Comorbid Insomnia and Sleep Apnea: Challenges and Treatments

Insomnia and obstructive sleep apnea (OSA) are 2 of the most prevalent sleep disorders and frequently co-occur. Cognitive behavioral therapy for insomnia is the first line treatment for insomnia and has been shown to improve compliance with positive airway pressure therapy. Other alternatives to OSA...

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Bibliographic Details
Published inOtolaryngologic clinics of North America
Main Authors Sarber, Kathleen M, Patil, Reena Dhanda
Format Journal Article
LanguageEnglish
Published United States 26.03.2024
Subjects
Insomnia
Hypoglossal nerve stimulation
Positive airway pressure (PAP) therapy
Mandibular advancement device
Cognitive behavioral therapy for insomnia (CBT-i)
Obstructive sleep apnea
Sleep surgery
Comorbid insomnia and obstructive sleep apnea (COMISA)
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Summary:Insomnia and obstructive sleep apnea (OSA) are 2 of the most prevalent sleep disorders and frequently co-occur. Cognitive behavioral therapy for insomnia is the first line treatment for insomnia and has been shown to improve compliance with positive airway pressure therapy. Other alternatives to OSA treatment may have higher acceptance in those with comorbid insomnia and sleep apnea (COMISA). Surgery, particularly hypoglossal nerve stimulation, appears to be well tolerated and may improve insomnia in those with COMISA. Otolaryngologists must be cognizant of the common presentation of COMISA in patients seeking surgical treatment and utilize a multidisciplinary approach.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:1557-8259
DOI:10.1016/j.otc.2024.02.019