TY - JOUR
T1 - Using graduated in vivo exposure to treat a claustrophobic response to nasal continuous positive airway pressure
T2 - Hispanic male veteran associates nasal mask with gas masks worn during combat
AU - McCrae, Christina S.
AU - Ingmundson, Paul T.
PY - 2006/2/1
Y1 - 2006/2/1
N2 - Continuous positive airway pressure (CPAP) is the preferred treatment for obstructive sleep apnea syndrome because it safely and effectively reduces or eliminates nighttime upper airway obstruction. Unfortunately, CPAP adherence rates are low (30% to 40%). For some patients, a history of trauma contributes to nonadherence by triggering a claustrophobic response to CPAP. Exposure is the treatment of choice for anxiety-based responses, such as claustrophobia. Here, we provide the first demonstration of the successful use of graduated in vivo exposure to treat an individual experiencing a trauma-related claustrophobic response to CPAP.
AB - Continuous positive airway pressure (CPAP) is the preferred treatment for obstructive sleep apnea syndrome because it safely and effectively reduces or eliminates nighttime upper airway obstruction. Unfortunately, CPAP adherence rates are low (30% to 40%). For some patients, a history of trauma contributes to nonadherence by triggering a claustrophobic response to CPAP. Exposure is the treatment of choice for anxiety-based responses, such as claustrophobia. Here, we provide the first demonstration of the successful use of graduated in vivo exposure to treat an individual experiencing a trauma-related claustrophobic response to CPAP.
KW - Behavioral treatment
KW - Claustrophobia
KW - CPAP
KW - Exposure
KW - Obstructive sleep apnea
UR - http://www.scopus.com/inward/record.url?scp=30644464428&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=30644464428&partnerID=8YFLogxK
U2 - 10.1177/1534650103261203
DO - 10.1177/1534650103261203
M3 - Article
AN - SCOPUS:30644464428
VL - 5
SP - 71
EP - 82
JO - Clinical Case Studies
JF - Clinical Case Studies
SN - 1534-6501
IS - 1
ER -