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8h/day or more while there was a decline in the median of delta SAS score (-1.25) in the non-adherent or no-CPAP group (p=0.031). The increase in the SAS score (+1.25) in the adherent group, and the decline (-1.25 points) in the non-adherent/no-CPAP group remained significant after one year (p=0.011). Baseline SAS score predicted non-adherence [adjusted odds ratio 1.11; 95% confidence interval (CI) 1.04-1.18; p=0.003], and there was an association between the increase in the SAS scores and accumulated CPAP hours/day [standardized β=0.14