Insomnia and caregiver burden in chronic pain patients: A cross-sectional clinical study

Yamaguchi, Masahiro; Yamada, Keiko; Iseki, Masako; Karasawa, Yusuke; Murakami, Yasuko; Enomoto, Tatsuya; Kikuchi, Nobuko; Chiba, Shuya; Hara, Atsuko; Yamaguchi, Kazuya; Inada, Eiichi

doi:10.1371/journal.pone.0230933

Cited by 9 publications

(13 citation statements)

References 39 publications

(37 reference statements)

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“…However, our study did show that patients' depression and disability were correlated with caregiver burden, a result similar to that of the previous study. [11] Cognitive-behavioral therapy has been shown to improve the self-efficacy and chronic pain of patients. [34] Therefore, it is an important treatment for these patients that can also influence caregiver burden.…”

Section: Discussionmentioning

confidence: 99%

“…While caregiver support of chronic pain patients is important because of patients’ decreased activities of daily living, [ 10 ] caregivers who provide substantial daily support often face considerable physical and mental burdens. Although a previous study revealed that depression, insomnia, and disability were related to the caregiver burden for such patients, [ 11 ] evidence regarding relationships between caregiver burden, patient self-efficacy, and the factors of pain chronicity in chronic pain patients is still lacking. We hypothesized that in chronic pain patients, factors of pain chronicity and low self-efficacy would be associated with increased caregiver burden through an increased need for support of daily activity.…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing caregiver burden in chronic pain patients: A retrospective study

Tsuji

Tetsunaga

et al. 2022

Medicine

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Chronic pain coexists with disability, anxiety, depression, and sleep disturbances, which are factors of pain chronicity in the fear-avoidance model. Self-efficacy for managing pain plays a protective role against pain chronicity. For chronic pain sufferers, social support from caregivers is important. However, such caregivers face enormous physical and mental burdens. This study aimed to assess how self-efficacy and factors related to the fear-avoidance model affect caregiver burden. Participants were 135 chronic pain patients and their caregivers who visited our outpatient pain special clinic. In clinical assessments, numeric rating scale (NRS), pain catastrophizing scale (PCS), hospital anxiety and depression scale (HADS), Athens insomnia scale (AIS), pain disability assessment scale (PDAS), pain self-efficacy questionnaire (PSEQ) for the patients and Zarit Burden Interview (ZBI) for their caregivers were evaluated. Participants were divided into 2 groups (L group ZBI < 24 points and H group ZBI ≥ 24 points) and compared. Regression analyses were conducted to identify factors correlated with the ZBI scores. Compared to L group, H group showed significantly higher NRS and HADs depression scores, and lower PSEQ scores. In univariate regression analysis, ZBI scores were significantly correlated with NRS, PCS, HADS anxiety, HADS depression, PDAS and PSEQ. Multiple linear regression analysis revealed that ZBI scores were significantly correlated with PSEQ. The caregivers who perceived high caregiver burden had significantly higher patients’ pain intensity, depression, and lower self-efficacy than those who perceived low caregiver burden. Caregiver burden correlated with the pain intensity, pain catastrophizing, anxiety, depression, disability, and self-efficacy of chronic pain patients. Among these factors, self-efficacy was the most negatively correlated with caregiver burden. Treatments focused on increasing self-efficacy for managing pain have the potential to reduce caregiver burden.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors influencing caregiver burden in chronic pain patients: A retrospective study

Tsuji

Tetsunaga

et al. 2022

Medicine

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“…Chronic pain has negative effects on ability to perform activities of daily living and may increase the burden on caregivers [ 31 ]. As the number of older people with chronic pain increases, so will the social burden.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and municipal variation in chronic musculoskeletal pain among independent older people: data from the Japan Gerontological Evaluation Study (JAGES)

Yamada

Fujii

Kubota

et al. 2022

BMC Musculoskelet Disord

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Background Urbanization and population aging may affect prevalence of chronic pain from various causes. This cross-sectional study aimed to investigate the prevalence of chronic musculoskeletal pain, including some subtypes, in independent Japanese older people, and whether population density and population aging rate explained prevalence and differences in pain levels between municipalities. Methods We analyzed data from 12,883 independent older people living in 58 municipalities who completed mailed questionnaires and did not need support for daily living. We identified three types of pain: “chronic musculoskeletal pain” lasting ≥ 3 months (overall and in each part of the body), “chronic widespread-type pain” in the spinal and peripheral area, and “chronic multisite pain” in at least three sites. The latter two were measured using new definitions. These types of pain are correlated with depressive symptoms and we therefore examined the construct validity of the definitions by comparing the Geriatric Depression Scale score. We also used analysis of covariance to compare the prevalence of these three types of pain between municipalities. Odds ratios, median odds ratios, and the municipal variance in prevalence of chronic musculoskeletal pain were estimated by Bayesian multilevel logistic regression analysis using the Markov Chain Monte Carlo method. Results The construct validity of the definitions of chronic widespread-type pain and chronic multisite pain was confirmed. The prevalence of the three types of pain (chronic musculoskeletal, widespread, and multisite pain) was 39.0%, 13.9%, and 10.3%, respectively. Chronic musculoskeletal pain showed a higher prevalence among older people and women. Individuals in underpopulated, suburban, or metropolitan areas tended to have more pain than those in urban areas, but this was not statistically significant (odds ratio [95% credible interval] 1.15 [0.86–1.51], 1.17 [0.93–1.43], 1.17 [0.94–1.46]). Population density and population aging rate did not explain the differences between municipalities. Conclusions The prevalence of chronic musculoskeletal pain was consistent with previous global reports. Areas with overpopulation and depopulation tended to have higher pain prevalence, but population density and population aging rate did not explain municipal variance. Further research is needed to identify other factors that contribute to regional variance.

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“…For patients with weather-related disease, several batteries have been applied for clinical research. They include i) pain assessment: Numerical Rating Scale (NRS), ii) functional behavior assessment: Pain Disability Assessment Scale (PDAS) [10], iii) psychosocial assessment: Hospital Anxiety and Depression Scale (HADS) [11], iv) assessment for pain in detail: Pain Self-Efficacy Questionnaire (PSEQ) [12,13], and Pain Catastrophizing Scale (PCS) [14].…”

Section: Abbreviationsmentioning

confidence: 99%

Weather-Related Pain or Meteoropathy has been Attracting Attention

Bando

2021

J Health Care and Research

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Recent topic concerning weather-related pain or meteoropathy is described. Such symptoms are observed in patients with rheumatoid arthritis (RA), fibromyalgia, osteoarthritis, or headache, neck pain, stiff shoulder, back pain. Patients often feel pain when atmospheric pressure showed lower pressure of 1003-1007 hPa or decrease of 6-10 hPa. From psychosomatic point of view, decreased self-efficacy or higher catastrophic thinking are involved. Several questionnaires are useful for the evaluation, such as Pain Disability Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Self–Efficacy Questionnaire (PSEQ), and Pain Catastrophizing Scale (PCS). For treatment, exercise–induced hypoalgesia (EIH) would be effective.

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Insomnia and caregiver burden in chronic pain patients: A cross-sectional clinical study

Cited by 9 publications

References 39 publications

Factors influencing caregiver burden in chronic pain patients: A retrospective study

Factors influencing caregiver burden in chronic pain patients: A retrospective study

Prevalence and municipal variation in chronic musculoskeletal pain among independent older people: data from the Japan Gerontological Evaluation Study (JAGES)

Weather-Related Pain or Meteoropathy has been Attracting Attention

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