The multidimensionality of sleep quality and its relationship to fatigue in older adults with painful osteoarthritis

Hawker, Gillian; French, M.R.; Waugh, Esther J.; Gignac, Monique A. M.; Cheung, Corjena; Murray, Brian J.

doi:10.1016/j.joca.2010.08.002

Cited by 116 publications

(108 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Current findings nonetheless confirm the previously documented associations of sleep with pain (7,13,17,20,39,40) and depression (20,37,38). In our sample, however, depressive symptoms entirely accounted for the association of sleep with pain; nor was there any association of baseline sleep disturbance with one-year change in pain.…”

Section: Discussionsupporting

confidence: 89%

“…Subjective sleep measures were linked with both positive and negative affect, such that lower reported sleep quality or greater wake time was associated with less positive and greater negative affect the next day. In persons with OA, Hawker et al (20) similarly identified a negative correlation between sleep quality and depressed mood. Interestingly, in contrast to subjective measures, McCrae et al’s (19) actigraphic measures were not significantly associated with affect, reflecting the strong influence of perceptions of sleep on mood outcomes.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Sleep Disturbance in Osteoarthritis: Linkages With Pain, Disability, and Depressive Symptoms

Parmelee

Tighe

Dautovich

2015

Arthritis Care & Research

169

119

View full text Add to dashboard Cite

Objective It is known that osteoarthritis (OA) increases risk of sleep disturbance, and that both pain and sleep problems may trigger functional disability and depression. However, studies examining all four variables simultaneously are rare. This research therefore examined cross-sectional and longitudinal associations of self-reported sleep disturbance with OA-related pain and disability, and depressive symptoms. Methods At baseline, 367 persons with physician-diagnosed knee OA reported sleep disturbances, pain, functional limitations, and depressive symptoms. All measures were repeated a year later (N = 288). Baseline analyses examined the independent and interactive associations of sleep disturbance with pain, disability and depression, net of demographics and general health. Longitudinal analyses used baseline sleep disturbance to predict one-year change in pain, disability and depression. Results At baseline, sleep was independently associated with pain and depression, but not disability. The sleep-pain relationship was mediated by depressive symptoms; sleep interacted with pain to exacerbate depression among persons with high levels of pain. Baseline sleep disturbance predicted increased depression and disability, but not pain, at follow-up. Conclusions These data confirm known cross-sectional relationships of sleep disturbance with pain and depression, and provide new insights on longitudinal associations among those variables. Depression appears to play a strong role in the sleep-pain linkage, particularly where pain is severe. The unique predictive role of sleep in progression of disability requires further study, but may be an important point of intervention to prevent OA-related functional decline among persons whose sleep is disrupted by OA pain.

show abstract

Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Sleep Disturbance in Osteoarthritis: Linkages With Pain, Disability, and Depressive Symptoms

Parmelee

Tighe

Dautovich

2015

Arthritis Care & Research

169

119

View full text Add to dashboard Cite

show abstract

“…34–36 In addition to some shared symptoms (sleep disturbance, irritability, change of appetite, and fatigue), a recent review article suggested a shared neurobiological substrate for these three conditions such as atrophy of the hippocampus, hypothalamic–pituitary–adrenal axis (HPA) dysregulation, and elevated levels of TNF-α and IL-1β 37 Surprisingly, comorbidity score did not emerge as a significant predictor in any of the model. This may be related to the narrow variances in the data since the sampled group had low comorbidity scores (mean 1.1, of the 0–37 possible score range).…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown a strong link between fatigue and poor nighttime sleep among community dwelling older adults, 8,49,50 as well as those with osteoarthritis. 36 There is also evidence of an association between fatigue and daytime functional impairment. 51,52 …”

Section: Discussionmentioning

confidence: 99%

Differential predictors of nighttime and daytime sleep complaints in older adults with comorbid insomnia and osteoarthritis pain

Tang

McCurry

Pike

et al. 2017

Journal of Psychosomatic Research

View full text Add to dashboard Cite

Objectives Osteoarthritis (OA) is extremely common in older adults, affecting 50% of people aged 65 or older, and more than half of older adults with OA complain of significantly disturbed sleep. This study compared predictors of nighttime sleep complaints and daytime sleep-related consequences as measured by the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) in older adults with comorbid OA pain and insomnia. Methods A secondary analysis of baseline data from a large longitudinal randomized controlled trial. Multivariate regression analyses were performed to test two sets of predictive models. Results 367 older adults (mean age 72.9 ± 8.2 years; female 78.5%) with OA and insomnia were included in this analysis. In Model 1, fatigue and depression predicted daytime sleep-related consequences for both ISI and PSQI. When measures of sleep and pain beliefs/attitudes were added (Model 2), fatigue, and sleep and pain beliefs/attitudes predicted nighttime sleep complaints for both ISI and PSQI; depression was no longer a significant predictor of ISI daytime consequences, but remained in the model for PSQI daytime consequences. Conclusions This study found both similarities and differences in factors predicting nighttime sleep complaints and daytime sleep-related consequences. Individual beliefs/attitudes about sleep and pain were stronger predictors of sleep difficulties than were depression and pain. Fatigue was the strongest and most consistent predictor associated with both nighttime sleep complaints and daytime sleep-related consequences regardless of the scale used to measure these concepts.

show abstract

“…Hawker и со-авт. [38], характеризуя нарушения сна и предикторы его улучшения у больных ОА, также говорят не о депрессии, а об утомляемости. Описаны и некоторые этнические осо-бенности депрессивных расстройств у больных ОА.…”

unclassified

Osteoarthritis and Depression

Коршунов¹,

Речкина²,

Филатова³

et al. 2018

rsp

View full text Add to dashboard Cite

The multidimensionality of sleep quality and its relationship to fatigue in older adults with painful osteoarthritis

Abstract: Among older people with OA, poor sleep is highly prevalent and significantly linked with fatigue. Identifying the nature of sleep disturbances in OA is important as treatment of sleep disturbances may reduce OA-related fatigue.

Cited by 116 publications

References 45 publications

Sleep Disturbance in Osteoarthritis: Linkages With Pain, Disability, and Depressive Symptoms

Sleep Disturbance in Osteoarthritis: Linkages With Pain, Disability, and Depressive Symptoms

Differential predictors of nighttime and daytime sleep complaints in older adults with comorbid insomnia and osteoarthritis pain

Osteoarthritis and Depression

Contact Info

Product

Resources

About