Janalyn Cantey Edmonds1, Hyunju Yang2, Tonya S King3, Douglas A Sawyer2, Albert Rizzo4, Amy M Sawyer5. 1. Howard University College of Nursing & Allied Health Sciences, Washington, DC, USA. 2. Penn State University College of Nursing, University Park, PA, USA. 3. Penn State College of Medicine, Department of Public Health Sciences, Hershey, PA, USA. 4. Sleep and Lung Health Enhancement, Pulmonary Associates, P.A., Newark, DE, USA. 5. Penn State University College of Nursing, University Park, PA, USA. Electronic address: ams24@psu.edu.
Abstract
OBJECTIVES: (1) Determine claustrophobia frequency in adults with obstructive sleep apnea (OSA) after first CPAP night; (2) determine if claustrophobia influences CPAP non-adherence. BACKGROUND: Claustrophobia is common among CPAP-treated OSA adults yet few studies have examined the problem. METHODS: Secondary analysis of prospective, longitudinal study of OSA adults (n = 97). CPAP-Adapted Fear and Avoidance Scale (CPAP-FAAS) collected immediately after CPAP titration polysomnogram. PRIMARY OUTCOME: objective CPAP use at 1 week and 1 month. RESULTS: Sixty-three percent had claustrophobic tendencies. Females had higher CPAP-FAAS scores than males. FAAS ≥ 25, positive score for claustrophobic tendencies, was influential on CPAP non-adherence at 1 week (aOR = 5.53, 95% CI 1.04, 29.24, p = 0.04) and less CPAP use at 1month (aOR = 5.06, 95% CI 1.48, 17.37, p = 0.01) when adjusted for body mass index and CPAP mask style. CONCLUSION: Claustrophobia is prevalent among CPAP-treated OSA adults and influences short-term and longer-term CPAP non-adherence. Interventions are needed to address this treatment-related barrier.
OBJECTIVES: (1) Determine claustrophobia frequency in adults with obstructive sleep apnea (OSA) after first CPAP night; (2) determine if claustrophobia influences CPAP non-adherence. BACKGROUND:Claustrophobia is common among CPAP-treated OSA adults yet few studies have examined the problem. METHODS: Secondary analysis of prospective, longitudinal study of OSA adults (n = 97). CPAP-Adapted Fear and Avoidance Scale (CPAP-FAAS) collected immediately after CPAP titration polysomnogram. PRIMARY OUTCOME: objective CPAP use at 1 week and 1 month. RESULTS: Sixty-three percent had claustrophobic tendencies. Females had higher CPAP-FAAS scores than males. FAAS ≥ 25, positive score for claustrophobic tendencies, was influential on CPAP non-adherence at 1 week (aOR = 5.53, 95% CI 1.04, 29.24, p = 0.04) and less CPAP use at 1month (aOR = 5.06, 95% CI 1.48, 17.37, p = 0.01) when adjusted for body mass index and CPAP mask style. CONCLUSION:Claustrophobia is prevalent among CPAP-treated OSA adults and influences short-term and longer-term CPAP non-adherence. Interventions are needed to address this treatment-related barrier.
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