The More the Merrier? Working Towards Multidisciplinary Management of Obstructive Sleep Apnea and Comorbid Insomnia


  • We would like to thank Michael Lederman and Allison Kong for their help in data collection. Portions of the data for the pilot project at the Rush Sleep Center were presented at the Sleep 2012 meeting. Support for preparation of this paper was provided in part by the National Heart, Lung, And Blood Institute of the National Institutes of Health (Award Number R01HL114529). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Please address correspondence to: Jason C. Ong, Sleep Disorders Service and Research Center, Department of Behavioral Sciences, Rush University Medical Center, 1653 West Congress Parkway, JRB-6S, Chicago, IL 60612-3833; Tel: 312 942 5440; E-mail:



The goal of this article was to provide an overview of the diagnostic considerations, clinical features, pathophysiology, and treatment approaches for patients with obstructive sleep apnea (OSA) and comorbid insomnia.


We begin with a review of the literature on OSA and comorbid insomnia. We then present a multidisciplinary approach using pulmonary and behavioral sleep medicine treatments.


OSA and insomnia co-occur at a high rate and such patients have distinct clinical features. Empirically supported treatments are available for OSA and insomnia independently but there are no standards or guidelines for how to implement these treatments for patients who suffer from both disorders.


Multidisciplinary treatment holds promise for patients with comorbid sleep disorders. Further research should be aimed at optimizing treatments and developing standards of practice for this population.