Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain.
Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain.
复制标题
非特异性腰痛患者疼痛强度、睡眠障碍和情绪之间的相互作用
作者：
Sribastav SS;Peiheng H;Jun L;Zemin L;Fuxin W;Jianru W;Hui L;Hua W;Zhaomin Z
下背痛（LBP）是世界上最常见的问题。LBP有几个负面后果，如睡眠障碍，工作休假，残疾，抑郁，焦虑和生活质量差。本研究旨在评估非特异性LBP（NSLBP）患者睡眠障碍的患病率，以及NSLBP患者睡眠障碍与焦虑、抑郁和疼痛强度的相关性。目的探讨NSLBP患者睡眠障碍的发生率及其与焦虑、抑郁、疼痛强度的相关性。方法采用横断面自评问卷调查方法，对某医院门诊进行调查。匿名评估用于描述NSLBP、PSQI、VAS、SF-36表、ODI、BAI和BDI的存在。分析NSLBP严重程度与睡眠障碍、焦虑、抑郁及生活质量的相关性。结果NSLBP患者的睡眠障碍、焦虑、抑郁发生率及ODI评分均高于正常对照组（P < 0.01）。伴睡眠障碍的NSLBP患者焦虑、抑郁、VAS评分增高、日常生活质量差（P < 0.05）。伴焦虑的NSLBP患者睡眠质量下降，日常生活能力下降，工作和社交能力下降，LBP严重程度增加（P < 0.05）。NSLBP合并抑郁症患者睡眠质量下降，日常生活能力下降，工作和社会技能下降（P < 0.05）。NSLBP的严重程度与睡眠障碍、焦虑和ODI评分之间存在显著相关性。结论心理社会因素在NSLBP的发病中起重要作用。NSLBP会导致睡眠障碍，从而降低睡眠质量，增加不愉快的情绪和记忆;这些都会加剧LBP的严重程度，循环往复，形成恶性循环。
Background Low back pain (LBP) is the most common problem worldwide. There are several negative consequences of LBP, such as sleep disorders, work leave, disability, depression, anxiety, and poor quality of life. In this study, we designed to evaluate the prevalence of sleep disturbance in patients with non-specific LBP(NSLBP), and cross-correlation among sleep disorder, anxiety, depression and pain intensity in patients with NSLBP. Aim In this study, we designed to evaluate the prevalence of sleep disturbance in patients with NSLBP, and cross-correlation among sleep disorder, anxiety, depression and pain intensity in patients with NSLBP. Methods A cross-sectional self-assessment questionnaire survey was carried out in an outpatient clinic. Anonymous assessments were used to characterize the presence of NSLBP, PSQI, VAS, SF-36 form, ODI, BAI and BDI. Cross-correlation among the severity of NSLBP and sleep disturbance, anxiety, depression and life quality were evaluated. Results Patients with NSLBP have a higher incidence of sleep disorder, anxiety and depression, and higher ODI scores than healthy people without LPB (P < 0.01). NSLBP patients with sleep disorders have more severe anxiety, depression, an increased VAS score and poor daily living (P < 0.05). NSLBP patients with anxiety have declined sleep quality, poor daily living, decreased work and social skills, and increased LBP severity (P < 0.05). NSLBP patients with depression have declined sleep quality, poor daily living, decreased work and social skills (P < 0.05). Significant associations were found between the severity of NSLBP and sleep disorders, anxiety and ODI scores. Conclusion Psychological and social factors play an important role in the development of NSLBP. NSLBP leads to sleep disorders, which decrease the sleep quality and increase the unpleasant emotions and memories in return; these can exacerbate the severity of LBP, with the cycle repeating to form a vicious circle.