Graded exposure therapy for addressing claustrophobic reactions to continuous positive airway pressure: a case series report.

Journal Article (Journal Article)

Continuous positive airway pressure (CPAP) is a safe, effective treatment for obstructive sleep apnea, and yet many patients develop claustrophobic reactions to the CPAP nasal mask and cannot tolerate this treatment. We examined the efficacy of a graded in-vivo exposure therapy for enhancing CPAP adherence using a retrospective, case series design. Objective CPAP adherence data were obtained on clinical patients who attended 1 or more sessions of exposure therapy with a behavioral sleep psychologist. Compared to pre-treatment, patients used CPAP significantly longer after exposure therapy. No predictors of treatment response were identified. CPAP exposure therapy may be beneficial in some cases; however, further research is needed to determine types of patients most likely to benefit from this therapy.

Full Text

Duke Authors

Cited Authors

  • Means, MK; Edinger, JD

Published Date

  • 2007

Published In

Volume / Issue

  • 5 / 2

Start / End Page

  • 105 - 116

PubMed ID

  • 17441781

International Standard Serial Number (ISSN)

  • 1540-2002

Digital Object Identifier (DOI)

  • 10.1080/15402000701190572


  • eng

Conference Location

  • England