Association of insomnia severity with well‐being, quality of life and health care costs: A cross‐sectional study in older adults with chronic pain (PainS65+)

Dragioti, Elena; Bernfort, Lars; Larsson, Björn; Gerdle, Björn; Levin, Lars‐Åke

doi:10.1002/ejp.1130

Cited by 46 publications

(25 citation statements)

References 53 publications

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“…This study found that women experienced insomnia much more than men, but this difference was not confirmed in regression analysis, which showed that sex was not an independent risk factor. This result supports the findings by Dragioti et al ., Abd Allah et al ., and Chhantyal and Timalsina, who did not report any relationship between sex and insomnia. However, studies by Wang et al ., Miner et al ., and Kim et al .…”

Section: Discussionsupporting

confidence: 93%

“…The absence of any relationship in regression analysis suggests that insomnia is affected by other variables, such as chronic diseases and depression associated with ageing, but not by age itself. Likewise, some previous studies found no significant relationship between age and insomnia . However, others reported such a relationship between age and insomnia .…”

Section: Discussionmentioning

confidence: 83%

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The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

2019

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Aim: Experienced by many older adults, insomnia is a significant public health problem that requires the attention of health-care professionals and researchers. This study aimed to identify insomnia and its risk factors among community-dwelling older adults. Methods: This cross-sectional study was conducted in Denizli, Turkey. The study sample consisted of 360 elderly individuals aged 60 years and older who were admitted to one of six family health centres for any reason between 29 March 2016 and 17 June 2016. Data were collected by using a descriptive form for the elderly and the Insomnia Severity Index. The χ 2 test was used to compare independent variables and insomnia status. Logistic regression analysis was used for the variables that were found to be significant at the end of the single-variable analysis. Results: The mean age of the subjects, all of whom lived at home, was 69.52 AE 8.36 years. Insomnia was quite common among them (51%), and its severity was low (8.51 AE 5.56). At the end of logistic regression analysis, a moderate perception of health (OR = 10.859, 95%CI: 3.532-33.385) and the number of medications used (OR = 3.326, 95%CI: 1.014-10.907) were identified as risk factors for insomnia. Conclusion: Based on the results of this study, we can state that insomnia is common among older adults. Therefore, older adults who are admitted to health-care institutions should be evaluated for insomnia. Factors identified as affecting insomnia were health perception and the number of medications used. Given that health perception and polypharmacy are associated with chronic disease management, helping the elderly to effectively manage chronic diseases may alleviate insomnia.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 83%

The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

2019

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“…Physical and psychological comorbidities. Assessment of comorbidities was based on a self-reported questionnaire published elsewhere (10,24,25). A copy of the questionnaire is available from the corresponding author on request.…”

Section: Predictor Variablesmentioning

confidence: 99%

“…These comorbidities were reported on a 5-point scale: 1: no; 2: yes, according to both my own and my doctor's opinions; 3: yes, according to my own opinion; 4: yes, according to my doctor's opinion; and 5: I do not know. The answers for 2, 3, and 4 were combined into category "yes" in order to obtain a robust measurement of the presence of the specific comorbidity vs the answer "no" (10,24,25). The answer option "I do not know" was also recorded as "no".…”

Section: Predictor Variablesmentioning

confidence: 99%

Predictors of chronic pain intensity, spread, and sensitivity in the general population: A two-year follow-up study from the SWEPAIN cohort

Larsson¹,

Dragioti²,

Grimby-Ekman³

et al. 2019

J Rehabil Med

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This study shows how characteristics of chronic pain (intensity, spread and sensitivity) can be predicted using demographic and socioeconomic factors and other medical conditions. Information was collected from 34,000 individuals between 18 and 85 years of age in southeastern Sweden. Several socio-demographic factors and other medical conditions were predictors of pain intensity, spread and sensitivity after 2 years. When pain characteristics were taken into consideration in the analysis they were relatively strong predictors of the pain characteristics after 2 years. After modification of the analysis, there were fewer socio-demographic and medical predictors and their importance had decreased. In planning treatment and rehabilitation for chronic pain, pain intensity, spread and sensitivity should specifically be taken into account. Objective: To determine whether the intensity, spread and sensitivity of chronic pain can be predicted using demographic features, socioeconomic conditions and comorbidities. Design: A longitudinal study design was employed. Data was collected at baseline and at 2-year followup. Setting: General population in southeastern Sweden. Subjects: A representative stratified random sample of 34,000 individuals, between 18 and 85 years of age, selected from a sampling frame of 404,661 individuals based on the Swedish Total Population Register. Methods: Eligible individuals were sent postal surveys in 2013 and 2015. The 2 surveys included the same questions about basic demographic data, comorbidities, and chronic pain intensity, spread and sensitivity. Results: Several socio-demographic features and comorbidities at baseline were significant predictors of characteristics of pain (intensity, spread and sensitivity) at the 2-year follow-up. When characteristics of pain at baseline were included in the regression analyses they were relatively strong significant predictors of characteristics of pain after 2 years. After this adjustment there were fewer socio-demographic and comorbidity predictors; the effect estimates for those significant predictors had decreased. Conclusion: Clinical assessment should focus on several characteristics of pain and include a broad medical screening to capture the overall burden of pain in adults from a longitudinal perspective.

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“…Quality of life in elderly people with chronic pain, on the other hand, is even very low. These people report clinical insomnia which is an important problem in people with chronic pain and affects their quality of life (8).…”

Section: Introductionmentioning

confidence: 99%

Comparing the effectiveness of acceptance and commitment therapy and physiotherapy on quality of life and pain catastrophizing in patients with chronic pain

Samani

Najafi

Bouger

2019

J Shahrekord Univ Med Sci

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Background and aims: Chronic pain is a common health problem that affects various aspects of life. Acceptance and commitment therapy (ACT) seems to be helpful in improving the quality of life and pain catastrophizing in patients with chronic pain. The purpose of this study was to compare the efficacy of ACT and physiotherapy on quality of life and pain catastrophizing in patients with chronic pain. Methods: The subjects were 75 women suffering from chronic pain who were considered for physiotherapy. They were randomly divided into 3 groups including ACT, physiotherapy, and control groups. The control group consisted of 25 patients who were on the waiting list for physiotherapy. The first group participated in 8 sessions of ACT, the second group attended 10 sessions of physiotherapy, and the control group received no treatment. The Pain Catastrophizing Scale (PCS) developed by Sullivan et al and the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire were used in this study. Results: The results showed that the quality of life in the ACT group was significantly higher than that in the physiotherapy group and control group (P < 0.001). Moreover, there was no significant difference between the ACT and physiotherapy groups in reducing pain catastrophizing (P > 0.05), while this difference was significant between the ACT and control groups (P < 0.001). Conclusion: In general, ACT leads to a reduction in pain catastrophizing and an increase in the quality of life of patients with chronic pain. Therefore, beside the current therapy like physiotherapy, ACT can be used as another therapeutic choice for patients with chronic pain.

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Association of insomnia severity with well‐being, quality of life and health care costs: A cross‐sectional study in older adults with chronic pain (PainS65+)

Abstract: The concurrence and the severity of insomnia among older adults with chronic pain were associated with decreased well-being and quality of life, and increased health care costs to society.

Cited by 46 publications

References 53 publications

The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

Predictors of chronic pain intensity, spread, and sensitivity in the general population: A two-year follow-up study from the SWEPAIN cohort

Comparing the effectiveness of acceptance and commitment therapy and physiotherapy on quality of life and pain catastrophizing in patients with chronic pain

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