Chronic painful physical conditions, disturbed sleep and psychiatric morbidity: results from an elderly survey.
Chronic painful physical conditions, disturbed sleep and psychiatric morbidity: results from an elderly survey.
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DOI：
10.1080/10401230701468099
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发表时间：
2007-07-01
期刊：
影响因子：
--
通讯作者：
Gastal, Fabio Leite
中科院分区：
文献类型：
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作者：
Blay, Sergio Luis;Andreoli, Sergio Baxter;Gastal, Fabio Leite
背景技术背景：本研究的主要目的是探讨睡眠障碍，慢性躯体疼痛和精神疾病的发病率在60岁及以上的人之间的关联。方法：以人口为基础的随机抽样的7040户60岁及以上的居民，进行了面对面的访谈。通过评估医疗、住院和医疗问题咨询的问题来评估疼痛的医疗状况。睡眠障碍的问题进行了评估，通过睡眠问题的存在，在过去的4 wk。结果：睡眠障碍的总患病率为33.7%（95%CI：32.5-34.8）和6个月的患病率为76.2%（95%CI：74.2-78.2%）的任何慢性疼痛。睡眠障碍的负担与身体疼痛发病率的存在相关，背痛的发病率为42.5%，头痛的发病率为49.7%。睡眠障碍者的疼痛患病率从胃肠道疼痛的25.8%到关节疼痛的54.6%不等。根据社会经济/专业数据、医疗保健利用率、自评健康和体力活动评估，存在共病疼痛和睡眠障碍对残疾有重要影响。在逻辑回归模型中，控制人口统计学变量和合并症后，头痛、精神病发病率、农村出身、高加索人、自测健康状况和慢性疼痛状况的数量与睡眠障碍显著相关。年龄对睡眠问题有负面影响。结论：睡眠障碍与其他疼痛症状，特别是头痛和晚年精神疾病的发病率有很高的共病率。疼痛和睡眠障碍的结合导致重要的角色残疾和医疗服务的利用率增加。
BACKGROUND: The main purpose of this study is to investigate the association of disturbed sleep, chronic physical pain and psychiatric morbidity in people aged 60 years and over.METHODS: A population-based random sample of 7040 household residents aged 60 years and over, was examined in a face-to-face interview. Painful medical conditions were assessed through questions evaluating medical treatment, hospitalizations, and consultations for medical problems. Disturbed sleep was assessed through questions concerning the presence of sleeping problems in the past 4 weeks.RESULTS: The overall prevalence of disturbed sleep is 33.7% (95% CI: 32.5-34.8) and the 6-month prevalence of any chronic pain was 76.2% (95% CI: 74.2-78.2%). A substantial burden of disturbed sleep is associated with the presence of physical pain morbidity, 42.5% for back pain to 49.7% for headaches. The prevalence of pain among persons with disturbed sleep ranges from 25.8% for gastrointestinal pain to 54.6% for joint pain. The presence of comorbid pain and disturbed sleep has an important disability impact as assessed by socioecomomic/professional data, health care utilization, self-rated health and physical activity. In logistic regression models, headaches, psychiatric morbidity, rural origin, Caucasians, self-rated health and number of chronic pain conditions were significantly associated with disturbed sleep after controlling for demographic variables and comorbidities. Age has a negative effect on sleep complaints.CONCLUSIONS: Disturbed sleep is highly comorbid with other pain conditions particularly headaches and psychiatric morbidity in later life. The combination of pain and disturbed sleep leads to important role disability and increased utilization of medical services.