Cognitive-behavioural pathways from pain to poor sleep quality and emotional distress in the general population: The indirect effect of sleep-related anxiety and sleep hygiene.
Cognitive-behavioural pathways from pain to poor sleep quality and emotional distress in the general population: The indirect effect of sleep-related anxiety and sleep hygiene.
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DOI：
10.1371/journal.pone.0260614
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Tang NKY
中科院分区：
文献类型：
--
作者：
Rakhimov A;Whibley D;Tang NKY
疼痛会对睡眠和情绪健康产生负面影响。这项研究调查了这是否可以部分解释为对疼痛的不适应睡眠相关的认知和行为反应，包括对睡眠的高度焦虑和不理想的睡眠卫生。这项横断面研究使用了一项在线调查的数据，该调查收集了关于疼痛(简短的疼痛清单)、睡眠(匹兹堡睡眠质量指数；睡眠卫生指数；关于睡眠的焦虑和关注问卷)和情绪困扰(Promis测量；感知压力量表)的信息。结构方程模型检验了连接这些因素的框架的稳定性。在468名调查受访者(平均年龄39岁，60%为女性)中，29%的人报告疼痛(平均严重程度为1.12)，最常见的是脊柱或腰部疼痛(28%)。疼痛的严重程度与睡眠质量差、睡眠卫生差、睡眠焦虑和情绪困扰有关。在第一个结构方程模型中，疼痛严重程度和睡眠质量之间通过对睡眠的焦虑(β=0.08，p<；.001)和睡眠卫生(β=.12，p<；.001)间接影响。在第二个模型中，通过睡眠质量确定了疼痛严重程度和情绪困扰之间的间接影响(β=.19，p<；.01)。结合这些模型，通过对睡眠、睡眠卫生和睡眠质量的焦虑，确定了疼痛严重程度和情绪困扰之间的间接影响。这项研究提供的数据支持了一个理论指导的框架，该框架将疼痛、睡眠和情绪困扰联系在一起。如果得到实验和/或纵向研究的支持，这一框架有可能为公共卫生倡议和更全面的疼痛评估提供信息。
Pain can have a negative impact on sleep and emotional well-being. This study investigated whether this may be partly explained by maladaptive sleep-related cognitive and behavioural responses to pain, including heightened anxiety about sleep and suboptimal sleep hygiene. This cross-sectional study used data from an online survey that collected information about pain (Brief Pain Inventory), sleep (Pittsburgh Sleep Quality Index; Sleep Hygiene Index; Anxiety and Preoccupation about Sleep Questionnaire) and emotional distress (PROMIS measures; Perceived Stress Scale). Structural equation modelling examined the tenability of a framework linking these factors. Of 468 survey respondents (mean age 39 years, 60% female), 29% reported pain (mean severity 1.12), most commonly in the spine or low back (28%). Pain severity correlated with poor sleep quality, poor sleep hygiene, anxiety about sleep and emotional distress. In the first structural equation model, indirect effects were identified between pain severity and sleep quality through anxiety about sleep (β = .08, p < .001) and sleep hygiene (β = .12, p < .001). In the second model, an indirect effect was identified between pain severity and emotional distress through sleep quality (β = .19, p < .01). Combining these models, indirect effects were identified between pain severity and emotional distress through anxiety about sleep, sleep hygiene and sleep quality. This study provides data to support the tenability of a theoretically guided framework linking pain, sleep and emotional distress. If upheld by experimental and/or longitudinal study, this framework holds the potential to inform public health initiatives and more comprehensive pain assessment.
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