Investigation of sleep disturbance in chronic low back pain: An age- and gender-matched case-control study over a 7-night period
Investigation of sleep disturbance in chronic low back pain: An age- and gender-matched case-control study over a 7-night period
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DOI：
10.1016/j.math.2011.05.004
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发表时间：
2011-12-01
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影响因子：
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通讯作者：
Hurley, Deirdre A.
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文献类型：
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作者：
van de Water, Alexander T. M.;Eadie, Jennifer;Hurley, Deirdre A.
患有慢性腰痛（> 12 周；CLBP）的人经常报告睡眠障碍，但很少有研究全面调查该人群的睡眠情况。这项研究调查了 CLBP 患者主观和客观测量的睡眠模式的差异，并将其与年龄和性别匹配的对照进行比较。 32 名同意的参与者（n = 16 名 CLBP，n 16 名匹配对照），年龄 24-65 岁（43.8% 男性）接受了有关睡眠影响变量的访谈，完成了匹兹堡睡眠质量指数、失眠严重程度指数、匹兹堡睡眠日记、SF36-v2、医院焦虑和抑郁量表、Oswestry 残疾指数、数字疼痛评定量表，并接受了七次评估在家庭环境中连续晚上进行体动测量。与对照组相比，根据自我报告测量，CLBP 患者的睡眠质量显着较差 [匹兹堡睡眠质量指数（范围 0-21）平均值 (SD) 10.9 (4.2)]、临床失眠 [失眠严重程度指数平均值（范围 0-28）13.7 (7.6)]、睡眠效率较低、入睡潜伏期较长、入睡后清醒时间较长以及睡眠期间觉醒次数较多 (p < 0.05）。然而，在客观体动记录方面未发现组间存在显着差异（p > 0.05）。这些发现提供了一些证据支持自我报告的睡眠评估作为 CLBP 研究的结果衡量标准，同时需要进一步的研究来确定客观睡眠测量在该人群中的有效性。 (C) 2011 Elsevier Ltd. 保留所有权利。
Sleep disturbance is frequently reported by people with chronic low back pain (> 12 weeks; CLBP), but few studies have comprehensively investigated sleep in this population. This study investigated differences in subjectively and objectively measured sleep patterns of people with CLBP, and compared this to age-and gender matched controls. Thirty-two consenting participants (n = 16 with CLBP, n 16 matched controls), aged 24-65 years (43.8% male) underwent an interview regarding sleep influencing variables, completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index, Pittsburgh Sleep Diary, SF36-v2, Hospital Anxiety and Depression Scale, Oswestry Disability Index, Numerical Pain Rating Scales, and underwent seven consecutive nights of actigraphic measurement in the home environment. Compared to controls, people with CLBP had, on self-report measures, significantly poorer sleep quality [ Pittsburgh Sleep Quality Index (range 0-21) mean (SD) 10.9 (4.2)], clinical insomnia [ Insomnia Severity Index mean (range 0-28) 13.7 (7.6)], lower sleep efficiency, longer sleep onset latency, more time awake after sleep onset, and more awakenings during sleep (p < 0.05). However, no significant differences between groups were found on objective actigraphy (p > 0.05). The findings provide some evidence to support self-reported sleep assessment as an outcome measure in CLBP research, while further research is needed to determine the validity of objective sleep measurement in this population. (C) 2011 Elsevier Ltd. All rights reserved.