医学
失眠症
阻塞性睡眠呼吸暂停
持续气道正压
气道正压
药物治疗
失眠的认知行为疗法
认知行为疗法
重症监护医学
白天过度嗜睡
睡眠呼吸暂停
共病
物理疗法
睡眠障碍
精神科
认知
内科学
作者
Leon Lack,Alexander Sweetman
标识
DOI:10.1016/j.jsmc.2016.05.006
摘要
Insomnia is often comorbid with obstructive sleep apnea. It reduces positive airway pressure (PAP) therapy acceptance and adherence. Comorbid patients show greater daytime impairments and poorer health outcomes. The insomnia often goes undiagnosed, undertreated, or untreated. Pharmacotherapy is not recommended for long-term treatment. Although care should be taken administering behavioral therapies to patients with elevated sleepiness, cognitive behavior therapy for insomnia (CBTi) is an effective and durable nondrug therapy that reduces symptoms and may increase the effectiveness of PAP therapy. Sleep clinics should be alert to comorbid insomnia and provide adequate diagnostic tools and clinicians with CBTi expertise.
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