Determinants of sleep quality in individuals with musculoskeletal pain and its effects on fatigue, attention, cognition, and physical performance

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-01-30 DOI:10.1016/j.msksp.2025.103273

Merve Kurt-Aydin , Aslı Coksever , Dilan Temam , Nermin Eris , Merve Keskin , Derya Ozer Kaya

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引用次数: 0

Abstract

Purpose

Sleep is a necessity to maintain many vital functions. Sleep disorders can result in negative consequences such as fatigue, drowsiness, and decreased neurocognitive performance. This study aimed to explore sleep quality determinants in individuals with musculoskeletal pain and assess its impact on fatigue, physical performance, attention, and cognition.

Methods

The study involved 65 patients aged 40–65 years. Sleep quality, pain severity, physical activity levels, anxiety and depression levels, rumination, fatigue levels, attention levels, cognitive levels and physical performance were evaluated with reliable scales.

Results

Pain intensity during activity (r:0.270, p < 0.05), anxiety (r:0.521, p < 0.05), depression (r:0.484, p < 0.005), rumination (r:0.365, p < 0.05), fatigue (r:0.380, p < 0.05), attention (r:0.253, p < 0.05), and cognition (r: 0.279, p < 0.05) were found to be the factors associated with sleep quality. Anxiety and depression were identified as determinants of sleep quality (p < 0.05). It was also seen that the group with poor sleep quality had higher fatigue scores (p < 0.05).

Conclusions

Among those experiencing musculoskeletal pain, the quality of sleep is associated not only with pain intensity but also with anxiety, depression, rumination, fatigue, and attention. Anxiety and depression were found to be the main determinants of sleep quality, overshadowing the impact of pain intensity. A decline in sleep quality resulted in elevated fatigue scores. Recognizing the intricate web of connections between mental health and sleep underscores the importance of a holistic approach in managing musculoskeletal pain conditions.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.