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Sleep as a predictive factor for the onset and resolution of multi-site pain: A 5-year prospective study
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0003-4260-7399
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
2015 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 19, no 3, p. 341-349Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Disturbed sleep and pain often co-exist and the relationship between the two conditions is complex and likely reciprocal. This 5-year prospective study examines whether disturbed sleep can predict the onset of multi-site pain, and whether non-disturbed sleep can predict the resolution of multi-site pain.

METHODS: The cohort (n = 1599) was stratified by the number of self-reported pain sites: no pain, pain from 1-2 sites and multi-site pain (≥3 pain sites). Sleep was categorized by self-reported sleep disturbance: sleep A (best sleep), sleep B and sleep C (worst sleep). In the no-pain and pain-from-1-2 sites strata, the association between sleep (A, B and C) and multi-site pain 5 years later was analysed. Further, the prognostic value of sleep for the resolution of multi-site pain at follow-up was calculated for the stratum with multi-site pain at baseline. In the analyses, gender, age, body mass index, smoking, physical activity and work-related exposures were treated as potential confounders.

RESULTS: For individuals with no pain at baseline, a significantly higher odds ratio for multi-site pain 5 years later was seen for the tertile reporting worst sleep [odds ratio (OR) 4.55; 95% confidence interval (CI) 1.28-16.12]. Non-disturbed (or less disturbed) sleep had a significant effect when predicting the resolution of multi-site pain (to no pain) (OR 3.96; 95% CI 1.69-9.31).

CONCLUSION: In conclusion, sleep could be relevant for predicting both the onset and the resolution of multi-site pain. It seems to be a significant factor to include in research on multi-site pain and when conducting or evaluating intervention programmes for pain. © 2014 The Authors. European Journal of Painpublished by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC.

Place, publisher, year, edition, pages
Oxford: John Wiley & Sons, 2015. Vol. 19, no 3, p. 341-349
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hh:diva-44195DOI: 10.1002/ejp.552ISI: 000350465800007PubMedID: 25055982Scopus ID: 2-s2.0-84923643222OAI: oai:DiVA.org:hh-44195DiVA, id: diva2:1546499
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareSwedish Research CouncilRegion StockholmAvailable from: 2021-04-22 Created: 2021-04-22 Last updated: 2021-06-04Bibliographically approved

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