Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial
Frequency of comorbid insomnia, pain, and depression in older adults with osteoarthritis: Predictors of enrollment in a randomized treatment trial
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DOI：
10.1016/j.jpsychores.2011.05.012
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发表时间：
2011-11-01
影响因子：
4.7
通讯作者：
Rybarczyk, Bruce D.
中科院分区：
文献类型：
--
作者：
McCurry, Susan M.;Von Korff, Michael;Rybarczyk, Bruce D.
目的：本文探讨的患病率和严重程度的共病疼痛，失眠和抑郁症的老年人骨关节炎（OA）的人口样本，并评估特点区分参与者从非参与者在一项随机临床试验，以改善疼痛和sleep.Methods：潜在的主题是组健康合作社成员，年龄60岁以上，谁有一个电子病历OA诊断在过去3年。参与者是通过低成本的邮寄调查招募的。55%的调查完成并返回（n = 3321）。在慢性疼痛分级量表上患有II-IV级关节炎疼痛并在过去一个月内报告睡眠困难3+晚/周伴日间功能障碍的患者（n = 834）被邀请参加三种组式行为自我管理干预措施之一。共有367名参与者参加了第一组class.Results：三分之一（36.4%）的调查受访者有临床OA疼痛和失眠水平升高。小组参与者和非参与者在疼痛严重程度、睡眠障碍、抑郁或接受处方药治疗疼痛或睡眠方面没有差异。参与者年龄明显较大（p
Objective: This paper examines the prevalence and severity of comorbid pain, insomnia, and depression in a population sample of older adults with osteoarthritis (OA), and assesses characteristics distinguishing participants from non-participants in a randomized clinical trial to improve pain and sleep.Methods: Potential subjects were Group Health Cooperative members, aged 60+, who had an electronic medical record OA diagnosis in the prior 3 years. Participants were recruited using a low-cost mailed survey. Fifty-five percent of surveys were completed and returned (n = 3321). Persons with Grade II-IV arthritis pain on the Graded Chronic Pain Scale and reporting sleep difficulties 3+ nights/week during the past month with daytime dysfunction (n = 834) were invited to participate in one of three group-format behavioral self-management interventions. A total of 367 participants attended the first group class.Results: One-third (36.4%) of survey respondents had clinically elevated levels of OA pain and insomnia. Group participants and non-participants did not differ in ratings of pain severity, sleep disturbance, depression, or receipt of prescription medications for pain or sleep. Participants were significantly older (p