Evidence map›Paper›PMID 34472946›Full record

ArticlePsychological trauma : theory, research, practice and policy2022

Diagnosing obstructive sleep apnea in a residential treatment program for veterans with substance use disorder and PTSD.

Peter J Colvonen, Guadalupe L Rivera, Laura D Straus, Jae E Park, Moira Haller, Sonya B Norman, Sonia Ancoli-Israel

Open access · greenAbstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Sleep and substance use: Practice considerations for social workers.Journal of social work practice in the addictions · 2023
    Article
  2. STOP-BANG screener vs objective obstructive sleep apnea testing among younger veterans with PTSD and insomnia: STOP-BANG does not sufficiently detect risk.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    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

7 authors at 3 institutions in 1 country.

Peter J ColvonenVA San Diego Healthcare System.ORCID 0000-0003-0222-8781
Guadalupe L RiveraVA San Diego Healthcare System.
Laura D StrausDepartment of Psychiatry, University of California, San Francisco.
Jae E ParkVA San Diego Healthcare System.ORCID 0000-0002-0197-0012
Moira HallerVA San Diego Healthcare System.
Sonya B NormanVA San Diego Healthcare System.ORCID 0000-0002-4751-1882
Sonia Ancoli-IsraelUniversity of California, San Diego.
VA San Diego Healthcare System · USUniversity of California San Diego · USUniversity of California, San Francisco · US

Funding

Clinical Features and Neuropathological Basis of Sleep Wake Behavior in Alzheimer's and PSPR01AG060477 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lea Tenenholz Grinberg, Thomas C Neylan · 2019 to 2026
$8.2M
Examining the Effect of Sleep Disruption on Emotion Regulation and Trauma-Related Symptoms in VeteransIK2CX002032 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI NEYLAN, THOMAS C, STRAUS, LAURA D · 2020 to 2025
–
The Impact of Integrated CBT-I and PE on Sleep and PTSD OutcomesIK2RX002120 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI COLVONEN, PETER · 2016 to 2023
–
CSRD VA IK2 CX002032NIA NIH HHS R01 AG060477RRD VA I01 RX003623RRD VA IK2 RX002120
6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) is often comorbid with both substance use disorders (SUD) and posttraumatic stress disorder (PTSD), yet frequently goes undiagnosed and untreated. We present data on the feasibility and acceptability of objective OSA diagnosis procedures, findings on OSA prevalence, and the relationship between OSA and baseline SUD/PTSD symptoms among veterans in residential treatment for comorbid PTSD/SUD.

methodsParticipants were 47 veterans admitted to residential PTSD/SUD treatment. Participants completed questionnaires assessing PTSD and sleep symptoms, and filled out a sleep diary for seven days. Apnea-hypopnea index (AHI) was recorded using the overnight Home Sleep Apnea test (HSAT; OSA was diagnosed with AHI ≥ 5).

resultsObjective OSA diagnostic testing was successfully completed in 95.7% of participants. Of the 45 veterans who went through HSAT, 46.7% had no OSA, 35.6% received a new OSA diagnosis, and 8.9% were previously diagnosed with OSA and were using positive airway pressure treatment (PAP); an additional 8.9% were previously diagnosed with OSA, reconfirmed with the HSAT, but were not using PAP. One hundred percent of respondents during follow-up deemed the testing protocol's usefulness as "Good" or "Excellent."

conclusionOSA diagnostic testing on the residential unit was feasible and acceptable by participants and was effective in diagnosing OSA. OSA testing should be considered for everyone entering a SUD and PTSD residential unit. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Indexed as

Sleep Apnea, ObstructiveStress Disorders, Post-TraumaticSubstance-Related DisordersVeteransHumansResidential Treatment

Identifiers

PMID34472946
PMCPMC8795467
OpenAlexW3198729799

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.