Associates of Insomnia in People with Chronic Spinal Pain: A Systematic Review and Meta-Analysis

被引：22

作者：

Bilterys, Thomas ^{[1
,2
,3
]}

Siffain, Carolie ^{[1
]}

De Maeyer, Ina ^{[1
]}

Van Looveren, Eveline ^{[1
,2
,3
]}

Mairesse, Olivier ^{[4
,5
]}

Nijs, Jo ^{[1
,3
,6
]}

Meeus, Mira ^{[2
,3
,7
]}

Ickmans, Kelly ^{[1
,3
,6
,8
]}

Cagnie, Barbara ^{[2
]}

Goubert, Dorien ^{[2
]}

Danneels, Lieven ^{[2
]}

Moens, Maarten ^{[9
,10
]}

Malfliet, Anneleen ^{[1
,3
,6
,8
]}

机构：

[1] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Physiotherapy Human Physiol & Anat, Pain Mot Res Grp PAIN, B-1090 Brussels, Belgium

[2] Univ Ghent, Fac Med & Hlth Sci, Dept Rehabil Sci & Physiotherapy, B-9000 Ghent, Belgium

[3] Pain Mot Int Res Grp, B-1090 Brussels, Belgium

[4] Vrije Univ Brussel, Fac Psychol & Educ Sci, Expt & Appl Psychol, B-1050 Brussels, Belgium

[5] Brugmann Univ Hosp, Sleep Lab & Unit Chronobiol, B-1020 Brussels, Belgium

[6] Univ Hosp Brussels, Dept Phys Med & Physiotherapy, B-1090 Brussels, Belgium

[7] Univ Antwerp, Fac Med & Hlth Sci, Dept Rehabil Sci & Physiotherapy MOVANT, B-2610 Antwerp, Belgium

[8] Res Fdn Flanders FWO, B-1000 Brussels, Belgium

[9] Univ Hosp Brussels, Dept Neurosurg & Radiol, B-1090 Brussels, Belgium

[10] Vrije Univ Brussel, Ctr Neurosci, B-1090 Brussels, Belgium

来源：

JOURNAL OF CLINICAL MEDICINE | 2021年 / 10卷 / 14期

关键词：

back pain; neck pain; associates; socio-demographic factors; psychosocial factors; lifestyle factors; sleep-wake disorders; systematic review; LOW-BACK-PAIN; SLEEP DISTURBANCES; CLINICAL INSOMNIA; RISK-FACTORS; NECK PAIN; PREVALENCE; QUALITY; MODEL; FEAR; INDIVIDUALS;

D O I：

10.3390/jcm10143175

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Insomnia is a major problem in the chronic spinal pain (CSP) population and has a negative impact on health and well-being. While insomnia is commonly reported, underlying mechanisms explaining the relation between sleep and pain are still not fully understood. Additionally, no reviews regarding the prevention of insomnia and/or associated factors in people with CSP are currently available. To gain a better understanding of the occurrence of insomnia and associated factors in this population, we conducted a systematic review of the literature exploring associates for insomnia in people with CSP in PubMed, Web of Science and Embase. Three independent reviewers extracted the data and performed the quality assessment. A meta-analysis was conducted for every potential associate presented in at least two studies. A total of 13 studies were found eligible, which together identified 25 different potential associates of insomnia in 24,817 people with CSP. Twelve studies had a cross-sectional design. Moderate-quality evidence showed a significantly higher rate for insomnia when one of the following factors was present: high pain intensity, anxiety and depression. Low-quality evidence showed increased odds for insomnia when one of the following factors was present: female sex, performing no professional activities and physical/musculoskeletal comorbidities. Higher healthcare use was also significantly related to the presence of insomnia. One study showed a strong association between high levels of pain catastrophizing and insomnia in people with chronic neck pain. Last, reduced odds for insomnia were found in physically active people with chronic low back pain compared to inactive people with chronic low back pain. This review provides an overview of the available literature regarding potential associates of insomnia in people with CSP. Several significant associates of insomnia were identified. These findings can be helpful to gain a better understanding of the characteristics and potential origin of insomnia in people witch CSP, to identify people with CSP who are (less) likely to have insomnia and to determine directions of future research in this area.

引用

页数：22

共 84 条

[1] Sleep disturbances predict future sickness absence among individuals with lower back or neck-shoulder pain: A 5-year prospective study [J].