Autoren:	Bahr, Katharina Cámara, Rafael J. A. Gouveris, Haralampos Tuin, Inka
Titel:	Current treatment of comorbid insomnia and obstructive sleep apnea with CBTI and PAP-therapy : a systematic review
Online-Publikationsdatum:	8-Jan-2019
Erscheinungsdatum:	2018
Sprache des Dokuments:	Englisch
Zusammenfassung/Abstract:	Insomnia and obstructive sleep apnea (OSA) are often both present in patients with sleep- disordered-breathing. The coexistence of the two disorders shows an increase in cumulative morbidity and an overall greater illness severity. There is still considerable controversy regarding management decisions in this group of patients. This systematic review focused on more recent evidence regarding treatment of patients presenting with both clinical entities of comorbid insomnia and obstructive sleep apnea in terms of their management, especially using combinations of positive airway pressure (PAP, namely aPAP, cPAP, adaptive servo-ventilation[ASV]) and CBTi as well as each one of these two modalities alone. As a conclusion it is necessary to specifically target distinct combinations of both insomnia (initial, middle, late) and OSA (mild, moderate, severe) phenotypes. The present review gives reason to assume that both CBTi and PAP-therapy are necessary. However, it appears that distinct treatment patterns may suit different COMISA phenotypes.
DDC-Sachgruppe:	610 Medizin 610 Medical sciences
Veröffentlichende Institution:	Johannes Gutenberg-Universität Mainz
Organisationseinheit:	FB 04 Medizin
Veröffentlichungsort:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-272
URN:	urn:nbn:de:hebis:77-publ-587613
Version:	Published version
Publikationstyp:	Zeitschriftenaufsatz
Nutzungsrechte:	CC BY
Informationen zu den Nutzungsrechten:	https://creativecommons.org/licenses/by/4.0/
Zeitschrift:	Frontiers in neurology 9
Seitenzahl oder Artikelnummer:	Art. 804
Verlag:	Frontiers Research Foundation
Verlagsort:	Lausanne
Erscheinungsdatum:	2018
ISSN:	1664-2295
URL der Originalveröffentlichung:	http://dx.doi.org/10.3389/fneur.2018.00804
DOI der Originalveröffentlichung:	10.3389/fneur.2018.00804
Enthalten in den Sammlungen:	JGU-Publikationen