Sleep Disorders: Sleep Disorders 1 |

Effect of Personality Trait for PAP Therapy Adherence in OSA Patients FREE TO VIEW

Ahmet Copur, MD; Erik Everhart, PhD; Chao Zang; Zhengjia Chen; Haris Shekhani; Sipan Mathevosian; James Loveless; Eric Watson; Imtiazali Kadri, RRT; Leandra Wallace, RRT; Edwin Simon, MD; Ashok Fulambarker, MD
Author and Funding Information

Lovell FHCC, Lake Bluff, IL

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):1272A. doi:10.1016/j.chest.2016.08.1386
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SESSION TITLE: Sleep Disorders 1

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Positive Airway Pressure (PAP) therapy is the most common modality of treatment for obstructive sleep apnea (OSA) but adherence remains a significant problem. Personality traits may be some of the most important factors for non-adherence. Aim of this study to find the relationship between adherence and patient personality traits.

METHODS: This was a cross sectional prospective clinical study. Patients were recruited during their visit in sleep clinic. Their personal characteristics, Polysomnography (PSG) results were collected from the 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) tests were used for personality trait measurement. Data from the PAP device was obtained to measure adherence. Pearson correlation, T-test, Kruskal-Wallis test, Chi-square test or Fisher’s exact test were used in the univariate analyses. Logistic regression was used in the multivariate analyses.

RESULTS: A total 400 patients were recruited. 77 cases were excluded from the study due to incomplete data. Two patients withdrew from the study. As a result, 321 patients had all data for evaluation. Most of them (307) were male and only 14 were female. The mean age was 60.6 years with a standard deviation of 12.7. Among the 321 evaluated patients, 160 were classified as compliant. In the univariate analyses, older age (>65), profession, PAP type, side effect, efficiency and Behavioral Activation System Fun Seeking (BAS FS), BMI, Apnea-Hypopnea Index (AHI) were significantly associated with PAP adherence. A multivariate analysis revealed that profession, PAP type, efficiency, age, BAS FS are still significant predictors after adjusting for other covariates. A further analysis with total usage time and days without usage also showed significant association with adherence for Intellect Imagination and Negative Affect respectively by Pearson correlation.

CONCLUSIONS: BAS FS, negative affect and Intellect/Imagination are significant predictor for adherence to PAP therapy in OSA patients.

CLINICAL IMPLICATIONS: Some personality traits affect PAP therapy adherence.

DISCLOSURE: The following authors have nothing to disclose: Ahmet Copur, Erik Everhart, Chao Zang, Zhengjia Chen, Haris Shekhani, Sipan Mathevosian, James Loveless, Eric Watson, Imtiazali Kadri, Leandra Wallace, Edwin Simon, Ashok Fulambarker

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