Evidence map›Paper›PMID 25744632›Full record

ArticleHeart & lung : the journal of critical care

Claustrophobic tendencies and continuous positive airway pressure therapy non-adherence in adults with obstructive sleep apnea.

Janalyn Cantey Edmonds, Hyunju Yang, Tonya S King, Douglas A Sawyer, Albert Rizzo, Amy M Sawyer

Open access · greenAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Development of a guide for continuous positive airway pressure use - A good fit: Making continuous positive airway pressure work for you.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
    Article
  5. Review
  6. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    Review
  7. Article
  8. Review
  9. Article
  10. Analysis of risk factors for air leakage in auto-titrating positive airway pressure users: a single-center study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Janalyn Cantey EdmondsHoward University College of Nursing & Allied Health Sciences, Washington, DC, USA.
Hyunju YangPenn State University College of Nursing, University Park, PA, USA.
Tonya S KingPenn State College of Medicine, Department of Public Health Sciences, Hershey, PA, USA.
Douglas A SawyerPenn State University College of Nursing, University Park, PA, USA.
Albert RizzoSleep and Lung Health Enhancement, Pulmonary Associates, P.A., Newark, DE, USA.
Amy M SawyerPenn State University College of Nursing, University Park, PA, USA. Electronic address: ams24@psu.edu.
Pennsylvania State University · USHoward University · USPulmonary Associates · US

Funding

Risk Assessment and Tailored Intervention to Improve CPAP AdherenceR00NR011173 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI SAWYER, AMY M · 2011 to 2013
$727k
Risk Assessment and Tailored Intervention to Improve CPAP AdherenceK99NR011173 · NINR · UNIVERSITY OF PENNSYLVANIA · PI SAWYER, AMY M · 2009 to 2010
$180k
NINR NIH HHS K99 NR011173NINR NIH HHS K99NR011173NINR NIH HHS R00 NR011173NINR NIH HHS R00NR011173
6 · The paper itself

Abstract

objectives(1) Determine claustrophobia frequency in adults with obstructive sleep apnea (OSA) after first CPAP night; (2) determine if claustrophobia influences CPAP non-adherence.

backgroundClaustrophobia is common among CPAP-treated OSA adults yet few studies have examined the problem.

methodsSecondary analysis of prospective, longitudinal study of OSA adults (n = 97). CPAP-Adapted Fear and Avoidance Scale (CPAP-FAAS) collected immediately after CPAP titration polysomnogram. PRIMARY OUTCOME: objective CPAP use at 1 week and 1 month.

resultsSixty-three percent had claustrophobic tendencies. Females had higher CPAP-FAAS scores than males. FAAS ≥ 25, positive score for claustrophobic tendencies, was influential on CPAP non-adherence at 1 week (aOR = 5.53, 95% CI 1.04, 29.24, p = 0.04) and less CPAP use at 1month (aOR = 5.06, 95% CI 1.48, 17.37, p = 0.01) when adjusted for body mass index and CPAP mask style.

conclusionClaustrophobia is prevalent among CPAP-treated OSA adults and influences short-term and longer-term CPAP non-adherence. Interventions are needed to address this treatment-related barrier.

Indexed as

Patient ComplianceAdultBody Mass IndexContinuous Positive Airway PressureFemaleHumansLongitudinal StudiesMaleMiddle AgedPhobic DisordersPolysomnographyProspective StudiesSleep Apnea, ObstructiveAnxiety disordersClaustrophobiaContinuous positive airway pressureObstructive sleep apneaPhobic disordersTreatment compliance

Identifiers

PMID25744632
PMCPMC4352200
OpenAlexW1971243156

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.