Olsen Sara, Smith Simon, Oei Tian P S
School of Psychology, The University of Queensland, St Lucia, Queensland, Australia.
Clin Psychol Rev. 2008 Dec;28(8):1355-71. doi: 10.1016/j.cpr.2008.07.004. Epub 2008 Jul 18.
Obstructive Sleep Apnoea (OSA) is a common sleep disorder associated with significant health, quality of life and psychosocial problems. The aims of this review are to investigate the contribution of psychological constructs and theory to the assessment and treatment of OSA. Adherence to CPAP treatment remains a primary concern for improving treatment outcomes for OSA. Modifiable, psychological constructs of self-efficacy, coping, social support, treatment satisfaction and self-reported daytime sleepiness improve the prediction of CPAP adherence. These predictors are particularly robust in the context of a theoretical model. Social Cognition Theory (SCT) and Health Belief Model (HBM) are emerging as promising psychological models for understanding patient acceptance and adherence to CPAP treatment. An overview of psychologically informed interventions for CPAP use is presented. Education-based interventions have promise, but the strongest and robust findings are emerging from theory-driven interventions. Specifically, Cognitive-Behaviourally informed interventions and Motivational Interventions demonstrate consistent and large effect sizes in improving CPAP adherence rates.
阻塞性睡眠呼吸暂停（OSA）是一种常见的睡眠障碍，与严重的健康、生活质量和心理社会问题相关。本综述的目的是研究心理结构和理论对OSA评估和治疗的贡献。坚持持续气道正压通气（CPAP）治疗仍然是改善OSA治疗效果的主要关注点。自我效能感、应对方式、社会支持、治疗满意度和自我报告的日间嗜睡等可改变的心理结构可改善对CPAP依从性的预测。在理论模型的背景下，这些预测因素尤为可靠。社会认知理论（SCT）和健康信念模型（HBM）正在成为理解患者对CPAP治疗的接受度和依从性的有前景的心理模型。本文概述了基于心理因素的CPAP使用干预措施。基于教育的干预措施有前景，但最有力和可靠的研究结果来自理论驱动的干预措施。具体而言，认知行为疗法知情干预和动机干预在提高CPAP依从率方面显示出一致且较大的效应量。
