Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management
Obstructive sleep apnea (OSA) and insomnia are the two most common sleep disorders among the general population, and they may often coexist in patients with sleep-disordered breathing (SDB). The higher prevalence of insomnia symptoms in patients with OSA (40–60%) compared to that observed in the gen...
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doaj-ff3aae983c5a4e11ab60f3c69715d0b52021-09-09T13:45:44ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-09-01189248924810.3390/ijerph18179248Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient ManagementBeatrice Ragnoli0Patrizia Pochetti1Alberto Raie2Mario Malerba3Respiratory Unit, S. Andrea Hospital, 13100 Vercelli, ItalyRespiratory Unit, S. Andrea Hospital, 13100 Vercelli, ItalyRespiratory Unit, S. Andrea Hospital, 13100 Vercelli, ItalyRespiratory Unit, S. Andrea Hospital, 13100 Vercelli, ItalyObstructive sleep apnea (OSA) and insomnia are the two most common sleep disorders among the general population, and they may often coexist in patients with sleep-disordered breathing (SDB). The higher prevalence of insomnia symptoms in patients with OSA (40–60%) compared to that observed in the general population has thus led researchers to identify a new disorder named comorbid insomnia and OSA (COMISA), whose true burden has been so far largely underestimated. The combined treatment of COMISA patients with positive-airway pressure ventilation (PAP) with cognitive behavioral therapy for insomnia (CBT<i>i</i>) has shown a better patient outcome compared to that obtained with a single treatment. Furthermore, recent evidence has shown that an innovative patient-centered approach taking into consideration patient characteristics, treatment preferences and accessibility to treatment is recommended to optimize clinical management of COMISA patients. However, in this complex mosaic, many other sleep disorders may overlap with COMISA, so there is an urgent need for further research to fully understand the impact of these therapies on outcomes for OSA patients with comorbidity. In light of this need, this review focuses on the major sleep disorders comorbid with OSA and the recent advances in the management of these insomniac patients.https://www.mdpi.com/1660-4601/18/17/9248OSAsleep-disordered breathingCOMISAclinical management |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Beatrice Ragnoli Patrizia Pochetti Alberto Raie Mario Malerba |
spellingShingle |
Beatrice Ragnoli Patrizia Pochetti Alberto Raie Mario Malerba Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management International Journal of Environmental Research and Public Health OSA sleep-disordered breathing COMISA clinical management |
author_facet |
Beatrice Ragnoli Patrizia Pochetti Alberto Raie Mario Malerba |
author_sort |
Beatrice Ragnoli |
title |
Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management |
title_short |
Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management |
title_full |
Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management |
title_fullStr |
Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management |
title_full_unstemmed |
Comorbid Insomnia and Obstructive Sleep Apnea (COMISA): Current Concepts of Patient Management |
title_sort |
comorbid insomnia and obstructive sleep apnea (comisa): current concepts of patient management |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-09-01 |
description |
Obstructive sleep apnea (OSA) and insomnia are the two most common sleep disorders among the general population, and they may often coexist in patients with sleep-disordered breathing (SDB). The higher prevalence of insomnia symptoms in patients with OSA (40–60%) compared to that observed in the general population has thus led researchers to identify a new disorder named comorbid insomnia and OSA (COMISA), whose true burden has been so far largely underestimated. The combined treatment of COMISA patients with positive-airway pressure ventilation (PAP) with cognitive behavioral therapy for insomnia (CBT<i>i</i>) has shown a better patient outcome compared to that obtained with a single treatment. Furthermore, recent evidence has shown that an innovative patient-centered approach taking into consideration patient characteristics, treatment preferences and accessibility to treatment is recommended to optimize clinical management of COMISA patients. However, in this complex mosaic, many other sleep disorders may overlap with COMISA, so there is an urgent need for further research to fully understand the impact of these therapies on outcomes for OSA patients with comorbidity. In light of this need, this review focuses on the major sleep disorders comorbid with OSA and the recent advances in the management of these insomniac patients. |
topic |
OSA sleep-disordered breathing COMISA clinical management |
url |
https://www.mdpi.com/1660-4601/18/17/9248 |
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1717760369625137152 |