Management of insomnia in sleep disordered breathing

Eur Respir Rev. 2019 Oct 9;28(153):190080. doi: 10.1183/16000617.0080-2019. Print 2019 Sep 30.

Abstract

Both obstructive sleep apnoea (OSA) and chronic insomnia disorder are highly prevalent in the general population. Whilst both disorders may occur together by mere coincidence, it appears that they share clinical features and that they may aggravate each other as a result of reciprocally adverse pathogenetic mechanisms. Comorbidity between chronic insomnia disorder and OSA is a clinically relevant condition that may confront practitioners with serious diagnostic and therapeutic challenges. Current data, while still scarce, advocate an integrated and multidisciplinary approach that seems superior over the isolated treatment of each sleep disorder alone.

Publication types

  • Review

MeSH terms

  • Comorbidity
  • Humans
  • Lung / physiopathology*
  • Respiration*
  • Risk Factors
  • Sleep Apnea Syndromes / diagnosis
  • Sleep Apnea Syndromes / epidemiology
  • Sleep Apnea Syndromes / physiopathology
  • Sleep Apnea Syndromes / therapy*
  • Sleep Initiation and Maintenance Disorders / diagnosis
  • Sleep Initiation and Maintenance Disorders / epidemiology
  • Sleep Initiation and Maintenance Disorders / physiopathology
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Sleep*
  • Treatment Outcome