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Article: A pathway underlying the impact of CPAP adherence on intimate relationship with bed partner in men with obstructive sleep apnea

TitleA pathway underlying the impact of CPAP adherence on intimate relationship with bed partner in men with obstructive sleep apnea
Authors
KeywordsSleep apnea
Continuous positive airway pressure
CPAP adherence
Intimate relationship
Issue Date2016
PublisherSpringer Verlag. The Journal's web site is located at http://www.springer.com/medicine/internal/journal/11325
Citation
Sleep and Breathing, 2016, v. 20 n. 2, p. 543-551 How to Cite?
AbstractPurpose: Our aim was to determine the pathway underlying the effects of continuous positive airway pressure (CPAP) adherence on intimate relationship with bed partner in men with obstructive sleep apnea (OSA). We hypothesized that CPAP with good adherence affected the intimate relationship with bed partner directly and indirectly, and it was mediated through daytime sleepiness and activity level in men with OSA. Methods: Data were obtained from an education program for enhancing CPAP adherence. Men who were newly diagnosed of OSA and CPAP therapy naïve were recruited in a tertiary teaching hospital. Results: Self-reported quality of life [Functional Outcomes of Sleep Questionnaire], daytime sleepiness [Epworth Sleepiness Scale (ESS)], and negative emotion symptoms [depression, anxiety, stress scale] were assessed before and after CPAP treatment at 1-year assessment. Seventy-three men were included in the data analysis, with a mean ± SD age of 52 ± 10 years, body mass index of 29.0 ± 5.2 kg/m2, ESS of 9.5 ± 5.6, and median [interquartile range(IR)] apnea and hypopnea index of 31 (21, 56) events/h. The median (IR) CPAP daily usage was 4.3(0, 6.1) h/day. From the path analysis, CPAP therapy was shown to improve intimate relationship directly (ß = 0.185) and indirectly (ß = 0.050) by reducing daytime sleepiness and increasing activity level. However, negative emotion symptoms were not the mediators between CPAP adherence and the intimate relationship. Conclusions: CPAP therapy with good adherence is related directly and indirectly to a better intimate relationship with bed partner in men with OSA. It was possibly attributed to reduced daytime sleepiness and increased activity level.
Persistent Identifierhttp://hdl.handle.net/10722/214370
ISSN
2023 Impact Factor: 2.1
2023 SCImago Journal Rankings: 0.753
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLai, AYK-
dc.contributor.authorIp, MSM-
dc.contributor.authorLam, JCM-
dc.contributor.authorWeaver, TE-
dc.contributor.authorFong, DYT-
dc.date.accessioned2015-08-21T11:20:17Z-
dc.date.available2015-08-21T11:20:17Z-
dc.date.issued2016-
dc.identifier.citationSleep and Breathing, 2016, v. 20 n. 2, p. 543-551-
dc.identifier.issn1520-9512-
dc.identifier.urihttp://hdl.handle.net/10722/214370-
dc.description.abstractPurpose: Our aim was to determine the pathway underlying the effects of continuous positive airway pressure (CPAP) adherence on intimate relationship with bed partner in men with obstructive sleep apnea (OSA). We hypothesized that CPAP with good adherence affected the intimate relationship with bed partner directly and indirectly, and it was mediated through daytime sleepiness and activity level in men with OSA. Methods: Data were obtained from an education program for enhancing CPAP adherence. Men who were newly diagnosed of OSA and CPAP therapy naïve were recruited in a tertiary teaching hospital. Results: Self-reported quality of life [Functional Outcomes of Sleep Questionnaire], daytime sleepiness [Epworth Sleepiness Scale (ESS)], and negative emotion symptoms [depression, anxiety, stress scale] were assessed before and after CPAP treatment at 1-year assessment. Seventy-three men were included in the data analysis, with a mean ± SD age of 52 ± 10 years, body mass index of 29.0 ± 5.2 kg/m2, ESS of 9.5 ± 5.6, and median [interquartile range(IR)] apnea and hypopnea index of 31 (21, 56) events/h. The median (IR) CPAP daily usage was 4.3(0, 6.1) h/day. From the path analysis, CPAP therapy was shown to improve intimate relationship directly (ß = 0.185) and indirectly (ß = 0.050) by reducing daytime sleepiness and increasing activity level. However, negative emotion symptoms were not the mediators between CPAP adherence and the intimate relationship. Conclusions: CPAP therapy with good adherence is related directly and indirectly to a better intimate relationship with bed partner in men with OSA. It was possibly attributed to reduced daytime sleepiness and increased activity level.-
dc.languageeng-
dc.publisherSpringer Verlag. The Journal's web site is located at http://www.springer.com/medicine/internal/journal/11325-
dc.relation.ispartofSleep and Breathing-
dc.subjectSleep apnea-
dc.subjectContinuous positive airway pressure-
dc.subjectCPAP adherence-
dc.subjectIntimate relationship-
dc.titleA pathway underlying the impact of CPAP adherence on intimate relationship with bed partner in men with obstructive sleep apnea-
dc.typeArticle-
dc.identifier.emailLai, AYK: agneslai@hku.hk-
dc.identifier.emailIp, MSM: msmip@hku.hk-
dc.identifier.emailLam, JCM: lamcmj@hku.hk-
dc.identifier.emailFong, DYT: dytfong@hku.hk-
dc.identifier.authorityLai, AYK=rp02579-
dc.identifier.authorityIp, MSM=rp00347-
dc.identifier.authorityFong, DYT=rp00253-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s11325-015-1235-6-
dc.identifier.pmid26265560-
dc.identifier.scopuseid_2-s2.0-84939190560-
dc.identifier.hkuros248839-
dc.identifier.volume20-
dc.identifier.issue2-
dc.identifier.spage543-
dc.identifier.epage551-
dc.identifier.isiWOS:000375434400012-
dc.publisher.placeGermany-
dc.identifier.issnl1520-9512-

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