Alexander Sweetman

TL;DR: Recent research examining the prevalence, characteristics, and theoretical mechanistic relationships between co-occurring insomnia and OSA is reviewed and integrated, and previous treatment attempts are discussed.

TL;DR: Clinicians are provided with pragmatic suggestions and tools to identify, and manage this prevalent COMISA disorder in clinical settings, and discuss future avenues of research to progress the field.

TL;DR: In OSA participants with co-morbid insomnia, CBT-i prior to initiating CPAP treatment improves CPAP use and insomnia symptoms compared to commencing CPAP without CBT -i.

TL;DR: Support is offered for the suggestion that patients with comorbid insomnia and OSA should be treated with CBT-i prior to the treatment of the OSA, as Cognitive and Behavioral Therapy for Insomnia is an effective treatment in the presence ofComorbid OSA.

TL;DR: Although care should be taken administering behavioral therapies to patients with elevated sleepiness, cognitive behavior therapy for insomnia (CBTi) is an effective and durable nondrug therapy that reduces symptoms and may increase the effectiveness of PAP therapy.