Next Article in Journal
Relationships between Pulmonary Hypertension Risk, Clinical Profiles, and Outcomes in Dilated Cardiomyopathy
Next Article in Special Issue
Long-Term Changes in Sleep Disordered Breathing in Renal Transplant Patients: Relevance of the BMI
Previous Article in Journal
P2Y12 Inhibitor Monotherapy with Clopidogrel versus Ticagrelor in Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention
Previous Article in Special Issue
Relationship between HIF-1 and Circadian Clock Proteins in Obstructive Sleep Apnea Patients—Preliminary Study
Article

Multidimensional Evaluation of Continuous Positive Airway Pressure (CPAP) Treatment for Sleep Apnea in Different Clusters of Couples

1
HP2 laboratory, INSERM U1042, University Grenoble Alpes, 38000 Grenoble, France
2
Ramsay General Healthcare, 59800 Lille, France
3
IESEG School of Management, 3 rue de la Digue, 59000 Lille, France
*
Author to whom correspondence should be addressed.
Co-first authors.
Co-senior authors.
J. Clin. Med. 2020, 9(6), 1658; https://doi.org/10.3390/jcm9061658
Received: 28 April 2020 / Revised: 19 May 2020 / Accepted: 27 May 2020 / Published: 1 June 2020
(This article belongs to the Special Issue Management of Obstructive Sleep Apnea (OSA))
Continuous positive airway pressure (CPAP) is the most efficient treatment of obstructive sleep apnea (OSA). Little is known about the impact of spousal relationship profiles on CPAP adherence. We aimed to identify clusters of couples of OSA patients, and their association with CPAP adherence 120 days after CPAP initiation. In a multicenter prospective study, OSA patients recently prescribed CPAP were enrolled with their spouses. Data about spousal relationships were collected at inclusion and at day 120. Latent class analysis was performed to determine homogeneous groups of spousal relationships. The 290 participants were predominantly males (77%), median age was 53 years and interquartile range (IQR) 46–62, median body mass index (BMI) was 32 kg/m2 (IQR: 28.6–35.9) and median apnea–hypopnea index: 43 events per hour (IQR: 33–58). Three couple clusters were identified: (1) older retired couples, (2) young working couples, and (3) mature active couples. Patients in the older retired couples cluster presented the highest CPAP adherence (p < 0.01) independently of initial complaints, OSA severity, and degree of improvement under CPAP. In a large cohort of OSA patients in whom clusters of couples were determined, there was a significant difference in CPAP adherence at day-120 after CPAP initiation. View Full-Text
Keywords: obstructive sleep apnea; continuous positive airway pressure; adherence; marital quality; latent class analysis obstructive sleep apnea; continuous positive airway pressure; adherence; marital quality; latent class analysis
Show Figures

Figure 1

MDPI and ACS Style

Mendelson, M.; Gentina, T.; Gentina, E.; Tamisier, R.; Pépin, J.-L.; Bailly, S. Multidimensional Evaluation of Continuous Positive Airway Pressure (CPAP) Treatment for Sleep Apnea in Different Clusters of Couples. J. Clin. Med. 2020, 9, 1658. https://doi.org/10.3390/jcm9061658

AMA Style

Mendelson M, Gentina T, Gentina E, Tamisier R, Pépin J-L, Bailly S. Multidimensional Evaluation of Continuous Positive Airway Pressure (CPAP) Treatment for Sleep Apnea in Different Clusters of Couples. Journal of Clinical Medicine. 2020; 9(6):1658. https://doi.org/10.3390/jcm9061658

Chicago/Turabian Style

Mendelson, Monique, Thibaut Gentina, Elodie Gentina, Renaud Tamisier, Jean-Louis Pépin, and Sébastien Bailly. 2020. "Multidimensional Evaluation of Continuous Positive Airway Pressure (CPAP) Treatment for Sleep Apnea in Different Clusters of Couples" Journal of Clinical Medicine 9, no. 6: 1658. https://doi.org/10.3390/jcm9061658

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop