{"id":63579,"date":"2026-06-10T17:10:50","date_gmt":"2026-06-10T15:10:50","guid":{"rendered":"https:\/\/carlosoconnor.es\/?p=63579"},"modified":"2026-06-10T17:10:53","modified_gmt":"2026-06-10T15:10:53","slug":"coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno","status":"publish","type":"post","link":"https:\/\/carlosoconnor.es\/en\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/","title":{"rendered":"Coexistencia de insomnio y apnea obstructiva del sue\u00f1o"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Tradicionalmente, los laboratorios y unidades de sue\u00f1o han centrado sus esfuerzos en el abordaje de la apnea, dejando el insomnio en un segundo plano. Sin embargo, la coexistencia de ambas patolog\u00edas \u2014un trastorno conocido cl\u00ednicamente como COMISA (Co-Morbid Insomnia and Sleep Apnea)\u2014 representa una crisis de salud p\u00fablica que afecta a entre el 9% y el 12% de la poblaci\u00f3n adulta, encontr\u00e1ndose gravemente infradiagnosticado e infratratado. La falta de una visi\u00f3n conjunta empeora gravemente el pron\u00f3stico del paciente. Los afectados por COMISA presentan, de forma muy frecuente, una menor adherencia al tratamiento con CPAP, ya que el insomnio asociado dificulta la tolerancia al dispositivo. Por el contrario, la evidencia demuestra que un abordaje combinado y s\u00edncrono mejora dr\u00e1sticamente tanto la calidad del sue\u00f1o como la aceptaci\u00f3n a largo plazo de la presi\u00f3n positiva. Se necesita un giro terap\u00e9utico urgente: Menos f\u00e1rmacos, m\u00e1s Terapia Cognitivo-Conductual para el Insomnio (TCC-I).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">#MedicinaDelSue\u00f1o #COMISA #ApneaDelSue\u00f1o #InsomnioCr\u00f3nico #TCCI #CPAP #SaludMental #MedicinaPreventiva #UnidadesDeSue\u00f1o #RiesgoCardiovascular #Polisomnograf\u00eda #sleepmedicine<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Enlace de referencia: <a href=\"https:\/\/www.consalud.es\/pacientes\/una-neumologa-alerta-del-riesgo-de-padecer-insomnio-y-apnea-del-sueno-a-la-vez-aumenta-un-71-la-mortalidad.html\">https:\/\/www.consalud.es\/pacientes\/una-neumologa-alerta-del-riesgo-de-padecer-insomnio-y-apnea-del-sueno-a-la-vez-aumenta-un-71-la-mortalidad.html<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"737\" src=\"https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-1024x737.jpg\" alt=\"tienesinsomnioporansiedad4formasparadormirmejor 20230825010118\" class=\"wp-image-63580\" srcset=\"https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-1024x737.jpg 1024w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-300x216.jpg 300w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-768x552.jpg 768w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-1536x1105.jpg 1536w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-18x12.jpg 18w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-370x266.jpg 370w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-840x604.jpg 840w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-410x295.jpg 410w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-600x432.jpg 600w, https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118.jpg 1600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">tienesinsomnioporansiedad4formasparadormirmejor 20230825010118<\/figcaption><\/figure>","protected":false},"excerpt":{"rendered":"<p>Tradicionalmente, los laboratorios y unidades de sue\u00f1o han centrado sus esfuerzos en el abordaje de la apnea, dejando el insomnio en un segundo plano. Sin embargo, la coexistencia de ambas&hellip;<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-63579","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Coexistencia de insomnio y apnea obstructiva del sue\u00f1o - Carlos O&#039;Connor<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carlosoconnor.es\/en\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coexistencia de insomnio y apnea obstructiva del sue\u00f1o - Carlos O&#039;Connor\" \/>\n<meta property=\"og:description\" content=\"Tradicionalmente, los laboratorios y unidades de sue\u00f1o han centrado sus esfuerzos en el abordaje de la apnea, dejando el insomnio en un segundo plano. Sin embargo, la coexistencia de ambas&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/carlosoconnor.es\/en\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/\" \/>\n<meta property=\"og:site_name\" content=\"Carlos O&#039;Connor\" \/>\n<meta property=\"article:published_time\" content=\"2026-06-10T15:10:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-10T15:10:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"1151\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"gestion\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"gestion\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/\"},\"author\":{\"name\":\"gestion\",\"@id\":\"https:\/\/carlosoconnor.es\/#\/schema\/person\/c879dbc2b732eaa32429f50dfbd0a949\"},\"headline\":\"Coexistencia de insomnio y apnea obstructiva del sue\u00f1o\",\"datePublished\":\"2026-06-10T15:10:50+00:00\",\"dateModified\":\"2026-06-10T15:10:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/\"},\"wordCount\":201,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/carlosoconnor.es\/#organization\"},\"image\":{\"@id\":\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/carlosoconnor.es\/wp-content\/uploads\/2026\/06\/tienesinsomnioporansiedad4formasparadormirmejor-20230825010118-1024x737.jpg\",\"articleSection\":[\"Uncategorized\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/\",\"url\":\"https:\/\/carlosoconnor.es\/coexistencia-de-insomnio-y-apnea-obstructiva-del-sueno\/\",\"name\":\"Coexistencia de insomnio y apnea obstructiva del sue\u00f1o - 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