Effect of personality traits on adherence with positive airway pressure therapy in obstructive sleep apnea patients

PURPOSE: Patient adherence with positive airway pressure (PAP) therapy is a significant clinical problem in obstructive sleep apnea treatment. Personality traits may be a factor for non-adherence. The aim of this study is to investigate the relationship between PAP therapy adherence and patient personality traits.

METHODS: Patients were screened and recruited during their visit to a sleep clinic. Baseline data were collected from each patient's electronic chart. Behavioral inhibition system/behavioral activation system (BIS/BAS) scales, short measure of five-factor model personality traits (mini-IPIP), positive and negative affect score (PANAS), and appetitive motivation scores (AMS) tests were used to measure personality traits. Data from the PAP device were obtained following a minimum of an initial 30 days, with adherence defined as >4 h/night on 70% of nights. Univariate and multivariate logistic regression and Pearson correlation tests were used to analyze the data.

RESULTS: A total of 400 patients were recruited. Three hundred twenty-one patients had all the data and were included in the study. Behavioral activation system-fun seeking (BAS-FS) and, to a certain extent, negative affect were significantly associated with adherence. Intellect/imagination was marginally significant. Additionally, older age (>65 years), profession, PAP type, side effects, efficiency, apnea-hypopnea index (AHI), and residual AHI showed significant associations with patient adherence with PAP therapy. Multivariate analysis revealed that BAS-FS was still a significant predictor of adherence even after adjusting for other covariates.

CONCLUSION: BAS-FS, negative affect, and intellect/imagination are significant factors for adherence to PAP therapy in obstructive sleep apnea patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Sleep & breathing = Schlaf & Atmung - 22(2018), 2 vom: 31. Mai, Seite 369-376

Sprache:

Englisch

Beteiligte Personen:

Copur, Ahmet Sinan [VerfasserIn]
Erik Everhart, D [VerfasserIn]
Zhang, Chao [VerfasserIn]
Chen, Zhengjia [VerfasserIn]
Shekhani, Haris [VerfasserIn]
Mathevosian, Sipan [VerfasserIn]
Loveless, James [VerfasserIn]
Watson, Eric [VerfasserIn]
Kadri, Imtiazali [VerfasserIn]
Wallace, Leandra [VerfasserIn]
Simon, Edwin [VerfasserIn]
Fulambarker, Ashok M [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Observational Study
Obstructive sleep apnea (OSA)
Personality trait
Positive airway pressure (PAP) adherence

Anmerkungen:

Date Completed 02.05.2019

Date Revised 02.05.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11325-017-1559-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM275288773