Prevalence and severity of insomnia in chronic low back pain patients
Prevalence and severity of insomnia in chronic low back pain patients
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DOI：
10.1007/s00296-012-2550-x
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发表时间：
2013-05-01
影响因子：
4
通讯作者：
Hajjaj-Hassouni, N.
中科院分区：
文献类型：
--
作者：
Bahouq, H.;Allali, F.;Hajjaj-Hassouni, N.
本研究的目的是评估被诊断为慢性腰痛 (CLBP) 的参与者失眠的患病率和严重程度，并确定与这种失眠相关的因素。招募了 100 名同意 CLBP 的参与者。收集了社会人口统计学、CLBP 特征和睡眠特征。患者回答了失眠严重程度和疲劳的有效测量方法。统计分析检查了失眠、患者社会人口学特征和 CLBP 参数之间的关系。百分之七十八的患者患有失眠症。 64% 的病例因背痛而失眠。失眠发生在早期、中期和晚期的患者分别占 39%、60% 和 41%。失眠程度为亚阈值、中度和重度的患者分别占 34%、42% 和 2%。 ISI 全球得分为 18.07 +/- A 7.3。 ISI 与疼痛强度（r = 0.587；p < 0.0001）、疲劳程度（r = 0.495；p < 0.0001）和体重指数（r = -0.209；p = 0.03）显着相关。多元线性回归模型显示，疼痛强度（β = 1.984；95% CI (1.517-2.451)；p < 0.0001）和疲劳（β = 0.284；95% CI (0.192-0.377)；p < 0.0001）是预测 CLBP 患者失眠的最强决定因素。我们的研究表明，失眠的患病率在 CLBP 患者中很重要，尤其是在睡眠中期。失眠基本上处于阈值以下或中度。患者经历的背痛和疲劳是与失眠相关的最强因素。
The purpose of this study was to assess prevalence and severity of insomnia in participants diagnosed with chronic low back pain (CLBP) and to identify factors associated with this insomnia. One hundred CLBP consenting participants were recruited. Sociodemographic, CLBP features and sleep characteristics were collected. Patients answered validated measures of insomnia severity and fatigue. Statistical analysis examined the relationship between insomnia, sociodemographic characteristics of patients and CLBP parameters. Seventy-eight percent of patients suffered from insomnia. Insomnia due to back pain was reported in 64 % of cases. Insomnia was early, middle and late in, respectively, 39, 60 and 41 % of patients. Insomnia was sub-threshold, moderate and severe in, respectively, 34, 42 and 2 % of patients. ISI Global score was at 18.07 +/- A 7.3. ISI correlated significantly with pain intensity (r = 0.587; p < 0.0001), fatigue level (r = 0.495; p < 0.0001) and body mass index (r = -0.209; p = 0.03). Multiple linear regression models have revealed that pain intensity (beta = 1.984; 95 % CI (1.517-2.451); p < 0.0001) and fatigue (beta = 0.284; 95 % CI (0.192-0.377); p < 0.0001) were the strongest determinants for predicting insomnia in CLBP patients. Our study suggests that the prevalence of insomnia is important in CLBP patients, occurring especially at the middle of sleep. Insomnia was essentially sub-threshold or moderate. Back pain and fatigue experienced by patients were the strongest factors associated with this insomnia.