Thorax 2001;56:513-518 ( July )

Partners of patients with sleep apnoea/hypopnoea syndrome: effect of CPAP treatment on sleep quality and quality of life

N McArdle^a, R Kingshott^b, H M Engleman^b, T W Mackay^b, N J Douglas^b

^a University Department of Medicine, Royal Perth Hospital, GPO Box X2213, Perth, Western Australia 6847, ^b Respiratory Medicine Unit, Department of Medicine, University of Edinburgh, Royal Infirmary, Edinburgh EH3 9YW, UK

Correspondence to: Professor N J Douglas n.j.douglas{at}ed.ac.uk

Received 21 September 2000; Returned to authors 11 December 2000; Revised version received 4 January 2001; Accepted for publication 4 April 2001

BACKGROUNDThe sleep apnoea/hypopnoea syndrome (SAHS) causes snoring, apnoeas, and restlessness during sleep which partners frequently complain about. A study was undertaken to determine the impact on partners of SAHS and of treatment of the patient with continuous positive airway pressure (CPAP).
METHODSForty nine partners and patients with SAHS booked for CPAP treatment completed in house and validated questionnaires (Pittsburgh sleep quality index, Short Form 36 self-reported health status) before the patient started treatment. Twenty three couples in whom the index SAHS patient had no driving problems were recruited to a randomised crossover trial with 1 month limbs of CPAP and placebo capsule. At the end of each limb the partners' sleep was monitored by home polysomnography (PSG) and questionnaires were completed.
RESULTSBefore treatment partners frequently reported moderate to severe disturbance from patient snoring/apnoeas/restlessness and had poor sleep quality and self-reported health status. In the crossover study (22 completed) the partners' objective sleep quality did not differ between CPAP and placebo, but they reported benefit from treatment of the patients with CPAP in subjective sleep quality (p=0.05) and disturbance to sleep (p=0.03). The reported change in partners' sleep quality between pre-study and following CPAP treatment correlated positively with CPAP use (r=0.5, p=0.01).
CONCLUSIONSPartners of patients with SAHS have poor sleep quality and self-reported health status but only subjective sleep quality benefits from treatment of the patient with CPAP.


Keywords: sleep apnoea; sleep quality; quality of life; sleep partners; continuous positive airway pressure (CPAP)

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© 2001 by Thorax
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