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Sleep quality in subjects suffering from chronic pain

BACKGROUND: Sleeping problems are very common in patients with chronic pain. The aim of the study was to investigate the association between different dimensions of chronic pain and sleep quality in chronic pain patients. METHODS: In this cross-sectional interview-based questionnaire study, patients...

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Autores principales: Keilani, Mohammad, Crevenna, Richard, Dorner, Thomas Ernst
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772133/
https://www.ncbi.nlm.nih.gov/pubmed/28884227
http://dx.doi.org/10.1007/s00508-017-1256-1
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author Keilani, Mohammad
Crevenna, Richard
Dorner, Thomas Ernst
author_facet Keilani, Mohammad
Crevenna, Richard
Dorner, Thomas Ernst
author_sort Keilani, Mohammad
collection PubMed
description BACKGROUND: Sleeping problems are very common in patients with chronic pain. The aim of the study was to investigate the association between different dimensions of chronic pain and sleep quality in chronic pain patients. METHODS: In this cross-sectional interview-based questionnaire study, patients from 3 different pain treatment centers in Vienna aged 18–65 years, with pain lasting 3 months or longer were asked to participate. The association between the short-form McGill pain questionnaire (SF-MPQ) and sleep quality (sleep onset latency, interrupted sleep due to pain, sleep duration and recovering effect of sleep) was assessed. RESULTS: In this study 121 patients (male 32, female 89, mean age 49 ± 9 years) could be analyzed. Of the patients 38.8% needed more than 30 min for falling asleep, 63.6% reported sleep fragmentation, 30.6% slept less than 5 h and 60.3% reported no recovering effect of sleep. The strongest associations between pain characteristics and sleep quality were found for pain intensity and affective pain aspects. Logistic regression analyses revealed that one point more in the total score of SF-MPQ increased the odds of needing more than 30 min for falling asleep, waking up more than 3 times due to pain, sleeping less than 5 h, and perceiving the sleep as non-recovering, by 6%. Adjusting for physical and psychological quality of life lowered the odds ratios and the association was no longer significant. CONCLUSION: The results underline the importance of paying attention to sleep quality in patients with chronic pain. The results also indicate that psychological factors might mediate the association between pain and sleep quality.
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spelling pubmed-57721332018-01-30 Sleep quality in subjects suffering from chronic pain Keilani, Mohammad Crevenna, Richard Dorner, Thomas Ernst Wien Klin Wochenschr Original Article BACKGROUND: Sleeping problems are very common in patients with chronic pain. The aim of the study was to investigate the association between different dimensions of chronic pain and sleep quality in chronic pain patients. METHODS: In this cross-sectional interview-based questionnaire study, patients from 3 different pain treatment centers in Vienna aged 18–65 years, with pain lasting 3 months or longer were asked to participate. The association between the short-form McGill pain questionnaire (SF-MPQ) and sleep quality (sleep onset latency, interrupted sleep due to pain, sleep duration and recovering effect of sleep) was assessed. RESULTS: In this study 121 patients (male 32, female 89, mean age 49 ± 9 years) could be analyzed. Of the patients 38.8% needed more than 30 min for falling asleep, 63.6% reported sleep fragmentation, 30.6% slept less than 5 h and 60.3% reported no recovering effect of sleep. The strongest associations between pain characteristics and sleep quality were found for pain intensity and affective pain aspects. Logistic regression analyses revealed that one point more in the total score of SF-MPQ increased the odds of needing more than 30 min for falling asleep, waking up more than 3 times due to pain, sleeping less than 5 h, and perceiving the sleep as non-recovering, by 6%. Adjusting for physical and psychological quality of life lowered the odds ratios and the association was no longer significant. CONCLUSION: The results underline the importance of paying attention to sleep quality in patients with chronic pain. The results also indicate that psychological factors might mediate the association between pain and sleep quality. Springer Vienna 2017-09-07 2018 /pmc/articles/PMC5772133/ /pubmed/28884227 http://dx.doi.org/10.1007/s00508-017-1256-1 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Keilani, Mohammad
Crevenna, Richard
Dorner, Thomas Ernst
Sleep quality in subjects suffering from chronic pain
title Sleep quality in subjects suffering from chronic pain
title_full Sleep quality in subjects suffering from chronic pain
title_fullStr Sleep quality in subjects suffering from chronic pain
title_full_unstemmed Sleep quality in subjects suffering from chronic pain
title_short Sleep quality in subjects suffering from chronic pain
title_sort sleep quality in subjects suffering from chronic pain
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772133/
https://www.ncbi.nlm.nih.gov/pubmed/28884227
http://dx.doi.org/10.1007/s00508-017-1256-1
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