Relationship between sleep quality and pain intensity in patients with chronic low back pain

Bintang, Andi Kurnia; Santosa, Ivan; Goysal, Yudy; Akbar, Muhammad Azeem; Aulina, Susi

doi:10.1016/j.mcpsp.2021.100208

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…In the studied cohort, the higher the pain score, the higher the global PSQI score, suggesting that pain intensity may interfere with SQ. These results are consistent with previous studies 32 , 36 , 37 which also identified that the greater the intensity of pain according to the VAS, the higher the PSQI global score. Moreover, those who considered their sleep as “poor quality” have significantly elevated pain intensity, suggesting that the intensity of pain plays a role in the quality of sleep.…”

Section: Discussionsupporting

confidence: 93%

Association Between Pharmacotherapy and Sleep Quality in Patients with Chronic Orofacial and Chronic Body Pain: A Cross-Sectional Study

Bavia,

Khawaja,

Hernández-Nuño de la Rosa

et al. 2023

JPR

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Purpose Sleep impairment is associated with many chronic pain disorders. While there is an association between chronic pain and sleep disturbances, little is known about the influence of pharmacotherapy for chronic pain conditions, particularly chronic opioid therapy, on sleep. This study aimed to 1) compare the sleep quality (SQ) in patients with two different pain conditions-chronic body pain and chronic orofacial pain; 2) assess the correlation of SQ and pain intensity; and 3) evaluate the association between pharmacotherapy and SQ. Patients and Methods The Pittsburgh Sleep Quality Index (PSQI) was used to measure the SQ in subjects with 1) chronic body pain (n = 100) and 2) chronic orofacial pain (n = 100). The visual analogue scale was applied for pain intensity rating. All subjects were adults recruited at Massachusetts General Hospital, United States. The subjects’ demographic data, pain intensity, diagnosis and concurrent use of medications were extracted from their electronic medical records (EMR). Statistical analyses were performed using T -test and Pearson correlation coefficient. Results Among 200 subjects (mean age 51.01 ± 15.52 years), 141 (70.5%) were females. PSQI and pain intensity were statistically significantly different between the two groups (p < 0.05 and p < 0.0001, respectively) and higher in subjects with chronic body pain. There was a positive correlation between PSQI and pain intensity (chronic orofacial pain r = 0.3535, p = 0.0004; chronic body pain: r = 0.2247, p < 0.026). PSQI was higher in chronic orofacial pain subjects utilizing opioids and benzodiazepines (PSQI = 15.25). Conclusion Chronic pain impairs SQ, which is noticeably worse in subjects with body pain conditions. In addition, pain intensity was correlated with poorer SQ, which in turn was linked to the concomitant use of opioid and benzodiazepine therapy in chronic orofacial pain.

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Section: Discussionsupporting

confidence: 93%

Association Between Pharmacotherapy and Sleep Quality in Patients with Chronic Orofacial and Chronic Body Pain: A Cross-Sectional Study

Bavia,

Khawaja,

Hernández-Nuño de la Rosa

et al. 2023

JPR

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“…In this study, shoulder pain, perceived difficulty of one’s work, and health perception were significant factors affecting sleep quality in middle-aged women. Similar results were obtained in a study by Bintang et al [ 54 ] and Lee and Oh [ 22 ] in which pain affected sleep quality and a more severe pain resulted in a higher sleep quality score, supporting this study’s findings. Moreover, the perceived difficulty of one’s work can be affected by various factors (e.g., occupation, house chores, childcare and health concerns), which can consequently affect one’s health perception and further worsen sleep quality [ 41 ].…”

Section: Discussionsupporting

confidence: 92%

The relationship between sleep quality, neck pain, shoulder pain and disability, physical activity, and health perception among middle-aged women: a cross-sectional study

Lee

2022

BMC Women's Health

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Background Sleep quality is an important physical requirement for a healthy life, and good sleep quality has been recognized as a significant component in physical and mental health and well-being. The purpose of this study was to identify the factors that affect sleep quality as well as the relationship between sleep quality and neck pain, shoulder pain and disability, physical activity, and health perception. Methods We conducted surveys on 494 women between the age of 35 and 64 years. The study evaluated neck pain, shoulder pain and disability, physical activity, self-health perception and sleep quality with self-reported questionnaires in middle-aged women. Data were analyzed using SPSS 23.0. Results The results showed that the more severe the neck pain and shoulder pain and disability, the worse the sleep quality was in middle-aged women and the better the health perception, the lower the sleep quality score was, indicating good sleep quality. Shoulder pain, self-perceived task difficulty, and health perception were identified as variables that affected the sleep quality in middle-aged women. The explanatory power of the model in explaining sleep quality was 22.9%. Conclusions Worsened shoulder pain, self-perceived task difficulty, and negative health perception can affect poor sleep quality; therefore, it is necessary to develop health interventions for pain management and emotional and social support for improving daily sleep quality. To improve the sleep quality in middle-aged women, healthcare workers should consider the subjects’ pain and functional disability, in accordance with their health perception.

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“…The intensity of chronic low back pain is increased in patients with poor sleep quality [ 26 ]. Bintang et al [ 27 ] found a significant relationship between sleep quality and pain intensity (p=0.017). This is similar to our study, which found a significant relationship between NP and QOS (p=0.002).…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study on Neuropathic Pain Associated With Quality of Sleep in Spondylosis Patients

Das,

Singh,

Agrawal

et al. 2024

Cureus

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Introduction: Neuropathic pain (NP) is common in spondylosis patients. Cervical and lumbar spondylosis are more common in the elderly population. Spondylosis patients also suffer from poor quality of sleep (QOS). This study aims to find a correlation between NP and QOS in spondylosis patients. Methods: We conducted a cross-sectional study and analyzed data using the chi-square test to correlate the NP with QOS. The Pittsburgh Sleep Quality Index (PSQI) and the Leeds Assessment of Neuropathic Symptoms and Signs, Self-complete (S-LANSS) questionnaires were used to assess QOS and evaluate neuropathic pain, respectively. Spondylosis was diagnosed based on the history, clinical examination, and radiological findings. Results: A total of 72 spondylosis patients, with a mean age of 47.35 years, were included in this study. Out of 72 subjects, 52 (72.2%) patients had neuropathic pain (NP group), and 20 (27.8%) patients had non-neuropathic pain (non-NP group). In the NP group, 41 patients (78.8%) had poor QOS, while 11 (21.2%) had good QOS. In the non-NP group, eight (40%) had poor QOS, and 12 (60%) had good QOS. Conclusion: This study concludes that neuropathic pain is associated with poor quality of sleep in spondylosis patients.

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Relationship between sleep quality and pain intensity in patients with chronic low back pain

Cited by 7 publications

References 8 publications

Association Between Pharmacotherapy and Sleep Quality in Patients with Chronic Orofacial and Chronic Body Pain: A Cross-Sectional Study

Association Between Pharmacotherapy and Sleep Quality in Patients with Chronic Orofacial and Chronic Body Pain: A Cross-Sectional Study

The relationship between sleep quality, neck pain, shoulder pain and disability, physical activity, and health perception among middle-aged women: a cross-sectional study

A Cross-Sectional Study on Neuropathic Pain Associated With Quality of Sleep in Spondylosis Patients

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