Sleep disturbances predict future sickness absence among individuals with lower back or neck-shoulder pain: A 5-year prospective study
Sleep disturbances predict future sickness absence among individuals with lower back or neck-shoulder pain: A 5-year prospective study
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DOI：
10.1177/1403494814567755
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发表时间：
2015-05-01
影响因子：
3.4
通讯作者：
Svartengren, Magnus
中科院分区：
文献类型：
--
作者：
Aili, Katarina;Nyman, Teresia;Svartengren, Magnus
背景：肌肉骨骼疼痛是病假最常见的原因之一。睡眠障碍通常与疼痛同时发生，但睡眠和疼痛之间的关系是复杂的。在预测肌肉骨骼疼痛患者的病假时，对自我报告的睡眠的重要性知之甚少。本研究旨在研究5年后自我报告的睡眠质量与病假之间的关联，其中个体按下背痛（LBP）和颈肩痛（NSP）的存在分层。研究方法：在这项为期5年的前瞻性研究中（使用来自MUSIC-Norrtalje研究的数据），队列（n = 2286）根据自我报告的疼痛分为三组：无LBP或NSP，仅LBP或NSP，以及当前LBP和NSP。计算了5年后基线时自我报告的睡眠障碍对病假（> 14连续天）影响的比值比（OR）。结果如下：在所有三个疼痛层次中，报告最多睡眠问题的个体在5年后显示出更高的全因疾病缺席的OR。与睡眠最好的组相比，在LBP和NSP分层中睡眠问题最明显的组在5年后长期病假（> 90天）的OR（OR 2.00; CI 1.09-3.67）也显着更高。结论：无论LBP和/或NSP的共存特征如何，睡眠障碍都可以预测个体的疾病缺席。患者的临床评估应在治疗计划中考虑可能的睡眠障碍。
Background: Musculoskeletal pain is one of the most common causes of sickness absence. Sleep disturbances are often co-occurring with pain, but the relationship between sleep and pain is complex. Little is known about the importance of self-reported sleep, when predicting sickness absence among persons with musculoskeletal pain. This study aims to study the association between self-reported sleep quality and sickness absence 5 years later, among individuals stratified by presence of lower back pain (LBP) and neck and shoulder pain (NSP). Methods: The cohort (n = 2286) in this 5-year prospective study (using data from the MUSIC-Norrtalje study) was stratified by self-reported pain into three groups: no LBP or NSP, solely LBP or NSP, and oncurrent LBP and NSP. Odds ratios (ORs) for the effect of self-reported sleep disturbances at baseline on sickness absence (> 14 consecutive days), 5 years later, were calculated. Results: Within all three pain strata, individuals reporting the most sleep problems showed a significantly higher OR for all-cause sickness absence, 5 years later. The group with the most pronounced sleep problems within the concurrent LBP and NSP stratum had a significantly higher OR (OR 2.00; CI 1.09-3.67) also for long-term sickness absence (> 90days) 5 years later, compared to the group with the best sleep. Conclusions: Sleep disturbances predict sickness absence among individuals regardless of co-existing features of LBP and/or NSP. The clinical evaluation of patients should take possible sleep disturbances into account in the planning of treatments.