报告和怀疑有睡眠障碍者的疼痛体验。

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Behavioral Medicine Pub Date : 2022-07-01 Epub Date: 2021-03-22 DOI:10.1080/08964289.2021.1895051
Scott G Ravyts, Joseph M Dzierzewski
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引用次数: 0

摘要

本研究的目的是考察不同报告和/或疑似失眠和睡眠呼吸暂停表现的个体在疼痛方面是否存在差异。数据包括 3,161 名参与睡眠与健康在线调查的成年人。参与者报告了其一生中是否有过睡眠障碍诊断史,而是否存在疑似睡眠障碍则通过失眠严重程度指数和 STOP-Bang 来确定。平均疼痛强度使用视觉模拟量表进行评估,疼痛干扰则使用 PHQ-15 中的两个项目来确定。报告诊断为失眠和/或睡眠呼吸暂停的受试者与没有睡眠障碍的受试者相比,疼痛强度和疼痛干扰程度更大;但是,在报告的各种睡眠障碍之间,没有观察到疼痛方面的差异。在未报告失眠或睡眠呼吸暂停诊断的参与者中,有 24% 的人根据对问卷的回答怀疑自己患有失眠、睡眠呼吸暂停或两种疾病。与没有疑似睡眠障碍的人相比,有一种或多种疑似睡眠障碍的参与者报告的疼痛强度和干扰程度更高。此外,与仅有疑似睡眠呼吸暂停的患者相比,有疑似失眠症或疑似合并失眠症和睡眠呼吸暂停的患者的疼痛强度更高。睡眠障碍通常未得到诊断,并与不良疼痛体验有关。虽然结果并不支持疑似失眠和睡眠呼吸暂停对疼痛的协同作用,但研究结果表明,有必要对睡眠障碍进行筛查,这可能对疼痛治疗有重要影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pain Experiences in Individuals with Reported and Suspected Sleep Disorders.

The purpose of the present study was to examine whether individuals with varying reported and/or suspected insomnia and sleep apnea presentations differed with respect to pain.Data included 3,161 adults who participated in an online study investigating sleep and health. Participants reported a lifetime history of prior sleep disorder diagnoses while the presence of suspected sleep disorders was determined using the Insomnia Severity Index and the STOP-Bang. Average pain intensity was assessed using a visual analogue scale and pain interference was determined using two items from the PHQ-15. Participants who reported diagnoses of insomnia and/or sleep apnea reported greater pain intensity and interference compared to those with no sleep disorder; however, no differences in pain were observed between the various reported sleep disorders. Of participants who did not report either insomnia or sleep apnea diagnoses, 24% were suspected of having either insomnia, sleep apnea, or both disorders based on responses to questionnaires. Participants with one or more suspected sleep disorders reported higher pain intensity and interference than those without a suspected disorder. Additionally, having either suspected insomnia or suspected comorbid insomnia and sleep apnea was associated with greater pain intensity compared to only having suspected sleep apnea. Sleep disorders go commonly undiagnosed and are associated with adverse pain experiences. While results do not support a synergistic effect of suspected insomnia and sleep apnea on pain, findings indicate that screening for sleep disorders is warranted and may have important implications for pain treatment.

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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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