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Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain

Multidisciplinary pain-management programs have the potential to decrease pain intensity, improve health-related quality of life (HRQOL), and increase sleep quality. In this longitudinal prospective cohort study, the aim was to investigate the long-term effects of multidisciplinary pain rehabilitati...

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Autores principales: Skúladóttir, Hafdís, Sveinsdottir, Herdis, Holden, Janean E., Gunnarsdóttir, Thóra Jenný, Halldorsdottir, Sigridur, Björnsdottir, Amalia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508437/
https://www.ncbi.nlm.nih.gov/pubmed/34639534
http://dx.doi.org/10.3390/ijerph181910233
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author Skúladóttir, Hafdís
Sveinsdottir, Herdis
Holden, Janean E.
Gunnarsdóttir, Thóra Jenný
Halldorsdottir, Sigridur
Björnsdottir, Amalia
author_facet Skúladóttir, Hafdís
Sveinsdottir, Herdis
Holden, Janean E.
Gunnarsdóttir, Thóra Jenný
Halldorsdottir, Sigridur
Björnsdottir, Amalia
author_sort Skúladóttir, Hafdís
collection PubMed
description Multidisciplinary pain-management programs have the potential to decrease pain intensity, improve health-related quality of life (HRQOL), and increase sleep quality. In this longitudinal prospective cohort study, the aim was to investigate the long-term effects of multidisciplinary pain rehabilitation interventions in Iceland. More precisely, we (a) explored and described how individuals with chronic pain evaluated their pain severity, sleep, and HRQOL at pre-treatment and at one-year follow-up and (b) examined what predicted the participants’ one-year follow-up HRQOL. Seventy-nine patients aged 20–68 years, most of whom were women (85%), responded. The participants scored their pain lower at one-year follow-up (p < 0.001). According to their response, most of them had disrupted sleep, mainly because of pain. One year after the treatment, more participants slept through the night (p = 0.004), and their HRQOL increased. Higher pre-treatment mental component summary (MCS) scores and having pursued higher education predicted higher MCS scores at one-year follow-up, and higher pre-treatment physical component summary (PCS) scores predicted higher PCS scores at one-year follow-up. Sleep problems, being a woman, and having children younger than 18 years of age predicted lower MCS scores at one-year follow-up. These findings are suggestive that patients should be examined with respect to their mental status, and it could be beneficial if they received some professional support after completing the intervention.
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spelling pubmed-85084372021-10-13 Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain Skúladóttir, Hafdís Sveinsdottir, Herdis Holden, Janean E. Gunnarsdóttir, Thóra Jenný Halldorsdottir, Sigridur Björnsdottir, Amalia Int J Environ Res Public Health Article Multidisciplinary pain-management programs have the potential to decrease pain intensity, improve health-related quality of life (HRQOL), and increase sleep quality. In this longitudinal prospective cohort study, the aim was to investigate the long-term effects of multidisciplinary pain rehabilitation interventions in Iceland. More precisely, we (a) explored and described how individuals with chronic pain evaluated their pain severity, sleep, and HRQOL at pre-treatment and at one-year follow-up and (b) examined what predicted the participants’ one-year follow-up HRQOL. Seventy-nine patients aged 20–68 years, most of whom were women (85%), responded. The participants scored their pain lower at one-year follow-up (p < 0.001). According to their response, most of them had disrupted sleep, mainly because of pain. One year after the treatment, more participants slept through the night (p = 0.004), and their HRQOL increased. Higher pre-treatment mental component summary (MCS) scores and having pursued higher education predicted higher MCS scores at one-year follow-up, and higher pre-treatment physical component summary (PCS) scores predicted higher PCS scores at one-year follow-up. Sleep problems, being a woman, and having children younger than 18 years of age predicted lower MCS scores at one-year follow-up. These findings are suggestive that patients should be examined with respect to their mental status, and it could be beneficial if they received some professional support after completing the intervention. MDPI 2021-09-28 /pmc/articles/PMC8508437/ /pubmed/34639534 http://dx.doi.org/10.3390/ijerph181910233 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Skúladóttir, Hafdís
Sveinsdottir, Herdis
Holden, Janean E.
Gunnarsdóttir, Thóra Jenný
Halldorsdottir, Sigridur
Björnsdottir, Amalia
Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain
title Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain
title_full Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain
title_fullStr Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain
title_full_unstemmed Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain
title_short Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain
title_sort pain, sleep, and health-related quality of life after multidisciplinary intervention for chronic pain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508437/
https://www.ncbi.nlm.nih.gov/pubmed/34639534
http://dx.doi.org/10.3390/ijerph181910233
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