Continuous Positive Airway Pressure Therapy, Compliance and Personal Relationships: A Preliminary Investigation and Research Portfolio

McFadyen, Theresa Ann (1999) Continuous Positive Airway Pressure Therapy, Compliance and Personal Relationships: A Preliminary Investigation and Research Portfolio. D Clin Psy thesis, University of Glasgow.

Abstract

To obtain objective evidence of the pattern of CPAP use and it's relationship with marital satisfaction, information was gathered from the National Sleep Laboratory in Edinburgh. Sixty-nine patients and their partners comprised the two groups of the study; 44 of whom were due to start CPAP within 2 months, and 25 had at least a 6 month wait. Primary outcome measures were the ENRICH Marital Satisfaction Scale, the 36-Item Short Form Health Survey Questionnaire, the Functional Outcomes of Sleep Questionnaire, the Epworth Sleepiness Scale and 6 qualitative questions. Patients completed all measures on enrolling into the study. Partners completed the ENRICH Marital Satisfaction Scale and the 6 qualitative questions. Three months later, all participants re-completed the measures again and compliance readings were taken from the CPAP machines. No significant baseline correlates of compliance were found. However, couples receiving CPAP perceived their marital satisfaction as significantly improved compared to controls. CPAP couples also demonstrated improved daytime sleepiness, subjective health status and daily functioning. Controls demonstrated decrements in marital satisfaction and all other outcome measures over the 3 month period. No significant relationship between changes in marital satisfaction over time and treatment compliance was found. Partner marital satisfaction was highlighted as a potentially important variable in treatment compliance that warrants further investigation, in accordance with the broader health literature.

• Item Type: Thesis (D Clin Psy)
• Qualification Level: Doctoral
• Additional Information: Adviser: Colin Espie
• Keywords: Clinical psychology
• Date of Award: 1999
• Depositing User: Enlighten Team
• Unique ID: glathesis:1999-74871
• Copyright: Copyright of this thesis is held by the author.
• Date Deposited: 27 Sep 2019 15:45
• Last Modified: 27 Sep 2019 15:45
• URI: https://theses.gla.ac.uk/id/eprint/74871