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30.08.2017 | Sleep Breathing Physiology and Disorders • Original Article

Effect of personality traits on adherence with positive airway pressure therapy in obstructive sleep apnea patients

verfasst von: Ahmet Sinan Copur, D. Erik Everhart, Chao Zhang, Zhengjia Chen, Haris Shekhani, Sipan Mathevosian, James Loveless, Eric Watson, Imtiazali Kadri, Leandra Wallace, Edwin Simon, Ashok M. Fulambarker

Erschienen in: Sleep and Breathing | Ausgabe 2/2018

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Abstract

Purpose

Patient adherence with positive airway pressure (PAP) therapy is a significant clinical problem in obstructive sleep apnea treatment. Personality traits may be a factor for non-adherence. The aim of this study is to investigate the relationship between PAP therapy adherence and patient personality traits.

Methods

Patients were screened and recruited during their visit to a sleep clinic. Baseline data were collected from each patient’s electronic chart. Behavioral inhibition system/behavioral activation system (BIS/BAS) scales, short measure of five-factor model personality traits (mini-IPIP), positive and negative affect score (PANAS), and appetitive motivation scores (AMS) tests were used to measure personality traits. Data from the PAP device were obtained following a minimum of an initial 30 days, with adherence defined as >4 h/night on 70% of nights. Univariate and multivariate logistic regression and Pearson correlation tests were used to analyze the data.

Results

A total of 400 patients were recruited. Three hundred twenty-one patients had all the data and were included in the study. Behavioral activation system–fun seeking (BAS-FS) and, to a certain extent, negative affect were significantly associated with adherence. Intellect/imagination was marginally significant. Additionally, older age (>65 years), profession, PAP type, side effects, efficiency, apnea–hypopnea index (AHI), and residual AHI showed significant associations with patient adherence with PAP therapy. Multivariate analysis revealed that BAS-FS was still a significant predictor of adherence even after adjusting for other covariates.

Conclusion

BAS-FS, negative affect, and intellect/imagination are significant factors for adherence to PAP therapy in obstructive sleep apnea patients.

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Titel: Effect of personality traits on adherence with positive airway pressure therapy in obstructive sleep apnea patients
verfasst von: Ahmet Sinan Copur
D. Erik Everhart
Chao Zhang
Zhengjia Chen
Haris Shekhani
Sipan Mathevosian
James Loveless
Eric Watson
Imtiazali Kadri
Leandra Wallace
Edwin Simon
Ashok M. Fulambarker
Publikationsdatum: 30.08.2017
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 2/2018
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-017-1559-5

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Effect of personality traits on adherence with positive airway pressure therapy in obstructive sleep apnea patients

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