Impairment in sleep health in young adults with chronic pain: a modifiable risk factor

Sleep Science and Practice

Research

Kawalpreet Singh¹  Stephen Brown²  Fiona Campbell²  Jennifer Stinson³  Shikha Bansal⁴  Sarah Sheffe⁵  Rachael Bosma⁵  Mandeep Singh⁶  Yen Shuang Law⁶  Anuj Bhatia⁶  Tania Di Renna⁶  Mohamed Eissa⁷  Mary McLoone⁸ 

[1] Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, M5T 2S8, Toronto, ON, Canada;Department of Anesthesiology and Pain Medicine, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada;Department of Anesthesiology and Pain Medicine, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada;Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada;Department of Anesthesiology, Thunder Bay Regional Health Sciences Centre, Northern Ontario School of Medicine, Thunder Bay, ON, Canada;Toronto Academic Pain Medicine Institute, Women’s College Hospital, Toronto, ON, Canada;Toronto Academic Pain Medicine Institute, Women’s College Hospital, Toronto, ON, Canada;Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, M5T 2S8, Toronto, ON, Canada;Toronto Academic Pain Medicine Institute, Women’s College Hospital, Toronto, ON, Canada;Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, M5T 2S8, Toronto, ON, Canada;Department of Anesthesia and Pain Management, Ain Shams University, Cairo, Egypt;Toronto Academic Pain Medicine Institute, Women’s College Hospital, Toronto, ON, Canada;Department of Anesthesiology, St. Michaels Hospital, Unity Health, Toronto, ON, Canada;

关键词: Sleep health;    Young adults;    Chronic pain;   

DOI  :  10.1186/s41606-023-00086-0

 received in 2022-10-09, accepted in 2023-04-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundImpairments in sleep health are associated with the development or worsening of chronic pain. Further, chronic pain can cause sleep health disruption by impacting sleep onset, sleep maintenance, sleep quality, and causing daytime somnolence. However, the association between chronic pain and sleep disturbances in the young adult population is unclear.AimWe describe our initial experience in establishing and running a clinic for managing sleep health and chronic pain in young adults. We also describe the prevalence and the pattern of sleep disruption as well as its relationship with self-efficacy in pain management, depression, and quality of life in this cohort.MethodsAfter approval from the Institutional Review Ethics board, chart review and data extraction were conducted for patients who presented at the Young Adult Clinic (YAC) at Women’s College Hospital from March 1, 2018 to April 30, 2019.ResultsMedical charts of 55 patients were reviewed with the majority being females (71%). Chronic widespread pain was the most common pain syndrome diagnosed in our patients. Insomnia was the most common sleep-health related diagnosis in our patients. Patients with disorders of sleep were more likely to report lower self-efficacy for managing pain as compared to those with no sleep disorders (p = 0.023) but there was no significant difference between these two groups as regards risk for pain-related catastrophizing.ConclusionImpairments in sleep health may be an important modifiable risk factor for alleviating pain in young adults with chronic pain. Sleep disorders should be evaluated and addressed in this population.

【 授权许可】

CC BY   
© The Author(s) 2023

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