The role of behavioral sleep medicine in the assessment and treatment of sleep disordered breathing

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

With the dramatic rise in obesity in the United States, comorbid medical issues, such as sleep apnea and other forms of sleep disordered breathing (SDB), are becoming increasingly prevalent. Individuals with SDB have impairments in social, cognitive, and emotional functioning and an overall reduction in quality of life. Continuous positive airway pressure (CPAP) is the first-line treatment for SDB. CPAP use is associated with improvements in psychosocial functioning when individuals use the machine regularly. Unfortunately, CPAP adherence rates are often low. Patients sometimes discontinue CPAP therapy due to undesirable side effects, such as anxiety, insomnia, and nasal discomfort, or inconvenience. The goal of this review is to highlight the growing role of behavioral sleep medicine in the assessment and treatment of SDB and psychosocial impairments comorbid with SDB. More than any other health specialty, psychologists with behavioral sleep medicine experience are in the best position to treat psychiatric symptoms exacerbated by SDB-related sleep disturbances. Behavioral sleep medicine specialists also possess the expertise to address psychological obstacles to CPAP use. The assimilation of behavioral sleep medicine specialists into sleep clinics is likely to improve the overall quality of care for patients with SDB.

Original languageEnglish (US)
Pages (from-to)673-705
Number of pages33
JournalClinical Psychology Review
Volume25
Issue number5
DOIs
StatePublished - Aug 2005

Fingerprint

Behavioral Medicine
Sleep Apnea Syndromes
Sleep
Continuous Positive Airway Pressure
Therapeutics
Psychology
Quality of Health Care
Sleep Initiation and Maintenance Disorders
Nose
Psychiatry
Anxiety
Obesity
Quality of Life
Health

Keywords

  • Behavioral sleep medicine
  • Continuous positive airway pressure
  • CPAP adherence
  • Sleep apnea
  • Sleep disordered breathing
  • Sleepiness

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

The role of behavioral sleep medicine in the assessment and treatment of sleep disordered breathing. / Haynes, Patricia L.

In: Clinical Psychology Review, Vol. 25, No. 5, 08.2005, p. 673-705.

Research output: Contribution to journalArticle

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