Article

This study investigates the prevalence of insomnia and its relationship
to other symptoms and health aspects in patients with chronic pain. METHODS: Patients with chronic pain conditions (n = 845) referred to a multidisciplinary
pain centre completed surveys provided by the Swedish quality registry for pain
rehabilitation (SQRP). The SQRP collects data on socio-demographics, health
status, symptoms of pain, mood and insomnia and life satisfaction. RESULTS: The
majority of patients (65.3%) had clinical insomnia according to the insomnia
severity index (ISI). Insomnia correlated significantly but weakly with pain,
depression, anxiety and coping; the strongest multivariate correlations were
found with depression and anxiety followed by pain interference and pain
severity. Pain intensity, depression and anxiety correlated stronger than ISI
with respect to the two investigated aspects of health. CONCLUSIONS: The
prevalence of insomnia is high in patients with chronic pain conditions, but the
level of importance in relation to other symptoms for health aspects is low, and
the associations with other important symptoms are relatively weak. One way to
increase the effects of multimodal rehabilitation programs may be to provide
interventions directed specifically at insomnia rather than focusing only on
interventions that address pain, depression and anxiety.
The prevalence of insomnia is high in patients with complex
chronic pain conditions. Relatively low correlations existed between insomnia and
pain intensity, depression, anxiety and other psychological aspects. Pain
intensity, anxiety and depression were more important for perceived health
aspects than insomnia. One way to increase the effects of multimodal
rehabilitation programs may be to also include interventions directed directly to insomnia.
- Suède

Langue : ANGLAIS