ABSTRACT

As discussed in previous chapters, obstructive sleep apnea (OSA) has significant effects on a wide range of organ systems. It is also associated with obesity, mood and behavior changes, excessive sleepiness, and motor vehicle collisions. Yet the summed effects of OSA on patients’ self-reported quality-of-life (QOL) may best reflect the personal impact of the disorder. According to Brown (1):

“Quality-of-life issues may ultimately be the most interesting consequence of OSA. Loud snoring, erectile dysfunction and daytime fatigue can place a significant strain on marriages, resulting in marital problems and divorce. Daytime fatigue can cause increased accidents and diminished work performance, resulting in fewer promotions or loss of work. The stress of living with a chronic illness can result in increased anxiety and diminished quality-of-life. These factors may be the initial concerns that lead individuals to seek treatment, and improvement in quality-of-life may ultimately determine compliance with treatment” (1).