Bed partner perception of CPAP therapy on relationship satisfaction and intimacy—A European perspective from the ESADA network

Author:

Laharnar Naima1ORCID,Bailly Sebastien2ORCID,Basoglu Ozen K.3,Buskova Jitka4,Drummond Marta5,Fanfulla Francesco6ORCID,Mihaicuta Stefan7ORCID,Pataka Athanasia8,Riha Renata L.9ORCID,Bouloukaki Izolde10,Testelmans Dries11ORCID,Trakada Georgia12ORCID,Verbraecken Johan13,Zimmermann Sandra1,Penzel Thomas1ORCID,Fietze Ingo114

Affiliation:

1. Interdisciplinary Center of Sleep Medicine Charité – Universitätsmedizin Berlin Berlin Germany

2. Grenoble Alpes University, Inserm, U1300, CHU Grenoble Alpes Grenoble France

3. Department of Chest Diseases, Faculty of Medicine Ege University Izmir Turkey

4. National Institute of Mental Health Klecany Czech Republic

5. Sleep and Non‐Invasive Ventilation Unit, Hospital São João, Porto Faculty of Medicine Porto University Porto Portugal

6. Respiratory Function and Sleep Unit Clinical Scientific Institutes Maugeri IRCCS Pavia Italy

7. Center for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology “Victor Babes” University of Medicine and Pharmacy Timisoara Timișoara Romania

8. Respiratory Failure Unit Aristotle University of Thessaloniki, G. Papanikolaou Hospital Thessaloniki Greece

9. Department of Sleep Medicine Royal Infirmary Edinburgh Edinburgh UK

10. Sleep Disorders Unit, Department of Respiratory Medicine, School of Medicine University of Crete Rethymno Greece

11. Sleep Disorders Centre University Hospital Gasthuisberg Leuven Belgium

12. Department of Clinical Therapeutics, Division of Pulmonary Medicine National and Kapodistrian University of Athens, School of Medicine Athens Greece

13. Multidisciplinary Sleep Disorders Centre Antwerp University Hospital and University of Antwerp Edegem Belgium

14. Department of Medicine Southwest Medical University Affiliated Zigong Hospital Zigong China

Abstract

SummaryObstructive sleep apnea increases morbidity and mortality risks. The most common treatment is continuous positive airway pressure, with nasal mask usage being important, but not always optimal. While most research on treatment adherence focuses on the patient, the bed partner's involvement may be detrimental. Our study aim is to obtain a European‐wide picture of the bed partner's attitude and support towards continuous positive airway pressure therapy, including effects on relationship satisfaction and intimacy. The English translation of a German bed partner questionnaire, assessing relationship satisfaction and three major components (general attitude, perceived mask looks, intimacy effects) was distributed within the European Sleep Apnea Database Network and translated in participating countries' local language. Data were collected for 2 years. In total, 10 European countries (13 sleep centres) participated with 1546 questionnaires. Overall, 91% of bed partners had a positive attitude towards continuous positive airway pressure therapy, 86% perceived mask looks not negative, 64% stated no negative intimacy effects. More specifically, 71% mentioned improved sleep quality, 68% supported nightly device usage. For 41% of bed partners, relationship satisfaction increased (no change for 47%). These results were significantly more pronounced in Eastern/Southern Europe compared with Middle Europe, especially regarding intimacy effects. However, increased continuous positive airway pressure therapy length affected attitude negatively. These results provide necessary information to improve treatment strategies by including educational couple‐focused approaches. Among others, we revealed that negative intimacy effects are not considered a barrier to continuous positive airway pressure adherence. These results may inspire more research identifying regional gaps with need for treatment adjustments.

Funder

Agence Nationale de la Recherche

Publisher

Wiley

Subject

Behavioral Neuroscience,Cognitive Neuroscience,General Medicine

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