Skip to main content
Top
Published in: Sleep and Breathing 4/2015

01-12-2015 | Original Article

Effect of CPAP therapy on job productivity and psychosocial occupational health in patients with moderate to severe sleep apnea

Authors: Bernabé Jurádo-Gámez, Ottavia Guglielmi, Francisco Gude-Sampedro, Gualberto Buela-Casal

Published in: Sleep and Breathing | Issue 4/2015

Login to get access

Abstract

Purpose

The aim of the present study was to assess the effect of continuous positive airflow pressure (CPAP) therapy on burnout symptoms and job productivity, stress, and satisfaction in patients with obstructive sleep apnea syndrome.

Methods

The sample was composed of 55 patients (mean age 48.5 ± 8.9, BMI 31.1 ± 5.7, AIH 56.8 ± 22.1), diagnosed with obstructive sleep apnea syndrome (OSAS) using polysomnography (PSG) with a therapeutic indication of CPAP. Before and after 6 months of receiving CPAP therapy, participants completed the following questionnaires: the index of the impact of the disease on job productivity (IMPALA), the job content questionnaire(JCQ), the Maslach burnout inventory-general survey (MBI-GS), the Shirom-Melamed burnout questionnaire (SMBQ), the index of job satisfaction, the Epworth sleepiness scale (ESS), and the Pittsburgh sleep quality index (PSQI). We explored the efficacy of CPAP therapy at improving the indices of severity of OSAS using therapeutic PSG.

Results

CPAP therapy was associated with a beneficial effect on job productivity (IMPALA) (p = 0.000) and decreasing burnout symptoms such as physical fatigue (SMBQ) (p = 0.000), emotional exhaustion (SMBQ) (p = 0.014), cognitive weariness (SMBQ) (p = 0.004), exhaustion (MBI) (p = 0.000), and cynicism (MBI) (p = 0.002). However, CPAP did not decrease job stress or job dissatisfaction.

Discussion

In patients with severe OSAS, CPAP therapy has a beneficial effect on patients’ occupational well-being and job productivity.
Literature
1.
2.
go back to reference Lawrence J, Epstein LJ, Kristo D, Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine (2009) Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 5:263–276 Lawrence J, Epstein LJ, Kristo D, Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine (2009) Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 5:263–276
6.
go back to reference De Mello MT, Narciso FV, Tufik S et al (2013) Sleep disorders as a cause of motor vehicle collisions. Int J Prev Med 4:246–257PubMedCentralPubMed De Mello MT, Narciso FV, Tufik S et al (2013) Sleep disorders as a cause of motor vehicle collisions. Int J Prev Med 4:246–257PubMedCentralPubMed
7.
go back to reference Sánchez AI, Bermudez MP, Buela-Casal G (2003) Evaluación de la memoria a corto plazo en pacientes con apnea del sueño antes y después del tratamiento con CPAP. Salud Mental 26:55–61 Sánchez AI, Bermudez MP, Buela-Casal G (2003) Evaluación de la memoria a corto plazo en pacientes con apnea del sueño antes y después del tratamiento con CPAP. Salud Mental 26:55–61
8.
go back to reference Guglielmi O, Sánchez AI, Jurado-Gámez B, Buela-Casal G, Bardwell WA (2011) Obesity and sleep quality: the predictors of depression and anxiety in obstructive sleep apnea syndrome patients. Rev Neurol 52:515–521PubMed Guglielmi O, Sánchez AI, Jurado-Gámez B, Buela-Casal G, Bardwell WA (2011) Obesity and sleep quality: the predictors of depression and anxiety in obstructive sleep apnea syndrome patients. Rev Neurol 52:515–521PubMed
9.
10.
go back to reference Guglielmi O, Sánchez AI, Jurado-Gámez B, Buela-Casal G (2013) Efectos del Síndrome de Apneas-Hipopneas del Sueño sobre la calidad de vida y la somnolencia diurna. UniversitasPsychologica 12:601–611 Guglielmi O, Sánchez AI, Jurado-Gámez B, Buela-Casal G (2013) Efectos del Síndrome de Apneas-Hipopneas del Sueño sobre la calidad de vida y la somnolencia diurna. UniversitasPsychologica 12:601–611
12.
go back to reference Marin JM, Carrizo SJ, Vicente E, Agusti AG (2005) Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365:1046–1053. doi:10.1016/S0140-6736(05)71141-7 CrossRefPubMed Marin JM, Carrizo SJ, Vicente E, Agusti AG (2005) Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365:1046–1053. doi:10.​1016/​S0140-6736(05)71141-7 CrossRefPubMed
13.
14.
go back to reference Weaver TE, Maislin G, Dinges D et al (2007) Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep 30:711–719PubMedCentralPubMed Weaver TE, Maislin G, Dinges D et al (2007) Relationship between hours of CPAP use and achieving normal levels of sleepiness and daily functioning. Sleep 30:711–719PubMedCentralPubMed
15.
16.
go back to reference Engleman HM, Douglas NJ (2004) Sleep 4: Sleepiness, cognitive function, and quality of life in obstructive sleep apnoea/hypopnoea syndrome. Thorax 59:618–622PubMedCentralCrossRefPubMed Engleman HM, Douglas NJ (2004) Sleep 4: Sleepiness, cognitive function, and quality of life in obstructive sleep apnoea/hypopnoea syndrome. Thorax 59:618–622PubMedCentralCrossRefPubMed
17.
go back to reference Sassani A, Findley LJ, Kryger M, Goldlust E, George C, Davidson TM (2004) Reducing motor-vehicle collisions, costs, and fatalities by treating obstructive sleep apnea syndrome. Sleep 27:453–458PubMed Sassani A, Findley LJ, Kryger M, Goldlust E, George C, Davidson TM (2004) Reducing motor-vehicle collisions, costs, and fatalities by treating obstructive sleep apnea syndrome. Sleep 27:453–458PubMed
19.
go back to reference Hoffman B, Wingenbach DD, Kagey AN, Schaneman JL, Kasper D (2010) The long-term health plan and disability cost benefit of obstructive sleep apnea treatment in a commercial motor vehicle driver population. J Occup Environ Med 52:473–477. doi:10.1097/JOM.0b013e3181dbc8ab CrossRefPubMed Hoffman B, Wingenbach DD, Kagey AN, Schaneman JL, Kasper D (2010) The long-term health plan and disability cost benefit of obstructive sleep apnea treatment in a commercial motor vehicle driver population. J Occup Environ Med 52:473–477. doi:10.​1097/​JOM.​0b013e3181dbc8ab​ CrossRefPubMed
20.
22.
go back to reference Accattoli MP, Muzi G, dell’Omo M et al (2008) Occupational accidents, work performance and obstructive sleep apnea syndrome (OSAS). G Ital Med Lav Ergon 30:297–303PubMed Accattoli MP, Muzi G, dell’Omo M et al (2008) Occupational accidents, work performance and obstructive sleep apnea syndrome (OSAS). G Ital Med Lav Ergon 30:297–303PubMed
24.
go back to reference Hartley J (2012) New ways of making academic articles easier to read. Int J Clin Health Psychol 12:143–160 Hartley J (2012) New ways of making academic articles easier to read. Int J Clin Health Psychol 12:143–160
25.
go back to reference Iber C, Ancoli-Israel S, Chesson AL, Quan SF, for the AmericanAcademy of Sleep Medicine (2007) The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications, 1st ed. American Academy of Sleep Medicine, Westchester, Illinois Iber C, Ancoli-Israel S, Chesson AL, Quan SF, for the AmericanAcademy of Sleep Medicine (2007) The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications, 1st ed. American Academy of Sleep Medicine, Westchester, Illinois
27.
28.
go back to reference Krieger J, Pépin JL, Rodenstein D et al (1999) Effective compliance during the first 3 months of continuous positive airway pressure. A European prospective study of 121 patients. Am J RespirCrit Care Med 160:1124–1129. doi:10.1164/ajrccm.160.4.9802027 CrossRef Krieger J, Pépin JL, Rodenstein D et al (1999) Effective compliance during the first 3 months of continuous positive airway pressure. A European prospective study of 121 patients. Am J RespirCrit Care Med 160:1124–1129. doi:10.​1164/​ajrccm.​160.​4.​9802027 CrossRef
29.
go back to reference Karasek RA, Brisson C, Kawakami N, Houtman I, Bougers P, Amick B (1998) The Job Content Ques-tionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355. doi:10.1037/1076-8998.3.4.322 CrossRefPubMed Karasek RA, Brisson C, Kawakami N, Houtman I, Bougers P, Amick B (1998) The Job Content Ques-tionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355. doi:10.​1037/​1076-8998.​3.​4.​322 CrossRefPubMed
30.
go back to reference Escribà-Agüir V, Más Pons R, Flores Reus E (2001) Validation of the Job Content Questionnaire in hospital nursing staff. GacSanit 15:142–149 Escribà-Agüir V, Más Pons R, Flores Reus E (2001) Validation of the Job Content Questionnaire in hospital nursing staff. GacSanit 15:142–149
31.
go back to reference Schaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) Maslach Burnout Inventory-General Survey. In: Maslach C, Jackson SE, Leiter MP (eds) (comps.): The Maslach Burnout Inventory Test Manual. Consulting Psychologists Press, Palo Alto, CA, pp 19–26 Schaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) Maslach Burnout Inventory-General Survey. In: Maslach C, Jackson SE, Leiter MP (eds) (comps.): The Maslach Burnout Inventory Test Manual. Consulting Psychologists Press, Palo Alto, CA, pp 19–26
32.
go back to reference Gil-Monte PR (2002) Factorial validity of the Spanish adaptation of the Maslach Burnout Inventory-General Survey. SaludPublicaMex 44:33–40 Gil-Monte PR (2002) Factorial validity of the Spanish adaptation of the Maslach Burnout Inventory-General Survey. SaludPublicaMex 44:33–40
33.
go back to reference Melamed S, Ugarten U, Shirom A, Kahana L, Lerman Y, Froom P (1999) Chronic burnout, somatic arousal and elevated salivary cortisol levels. J Psychosom Res 46:591–598CrossRefPubMed Melamed S, Ugarten U, Shirom A, Kahana L, Lerman Y, Froom P (1999) Chronic burnout, somatic arousal and elevated salivary cortisol levels. J Psychosom Res 46:591–598CrossRefPubMed
35.
go back to reference Ortega Leyva V, Martín Quirós MA (2003) Adaptación al castellano del Index of Job Satisfaction de Brayfield y Rothe. Encuentros de Psicología Social 1:12–15 Ortega Leyva V, Martín Quirós MA (2003) Adaptación al castellano del Index of Job Satisfaction de Brayfield y Rothe. Encuentros de Psicología Social 1:12–15
36.
go back to reference Domínguez-Salgado M, Láinez-Andrés M, Palacios-Hernández G et al (2005) Productividad laboral relacionada con la salud en una población laboral: resultados del estudio Impala. Medicina y SeguridaddelTrabajo 200:1–13 Domínguez-Salgado M, Láinez-Andrés M, Palacios-Hernández G et al (2005) Productividad laboral relacionada con la salud en una población laboral: resultados del estudio Impala. Medicina y SeguridaddelTrabajo 200:1–13
37.
go back to reference Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14:540–545PubMed Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14:540–545PubMed
38.
go back to reference Chiner E, Arriero J, Signes-Costa J, Marco J, Fuentes I (1999) Validation of the Spanish version of the Epworth Sleepiness Scale in patients with sleep apnea syndrome. Arch Bronconeumol 35:422–427CrossRefPubMed Chiner E, Arriero J, Signes-Costa J, Marco J, Fuentes I (1999) Validation of the Spanish version of the Epworth Sleepiness Scale in patients with sleep apnea syndrome. Arch Bronconeumol 35:422–427CrossRefPubMed
40.
go back to reference Royuela A, Macías JA (1997) Clinimetrical properties of the Spanish version of the Pittsburgh questionnaire. Vigilia-Sueño 9:81–94 Royuela A, Macías JA (1997) Clinimetrical properties of the Spanish version of the Pittsburgh questionnaire. Vigilia-Sueño 9:81–94
42.
go back to reference Endicott J, Nee J (1997) Endicott Work Productivity Scale (EWPS): a new measure to assess treatment effects. Psychopharmacol Bull 33:13–16PubMed Endicott J, Nee J (1997) Endicott Work Productivity Scale (EWPS): a new measure to assess treatment effects. Psychopharmacol Bull 33:13–16PubMed
43.
go back to reference Ulfberg J, Jonsson R, Edling C (1999) Improvement of subjective work performance among obstructive sleep apnea patients after treatment with continuous positive airway pressure. Psychiatry ClinNeurosci 53:677–679 Ulfberg J, Jonsson R, Edling C (1999) Improvement of subjective work performance among obstructive sleep apnea patients after treatment with continuous positive airway pressure. Psychiatry ClinNeurosci 53:677–679
44.
go back to reference Scharf MB, Stover R, McDannold MD, Spinner O, Berkowitz DV, Conrad C (1999) Outcome evaluation of long-term nasal continuous positive airway pressure therapy in obstructive sleep apnea. Am J Ther 6:293–297CrossRefPubMed Scharf MB, Stover R, McDannold MD, Spinner O, Berkowitz DV, Conrad C (1999) Outcome evaluation of long-term nasal continuous positive airway pressure therapy in obstructive sleep apnea. Am J Ther 6:293–297CrossRefPubMed
46.
go back to reference Doi Y, Minowa M, Tango T (2003) Impact and correlates of poor sleep quality in Japanese white-collar employees. Sleep 26:467–471PubMed Doi Y, Minowa M, Tango T (2003) Impact and correlates of poor sleep quality in Japanese white-collar employees. Sleep 26:467–471PubMed
47.
go back to reference Lavie P (1981) Sleep habits and sleep disturbances in industrial workers in Israel: main findings and some characteristics of workers complaining of excessive daytime sleepiness. Sleep 4:147–158PubMed Lavie P (1981) Sleep habits and sleep disturbances in industrial workers in Israel: main findings and some characteristics of workers complaining of excessive daytime sleepiness. Sleep 4:147–158PubMed
Metadata
Title
Effect of CPAP therapy on job productivity and psychosocial occupational health in patients with moderate to severe sleep apnea
Authors
Bernabé Jurádo-Gámez
Ottavia Guglielmi
Francisco Gude-Sampedro
Gualberto Buela-Casal
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
Sleep and Breathing / Issue 4/2015
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-015-1162-6

Other articles of this Issue 4/2015

Sleep and Breathing 4/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.