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Published on: December 6, 2016
Claustrophobic tendencies and continuous positive airway pressure therapy non-adherence in adults with obstructive
Janalyn Cantey Edmonds1, Hyunju Yang2, Tonya S King3
1Howard University College of Nursing & Allied Health Sciences, Washington, DC, USA.
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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