The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Cognitive behavioral therapy used to improve treatment of sleep apnea

    Sleep apnea occurs when people fail to breath while sleeping. Untreated, it can cause high blood pressure and other cardiovascular disease, memory problems, weight gain, impotency, and headaches.

    Continuous positive pressure breathing (CPAP) is effective treatment. But it’s uncomfortable to use (photo).

    Now, a study shows that cognitive behavioral therapy (CBT) improves acceptance of CPAP.

    First, the details.

    • 100 adults (96 men) with obstructive sleep apnea (OSA) — caused by a blockage of the airway in the rear of the throat during sleep.
    • Some were randomly assigned to 2, 1-hour CBT sessions (including a video of real CPAP users) plus treatment as usual (mask fitting and information).
    • The rest got treatment as usual.

    And, the results.

    • There was 3-hour longer adherence to CPAP at night in the CBT group at 28 days.
    • Only 4 participants in the CBT group did not initiate treatments, compared with 15 in the treatment as usual group.
    • Both differences were significant.

    The bottom line?
    The researchers believe these results would occur in women too.

    They also concluded that wide spread use of CBT in people with OSA who are scheduled for CPAP “would be expected to reduce the social, economic, and health-related consequences of untreated OSA.”

    6/3/07 14:22 JR

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