Pain as a mediator of sleep problems in arthritis and other chronic conditions

Power, J. Denise; Perruccio, Anthony V.; Badley, Elizabeth M.

doi:10.1002/art.21584

Cited by 118 publications

(116 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the contrary, the presence of nocturnal knee pain is an important factor in the clinical evaluation of OA severity and outcomes after treatment. Reports have shown a wide range in the prevalence of nocturnal pain, from 17.6 -81.0% (3)(4)(5)(6). This wide range is likely because of different diagnostic methods, such as by questionnaire only or by examining past history of treatment for arthritis, including hip and knee OA, rheumatoid arthritis, and osteonecrosis (ON).…”

Section: Introductionmentioning

confidence: 99%

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Sasaki

Tsuda

Yamamoto

et al. 2014

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. Sleep disturbances frequently accompany chronic pain from osteoarthritis (OA). Effective management of sleep disturbances may require successful treatment of chronic pain, a key factor in the clinical evaluation of knee OA. However, the relationship between the severity of knee OA and sleep quality is unclear. Our purpose was to correlate the prevalence of nocturnal knee pain with different OA severity levels and to determine its influence on sleep quality. Methods. Subjects included 1,214 local volunteers with mean ؎ SD age 58.1 ؎ 13.0 years. The existence and severity of knee OA were determined by the Kellgren/Lawrence (K/L) grade, and joint space widths were measured. The presence of nocturnal knee pain and Knee Injury and Osteoarthritis Outcome Scores (KOOS) were assessed by self-completed questionnaires. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index. Knee-related factors affecting sleep quality were detected using statistical methods. Results. The prevalence of nocturnal knee pain was 3.6%, 6.9%, 19.4%, 32.7%, and 75.0% in K/L grades 0, 1, 2, 3, and 4, respectively. Also, prevalence significantly increased with OA severity (P < 0.001). Sleep problems also increased with K/L grade (P ‫؍‬ 0.038), and KOOS quality of life (QOL) was significantly lower in those with OA and sleep problems. Logistic regression showed that sleep problems were related to joint space narrowing (P ‫؍‬ 0.016) and nocturnal knee pain (P ‫؍‬ 0.039). Severe OA also disturbed onset and maintenance of sleep. Conclusion. The prevalence of nocturnal knee pain and sleep problems increased with the severity of OA, impacting QOL. These results suggest the necessity of appropriate nocturnal pain control.

show abstract

Section: Introductionmentioning

confidence: 99%

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Sasaki

Tsuda

Yamamoto

et al. 2014

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…Furthermore, sleep disturbances have been associated with common medical illnesses, including cerebrovascular and coronary artery disease (31). Perception of pain is believed to have a significant effect on sleep disturbance in patients with arthritis and other general medical conditions (32).…”

mentioning

confidence: 99%

Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease

Cohen

Patel

Khetpal

et al. 2007

Clinical Journal of the American Society of Nephrology

134

View full text Add to dashboard Cite

Results: With the exception of expected differences in serum creatinine, estimated GFR, Karnofsky score, albumin, and hemoglobin, there were no significant differences between groups. A total of 69% of patients with chronic kidney disease experienced pain; 55.2% had disordered sleep. Pain was associated with quality-of-life indicators, including depression, burden of illness, and life satisfaction. Disordered sleep correlated with depression, illness burden, social support, and pain frequency. There were no differences in perception of pain or sleep disturbance between patients with chronic kidney disease and control patients.Conclusions: Pain is common in patients with early-stage chronic kidney disease and is associated with patients' perception of lower quality of life. The prevalence of pain, sleep disturbance, and abnormal psychologic status of patients with chronic kidney disease may be similar to outpatients with other chronic medical illnesses.

show abstract

“…14 Another factor related to the presence of chronic pain is insomnia and unrefreshing sleep, which tend to worsen as the level of pain increases. 19,25 Since the elders of our study have shown a low pain level, it was expected to observe a better sleep quality, and in fact they did not complain of sleep problems.…”

Section: Discussionmentioning

confidence: 86%

Estudo de prevalência de Desordens Temporomandibulares (tmd) e qualidade de vida em uma população de idosos institucionalizados

Rehm¹,

Progiante²,

Ficht³

et al. 2017

PAJAR

View full text Add to dashboard Cite

PurPose: This multidisciplinary prevalence study had the objective of identifying the prevalence of TMD, chronic pain and quality of life in institutionalized elderly patients in southern Brazil, including depression and somatization levels. MeThoDs: Forty subjects (55% women, mean age=75 years±s.D., 80% Caucasian) in need of dental treatment were selected from two long-term elderly institutions in the city of Porto alegre. The World health organization Quality of Life (WhoQoL) questionnaire was used for assessing quality of life, the research Diagnostic Criteria for Temporomandibular Disorders (rDC/TMD) for TMD signs and symptoms as well as depression and somatization levels, and the North York Dental health survey (NYDhs) for the oral health status. resuLTs: approximately 60% completed elementary school. It was also a low income population (85%, $75 to $500 american dollars per month). Most (56.4%) were born in the countryside. Ten percent had high intensity pain, with 2.5% accompanied by moderate limitation. These severe signs and symptoms of TMD were associated with significant disability in daily functions and had a negative impact in the level of psychological stress and quality of life in institutionalized patients. In addition, almost 97.5% of the elderly has shown some degree of depression, and 57.5% had moderate to strong somatization levels. CoNCLusIoNs: The proportion of elderly with severe TMD signs and symptoms was low; however, the great frequency of depression and somatization, with a good number of them in actual treatment need, highlights the importance of evaluating the elderly in all aspects.Keywords: temporomandibular disorder; orofacial pain; depression; somatization; quality of life; elderly.RESUmO oBjeTIVo: esse estudo multidisciplinar de prevalência teve como objetivo identificar a prevalência de TMD, dor crônica e qualidade de vida de pacientes idosos institucionalizados no sul do Brasil, incluindo depressão e níveis de somatização. MéToDos: 40 sujeitos (55% mulheres, idade média de 75 anos, 80% Caucasiana com necessidade de tratamento dentário foram selecionados de duas instituições de longa permanência para idosos em Porto alegre. o Questionário de Qualidade de Vida da organização Mundial da saúde (WhoQoL) foi utilizado para avaliar a qualidade de vida, o questionário para Critério Diagnóstico de Desordens Temporomandibulares (rDC/TMD) para sinais e sintomas de DTM bem como depressão e níveis de somatização e o Inventário de saúde Dental de North York (NYDhs) para o estado de saúde oral. resuLTaDos: aproximadamente 60% completou ensino fundamental. População de baixa renda (85% 75 a 500 dólares por mês). a maioria (56,4%) nasceram no campo. Dez por cento possuem alta intensidade de dor com 2,5% acompanhada de limitação moderada. esses sinais e sintomas de DTM foram associados com deficiência significativa nas funções diárias e tiveram um impacto negativo no nível de estresse psicológico e qualidade de vida dos idosos institucionalizados. além disso, quase 97,5% dos idosos demo...

show abstract

Pain as a mediator of sleep problems in arthritis and other chronic conditions

Abstract: Objective. To examine the associations between arthritis and insomnia symptoms and unrefreshing sleep, as well as the role of pain as a mediator of these relationships.

Cited by 118 publications

References 35 publications

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Pain, Sleep Disturbance, and Quality of Life in Patients with Chronic Kidney Disease

Estudo de prevalência de Desordens Temporomandibulares (tmd) e qualidade de vida em uma população de idosos institucionalizados

Contact Info

Product

Resources

About