positive airway pressure (CPAP) treatment is associated with substantial health care costs, morbidity and mortality, and has been a leading obstacle in the effective management of obstructive sleep apnea (OSA). Successful interventions to improve CPAP adherence may ultimately include a variety of components. For patients living with spouses (refers to all domestic partners), the spouse will likely be an integral component to any successful intervention. Developing understanding of the role of spouses in adherence to CPAP has been identified to be a critical research need. This review expands the investigation of CPAP adherence to a broader context, from an exclusive focus on individual patients to a dyadic perspective encompassing both patients and their spouses. A conceptual framework based on social support and social control theories is proposed to understand spousal involvement in CPAP adherence. Methodologies for future investigations are discussed, along with implications for developing interventions that engage both patients and their spouses to improve CPAP use.

2 Clinical Trial Bidirectional Relationships Between Weight Change and Sleep Apnea in a Behavioral Weight Loss Intervention. 2018

Kline, Christopher E / Burke, Lora E / Sereika, Susan M / Imes, Christopher C / Rockette-Wagner, Bonny / Mendez, Dara D / Strollo, Patrick J / Zheng, Yaguang / Rathbun, Stephen L / Chasens, Eileen R. ·Department of Health and Physical Activity, University of Pittsburgh, Pittsburgh, PA. Electronic address: chriskline@pitt.edu. · School of Nursin, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA. · School of Nursin, University of Pittsburgh, Pittsburgh, PA; Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA; Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA. · School of Nursin, University of Pittsburgh, Pittsburgh, PA. · Department of Epidemiology, University of Pittsburgh, Pittsburgh, PA. · Department of Medicine, University of Pittsburgh, Pittsburgh, PA; VA Pittsburgh Health System, Pittsburgh, PA. · Connell School of Nursing, Boston College, Boston, MA. · Department of Epidemiology and Biostatistics, University of Georgia, Athens, GA. ·Mayo Clin Proc · Pubmed #30082081.

ABSTRACT: OBJECTIVE: To examine the bidirectional relationship between weight change and obstructive sleep apnea (OSA) in the context of a behavioral weight loss intervention. PATIENTS AND METHODS: Adults who were overweight or obese (N=114) participated in a 12-month behavioral weight loss intervention from April 17, 2012, through February 9, 2015. The apnea-hypopnea index (AHI), a marker of the presence and severity of OSA, was assessed at baseline, 6 months, and 12 months. Linear mixed models evaluated the effect of weight change on the AHI and the effect of OSA (AHI ≥5) on subsequent weight loss. Secondary analyses evaluated the effect of OSA on intervention attendance, meeting daily calorie goals, and accelerometer-measured physical activity. RESULTS: At baseline, 51.8% of the sample (n=59) had OSA. Adults who achieved at least 5% weight loss had an AHI reduction that was 2.1±0.9 (adjusted mean ± SE) events/h greater than those with less than 5% weight loss (P<.05). Adults with OSA lost a mean ± SE of 2.2%±0.9% less weight during the subsequent 6-month interval compared with those without OSA (P=.02). Those with OSA were less adherent to daily calorie goals (mean ± SE: 25.2%±3.3% vs 34.8%±3.4% of days; P=.006) and had a smaller increase in daily activity (mean ± SE: 378.3±353.7 vs 1060.1±377.8 steps/d; P<.05) over 12 months than those without OSA. CONCLUSION: Behaviorally induced weight loss in overweight/obese adults was associated with significant AHI reduction. However, the presence of OSA was associated with blunted weight loss, potentially via reduced adherence to behaviors supporting weight loss. These results suggest that OSA screening before attempting weight loss may be helpful to identify who may benefit from additional behavioral counseling.

3 Article Couples' experiences with continuous positive airway pressure treatment: a dyadic perspective. 2017

Ye, Lichuan / Antonelli, Mary T / Willis, Danny G / Kayser, Karen / Malhotra, Atul / Patel, Sanjay R. ·Bouvé College of Health Sciences School of Nursing, Northeastern University, Boston, MA, USA. Electronic address: l.ye@northeastern.edu. · William F. Connell School of Nursing, Boston College, Chestnut Hill, MA, USA. · University of Wisconsin-Madison School of Nursing, Madison, WI, USA. · Kent School of Social Work, University of Louisville, Louisville, KY, USA. · Division of Pulmonary, Critical Care & Sleep Medicine, University of California San Diego, La Jolla, CA, USA. · Division of Pulmonary, Critical Care & Sleep Medicine, University of Pittsburgh, Pittsburgh, PA, USA. ·Sleep Health · Pubmed #28923193.

ABSTRACT: OBJECTIVE: The majority of adults sleep with a partner, making sleep a dyadic experience. However, interventions to improve sleep have primarily focused on individuals. This qualitative analysis used a dyadic approach to identify facilitators and barriers to successful treatment of one of the most common sleep disorders, obstructive sleep apnea, with continuous positive airway pressure (CPAP). METHODS: Twenty joint qualitative interviews were conducted with couples, one couple at a time, with a sample of 20 patients with obstructive sleep apnea and their partners to develop an understanding of couples' experiences with CPAP use. Interviews were audio recorded and transcribed. Conventional qualitative content analysis was used to analyze the interview data. RESULTS: Facilitators of CPAP use were the following: the partner aiding diagnosis and treatment, couples working together using CPAP, the perceived benefits of CPAP for both partners, the patient being motivated to use CPAP for the benefit of the partner, and various types of support provided by the partner to encourage CPAP use. Major barriers to CPAP use were the following: anxiety related to CPAP use particularly in the beginning of therapy, bothersome equipment causing disruptions in sleep and bedtime routine, interruptions to intimacy, and concern about image change while wearing CPAP. CONCLUSIONS: Findings from this study suggest that couple-directed interventions that advocate for a mutually engaging perspective and promote supportive relationships and positive dyadic coping may be targets for improving CPAP adherence. Further research evaluating the potential of couple-focused interventions to improve sleep health is warranted.

4 Article The different clinical faces of obstructive sleep apnoea: a cluster analysis. 2014

Ye, Lichuan / Pien, Grace W / Ratcliffe, Sarah J / Björnsdottir, Erla / Arnardottir, Erna Sif / Pack, Allan I / Benediktsdottir, Bryndis / Gislason, Thorarinn. ·Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA yel@bc.edu. · Johns Hopkins University School of Medicine, Baltimore, MD, USA. · Dept of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. · Dept of Respiratory Medicine and Sleep, Landspitali, The National University Hospital of Iceland, Reykjavik, Iceland Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland. · Division of Sleep Medicine/Dept of Medicine, Center for Sleep and Circadian Neurobiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. ·Eur Respir J · Pubmed #25186268.

ABSTRACT: Although commonly observed in clinical practice, the heterogeneity of obstructive sleep apnoea (OSA) clinical presentation has not been formally characterised. This study was the first to apply cluster analysis to identify subtypes of patients with OSA who experience distinct combinations of symptoms and comorbidities. An analysis of baseline data from the Icelandic Sleep Apnoea Cohort (822 patients with newly diagnosed moderate-to-severe OSA) was performed. Three distinct clusters were identified. They were classified as the "disturbed sleep group" (cluster 1), "minimally symptomatic group" (cluster 2) and "excessive daytime sleepiness group" (cluster 3), consisting of 32.7%, 24.7% and 42.6% of the entire cohort, respectively. The probabilities of having comorbid hypertension and cardiovascular disease were highest in cluster 2 but lowest in cluster 3. The clusters did not differ significantly in terms of sex, body mass index or apnoea-hypopnoea index. Patients with OSA have different patterns of clinical presentation, which need to be communicated to both the lay public and the professional community with the goal of facilitating care-seeking and early identification of OSA. Identifying distinct clinical profiles of OSA creates a foundation for offering more personalised therapies in the future.

5 Article Predictors of continuous positive airway pressure use during the first week of treatment. 2012

Ye, Lichuan / Pack, Allan I / Maislin, Greg / Dinges, David / Hurley, Sharon / McCloskey, Susan / Weaver, Terri E. ·Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA. ·J Sleep Res · Pubmed #21988137.

ABSTRACT: This study aimed to identify pre-treatment and immediate early treatment factors predicting continuous positive airway pressure (CPAP) use during the first week of therapy, when the pattern of non-adherence is established. Four domains of potential predictors were examined: pre-treatment demographic and clinical factors, patients' perceived self-efficacy, treatment delivery (mask leak and bothering side effects) and immediate disease reduction (residual respiratory events and flow limitation). The Autoset™ Clinical System objectively documented daily CPAP use, mask leak, residual respiratory events and flow limitation. Ninety-one CPAP-naive patients with newly diagnosed obstructive sleep apnea were followed for 1week after treatment initiation. Mean CPAP daily use during the first week was 3.4±2.7h, with significantly lower use observed in black than non-black participants (2.7 versus 4.4h, respectively, P=0.002). Less intimacy with partners caused by CPAP was the only treatment side effect correlated with CPAP use (r=-0.300, P=0.025). Reduced CPAP use during the first week was associated simultaneously with being black, higher residual apnea-hypopnea index and the treatment side effect of less intimacy with partners. The three factors together accounted for 25.4% of the variance in the CPAP use (R(2) =0.254, P<0.01). These data suggest the need to assess the impact of CPAP on intimacy and troubleshooting aspects of the treatment that interfere with sexual relationships. Assessing the presence of residual respiratory events may be important in promoting CPAP adherence. The association of race and CPAP use needs to be explored further by including more socioeconomic information.

6 Article Factors influencing daytime sleepiness in Chinese patients with obstructive sleep apnea. 2011

Ye, Lichuan. ·William F. Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA. yel@bc.edu ·Behav Sleep Med · Pubmed #21491234.

ABSTRACT: This study examined clinically significant physiological and psychological factors contributing to the complaint of daytime sleepiness in 108 Chinese patients with newly diagnosed obstructive sleep apnea (OSA). A higher degree of obesity and greater anxiety, in addition to a higher Apnea-Hypopnea Index, were associated with more daytime sleepiness. The results of this study suggest that the experience of daytime sleepiness goes beyond disturbed breathing caused by sleep apnea. The evaluation of a sleepy patient with OSA should include an assessment of obesity and emotional stress. Future studies in larger samples considering other important factors, such as comorbid insomnia and habitual sleep duration, are warranted to confirm this finding.