Effect of Personality Traits on Adherence with Positive Airway Pressure Therapy in Obstructive Sleep Apnea Patients

Overview

Journal Sleep Breath

Publisher Springer

Date 2017 Sep 1

PMID 28856525

Citations 5

Authors

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

Affiliations

Soon will be listed here.

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.

Citing Articles

Telehealth Technology Application in Enhancing Continuous Positive Airway Pressure Adherence in Obstructive Sleep Apnea Patients: A Review of Current Evidence.

Thong B, Loh G, Lim J, Lee C, Ting S, Li H Front Med (Lausanne). 2022; 9:877765.

PMID: 35592853 PMC: 9110793. DOI: 10.3389/fmed.2022.877765.

Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions.

Rapelli G, Pietrabissa G, Manzoni G, Bastoni I, Scarpina F, Tovaglieri I Front Psychol. 2021; 12:705364.

PMID: 34475840 PMC: 8406627. DOI: 10.3389/fpsyg.2021.705364.

Anxiety and Depression in Patients with Obstructive Sleep Apnoea before and after Continuous Positive Airway Pressure: The ADIPOSA Study.

Carneiro-Barrera A, Amaro-Gahete F, Saez-Roca G, Martin-Carrasco C, Ruiz J, Buela-Casal G J Clin Med. 2019; 8(12).

PMID: 31805748 PMC: 6947599. DOI: 10.3390/jcm8122099.

Personality traits and preventive cancer screenings in the Health Retirement Study.

Aschwanden D, Gerend M, Luchetti M, Stephan Y, Sutin A, Terracciano A Prev Med. 2019; 126:105763.

PMID: 31260725 PMC: 6810562. DOI: 10.1016/j.ypmed.2019.105763.

A review of psychosocial factors and personality in the treatment of obstructive sleep apnoea.

Cayanan E, Bartlett D, Chapman J, Hoyos C, Phillips C, Grunstein R Eur Respir Rev. 2019; 28(152).

PMID: 31243095 PMC: 9489099. DOI: 10.1183/16000617.0005-2019.

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