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Research ArticleOriginal Research

Is Insomnia an Independent Predictor of Obstructive Sleep Apnea?

Robert N. Glidewell, Emily K. Roby and William C. Orr
The Journal of the American Board of Family Medicine January 2012, 25 (1) 104-110; DOI: https://doi.org/10.3122/jabfm.2012.01.110123
Robert N. Glidewell
PsyD
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Emily K. Roby
PsyD
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William C. Orr
PhD
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Article Figures & Data

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    Table 1.

    Insomnia Severity Index

    QuestionsRating Category
    1. Please rate the current (i.e., last 2 weeks) severity of your insomnia problem(s).NoneMildModerateSevereVery Severe
        Difficulty falling asleep01234
        Difficulty staying asleep01234
        Problem waking up too early01234
    2. How satisfied/dissatisfied are you with your current sleep pattern?Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied
    01234
    3. To what extent do you consider your sleep problem to interfere with your daily functioning (e.g., daytime fatigue, ability to function at work/daily chores, concentration, memory, mood, etc.)?Not At All InterferingA LittleSomewhatMuchVery Much Interfering
    01234
    4. How noticeable to others do you think your sleeping problem is in terms of impairing the quality of your life?Not At All NoticeableA LittleSomewhatMuchVery Much Noticeable
    01234
    5. How worried/distressed are you about your current sleep problem?Not At All WorriedA LittleSomewhatMuchVery Much Worried
    01234
    • Adapted with permission from Ref. 41.

    • View popup
    Table 2.

    Demographic and Symptom Characteristics for Obstructive Sleep Apnea (OSA) and Non-OSA Subjects

    OSA (n = 23)Non-OSA (n = 77)χ2 (Contingency Coefficient)P
    Male (%)39460.287 (0.54).592
    Married (%)65589.60 (0.296).087
    White (%)78821.37 (0.116).849
    Employed, full time (%)61521.20 (0.109).878
    Mean (SD)Mean (SD)tP
    Age52.7 (13.8)53.3 (16.0)−0.152.880
    BMI*34.9 (7.7)30.2 (6.6)2.79.006
    ISI total score12.0 (6.7)6.4 (4.7)4.55.000
    ESS total score10.9 (4.2)7.2 (3.7)4.12.000
    • ↵* Body mass index (BMI) statistics are calculated for only 97 subjects (n = 22 OSA; n = 75 non-OSA).

    • ESS, Epworth Sleepiness Scale; ISI, Insomnia Severity Index.

    • View popup
    Table 3.

    Classification Statistics for the Logistic Regression Model for Prediction of Sleep Apnea With (Step 2) and Without (Step 1) Inclusion of Insomnia Symptoms

    Logistic Regression% CorrectSensitivitySpecificityPositive Predictive ValueNegative Predictive Value
    Step 1*80.40.290.950.600.83
    Step 2†85.60.480.960.770.87
    • ↵* BMI and ESS.

    • ↵† BMI, ESS, and ISI.

    • BMI, body mass index; ESS, Epworth Sleepiness Scale; ISI, Insomnia Severity Index.

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The Journal of the American Board of Family     Medicine: 25 (1)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 1
January-February 2012
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Is Insomnia an Independent Predictor of Obstructive Sleep Apnea?
Robert N. Glidewell, Emily K. Roby, William C. Orr
The Journal of the American Board of Family Medicine Jan 2012, 25 (1) 104-110; DOI: 10.3122/jabfm.2012.01.110123

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Is Insomnia an Independent Predictor of Obstructive Sleep Apnea?
Robert N. Glidewell, Emily K. Roby, William C. Orr
The Journal of the American Board of Family Medicine Jan 2012, 25 (1) 104-110; DOI: 10.3122/jabfm.2012.01.110123
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