Sleep
-
Randomized Controlled Trial
Prospective randomized study of patients with insomnia and mild sleep disordered breathing.
Patients with insomnia may present with mild and often unrecognized obstructive sleep apnea (OSA). ⋯ Surgical intervention for the management of patients with complaints of insomnia and mild OSA demonstrated greater improvement in both subjective and objective outcome measures. Initial treatment of underlying OSA in patients with insomnia was more successful in improving insomnia than CBT-I alone. However CBT-I as initial treatment improved TST compared to baseline; following surgical intervention, it had the additional benefit of further increasing TST and helped to control sleep onset difficulties that may be related to conditioning due to unrecognized symptoms of mild OSA.