Association between Sleep Quality and Musculoskeletal Pain in Patients with Osteoarthritis
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Abstract
Background: Osteoarthritis (OA) is a prevalent degenerative joint disease that significantly impacts quality of life, primarily through pain and disability. Existing research indicates a strong correlation between sleep quality and pain management in OA patients, suggesting that sleep may play a crucial role in modulating perceived pain and overall well-being.
Objective: The objective of this study was to investigate the association between sleep quality and musculoskeletal pain in patients diagnosed with osteoarthritis, aiming to identify potential therapeutic targets for improving patient outcomes.
Methods: This cross-sectional study was conducted at the University of Lahore teaching hospital, Jinnah Hospital. After obtaining approval from the hospital's ethics committee and informed consent from participants, data was collected using the Numeric Pain Rating Scale (NPRS) and Pittsburgh Sleep Quality Index (PSQI) from 170 diagnosed osteoarthritis patients of varying ages (18-40 years). The data were statistically analyzed using SPSS version 25, employing descriptive statistics for demographic data, and chi-square tests to explore the association between sleep quality and pain levels.
Results: The mean age of the study participants was 28.74 (SD = 7.001). Among the participants, 15.3% reported no pain, 10.6% mild pain, 41.2% moderate pain, and 32.9% severe pain. Regarding sleep quality, 35.3% of patients reported good sleep, whereas 64.7% experienced poor sleep. The chi-square analysis indicated a significant association between pain levels and sleep quality (p < 0.05).
Conclusion: The study demonstrated a significant relationship between sleep quality and the severity of musculoskeletal pain among osteoarthritis patients. These findings suggest that interventions aimed at improving sleep may enhance pain management and thus the overall health status of OA patients.
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References
Kiyak HB, Unalan H, Yildiz FG. Sleep Quality and Factors Affecting Patients With Knee Osteoarthritis. Int J Caring Sci. 2019;12(3):1221-1227.
Lee HY, Dai Z, Jackson NR, Felson DT, Nevitt MC. Sleep Quality Is Related to Worsening Knee Pain in Those With Widespread Pain: The Multicenter Osteoarthritis Study. Arthritis Rheumatol. 2020;47(7):1019-1025.
Liu Y, Dembowski JA, Dodge KL, Zhang W, Jones LS, Jackson NR, et al. Sleep Quality and Its Relationship With Pain and Function in Adults With Knee Osteoarthritis: Data From the Osteoarthritis Initiative. Arthritis Care Res. 2017;69(11):1822-1830.
Zhang W, Jones LS, Jones G, Felson DT, Kuo TP, Nevitt MC. Sleep and Pain in Adults: Findings From the Osteoarthritis Initiative. Arthritis Care Res. 2018;70(12):1812-1820.
Jones AK, Huneke NT, Lloyd DM, Brown CA, Watson A. Sleep Disturbance and Altered Pain Perception: Implications for Patients With Chronic Pain. Nat Sci Sleep. 2018 May 30;10:253-261.
Simione L, Raffone A, Mirolli M. Stress as the Missing Link Between Mindfulness, Sleep Quality, and Well-Being: A Cross-Sectional Study. Mindfulness. 2020.
Gothe NP, Ehlers DK, Salerno EA, Fanning J, Kramer AF, McAuley E. Physical Activity, Sleep, and Quality of Life in Older Adults: Influence of Physical, Mental and Social Well-Being. Behav Sleep Med. 2020 Nov 1;18(6):797-808.
Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global Estimates of the Need for Rehabilitation Based on the Global Burden of Disease Study 2019: A Systematic Analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:2006–2017.
Koffel E, Kroenke K, Bair MJ, Leverty D, Polusny M, Krebs E. The Bidirectional Relationship Between Sleep Complaints and Pain: Analysis of Data From a Randomized Trial. Health Psychol. 2016;35:41–49.
Smith MT, Haythornthwaite JA. How Do Sleep Disturbance and Chronic Pain Inter-Relate? Insights From the Longitudinal and Cognitive-Behavioral Clinical Trials Literature. Sleep Med Rev. 2004;8:119–132.
Afolalu EF, Ramlee F, Tang NK. Effects of Sleep Changes on Pain-Related Health Outcomes in the General Population: A Systematic Review of Longitudinal Studies With Exploratory Meta-Analysis. Sleep Med Rev. 2017;39:82–97.
Finan PH, Goodin BR, Smith MT. The Association of Sleep and Pain: An Update and a Path Forward. J Pain. 2013;14:1539–1552.
Van Looveren E, Bilterys T, Munneke W, Cagnie B, Ickmans K, Mairesse O, et al. The Association Between Sleep and Chronic Spinal Pain: A Systematic Review From the Last Decade. J Clin Med. 2021;10:3836.
Roehrs TA, Harris EJ, Randall S, Roth T, Bonahoom A. Pain Sensitivity and Recovery From Mild Chronic Sleep Loss. Sleep. 2012 Dec;35(12):1667–72.
Parmelee PA, Tighe CA, Dautovich ND, et al. Sleep Disturbance in Osteoarthritis: Linkages With Pain, Disability, and Depressive Symptoms. Arthritis Care Res. 2015 Mar;67(3):358–65. DOI: 10.1002/acr.22468.
Haber T, Dobson F, Hinman RS, Allison K, Bennell K, Spiers L, Knox G, Hall M. Relationships Between Sleep Quality And Hip Pain Severity In People With Hip Osteoarthritis. Osteoarthritis and Cartilage. 2023 Mar 1;31:S381.
De Baets L, Runge N, Labie C, Mairesse O, Malfliet A, Verschueren S, Van Assche D, de Vlam K, Luyten FP, Coppieters I, Babiloni AH. The interplay between symptoms of insomnia and pain in people with osteoarthritis: a narrative review of the current evidence. Sleep Medicine Reviews. 2023 May 19:101793.
Deniz O, Cavusoglu C, Satis H, Salman RB, Varan O, Atas N, Coteli S, Dogrul RT, Babaoglu H, Oncul A, Varan HD. Sleep quality and its associations with disease activity and quality of life in older patients with rheumatoid arthritis. European Geriatric Medicine. 2023 Apr;14(2):317-24.
Song J, Muhammad LN, Neogi T, Dunlop DD, Wohlfahrt A, Bolster MB, Bingham III CO, Clauw DJ, Marder W, Lee YC. Pain sensitization as a potential mediator of the relationship between sleep disturbance and subsequent pain in rheumatoid arthritis. Arthritis Care & Research. 2023 Apr;75(4):778-84.
Juárez-Rojop IE, Fresán A, Genis-Mendoza AD, Cerino-Palomino C, Nolasco-Rosales GA, González-Castro TB, López-Narváez ML, Olan F, Villar-Soto M, Tovilla-Zárate CA, Nicolini H. Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study. Medicina. 2023 Sep 8;59(9):1633.