Sleepiness comorbid to musculoskeletal pain is associated with worse quality of life and mood symptoms in a general population sample
Objectives: Musculoskeletal (MSK) pain and hypersomnolence (HPS) are very disabling conditions that may share some pathophysiological factors. This study aimed to evaluate the interaction between MSK pain and HPS and its association with mood symptoms, fatigue, quality of lif...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2019-06-01
|
| Series: | Sleep Science |
| Subjects: | |
| Online Access: | http://sleepscience.org.br/export-pdf/607/ssci-12-02-0079.pdf |
| _version_ | 1827361329664491520 |
|---|---|
| author | Camila Hirotsu Cristina Frange Patricia H Hirata Renata C Cremaschi Fernando M Coelho Monica L Andersen Sergio Tufik |
| author_facet | Camila Hirotsu Cristina Frange Patricia H Hirata Renata C Cremaschi Fernando M Coelho Monica L Andersen Sergio Tufik |
| author_sort | Camila Hirotsu |
| collection | DOAJ |
| description | Objectives: Musculoskeletal (MSK) pain and hypersomnolence (HPS) are very disabling conditions
that may share some pathophysiological factors. This study aimed to evaluate the interaction
between MSK pain and HPS and its association with mood symptoms, fatigue, quality of life,
and both objective and subjective sleep quality. Design: Cross-sectional study. Setting: General
population based sample. Participants: 510 individuals from EPISONO cohort, São Paulo (Brazil).
Measurements: All participants completed questionnaires, had clinical assessment and underwent
a full-night polysomnography. HPS was defined according to Epworth Sleepiness Scale while the
presence of MSK pain was defined by structured questionnaire. The sample was allocated into 4
groups: control (CTRL, n=281), HPS (n=141), MSK (n=50), and both conditions (HPS+MSK,
n=38). Results: MSK pain and HPS by themselves were associated with worse mood symptoms
and quality of life. However, individuals with both associated conditions (HPS+MSK) presented
higher frequencies of moderate to severe depression (44.1%) and anxiety symptoms (45.7%), as well
as an additional decrease in quality of life compared to the other groups. There were no differences
between HPS+MSK and MSK groups in objective sleep pattern. With regard to subjective sleep,
HPS+MSK presented a higher prevalence of sleep attacks and cataplexy compared to all other
groups. Conclusions: The combination of MSK pain and HPS was associated with worse mood
symptoms, quality of life and HPS-related features. This study suggests that sleepiness may be an
important symptom to be investigated and treated in MSK pain-related conditions for a better
quality of life. |
| first_indexed | 2024-03-08T07:02:33Z |
| format | Article |
| id | doaj.art-2f18be990a6b4cf9bc2ecad60e5fbdfc |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T07:02:33Z |
| publishDate | 2019-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-2f18be990a6b4cf9bc2ecad60e5fbdfc2024-02-03T05:17:49ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-00632019-06-01122798710.5935/1984-0063.20190071Sleepiness comorbid to musculoskeletal pain is associated with worse quality of life and mood symptoms in a general population sampleCamila Hirotsu0Cristina Frange1Patricia H Hirata2Renata C Cremaschi3Fernando M Coelho4Monica L Andersen5Sergio Tufik6Centre Hospitalier Universitaire Vaudois, Centre Hospitalier Universitaire Vaudois - Lausanne - Lausanne - Switzerland.Universidade Federal de São Paulo, Department of Neurology and Neurosurgery - São Paulo - São Paulo - Brazil.Universidade Federal de São Paulo, Department of Psychobiology - São Paulo - São Paulo - Brazil.Universidade Federal de São Paulo, Department of Psychobiology - São Paulo - São Paulo - Brazil.Universidade Federal de São Paulo, Department of Neurology and Neurosurgery - São Paulo - São Paulo - Brazil.Universidade Federal de São Paulo, Department of Psychobiology - São Paulo - São Paulo - Brazil.Universidade Federal de São Paulo, Department of Psychobiology - São Paulo - São Paulo - Brazil.Objectives: Musculoskeletal (MSK) pain and hypersomnolence (HPS) are very disabling conditions that may share some pathophysiological factors. This study aimed to evaluate the interaction between MSK pain and HPS and its association with mood symptoms, fatigue, quality of life, and both objective and subjective sleep quality. Design: Cross-sectional study. Setting: General population based sample. Participants: 510 individuals from EPISONO cohort, São Paulo (Brazil). Measurements: All participants completed questionnaires, had clinical assessment and underwent a full-night polysomnography. HPS was defined according to Epworth Sleepiness Scale while the presence of MSK pain was defined by structured questionnaire. The sample was allocated into 4 groups: control (CTRL, n=281), HPS (n=141), MSK (n=50), and both conditions (HPS+MSK, n=38). Results: MSK pain and HPS by themselves were associated with worse mood symptoms and quality of life. However, individuals with both associated conditions (HPS+MSK) presented higher frequencies of moderate to severe depression (44.1%) and anxiety symptoms (45.7%), as well as an additional decrease in quality of life compared to the other groups. There were no differences between HPS+MSK and MSK groups in objective sleep pattern. With regard to subjective sleep, HPS+MSK presented a higher prevalence of sleep attacks and cataplexy compared to all other groups. Conclusions: The combination of MSK pain and HPS was associated with worse mood symptoms, quality of life and HPS-related features. This study suggests that sleepiness may be an important symptom to be investigated and treated in MSK pain-related conditions for a better quality of life.http://sleepscience.org.br/export-pdf/607/ssci-12-02-0079.pdfsleepmusculoskeletal paindisorders of excessive somnolencemood disordersquality of life |
| spellingShingle | Camila Hirotsu Cristina Frange Patricia H Hirata Renata C Cremaschi Fernando M Coelho Monica L Andersen Sergio Tufik Sleepiness comorbid to musculoskeletal pain is associated with worse quality of life and mood symptoms in a general population sample Sleep Science sleep musculoskeletal pain disorders of excessive somnolence mood disorders quality of life |
| title | Sleepiness comorbid to musculoskeletal pain is
associated with worse quality of life and mood
symptoms in a general population sample |
| title_full | Sleepiness comorbid to musculoskeletal pain is
associated with worse quality of life and mood
symptoms in a general population sample |
| title_fullStr | Sleepiness comorbid to musculoskeletal pain is
associated with worse quality of life and mood
symptoms in a general population sample |
| title_full_unstemmed | Sleepiness comorbid to musculoskeletal pain is
associated with worse quality of life and mood
symptoms in a general population sample |
| title_short | Sleepiness comorbid to musculoskeletal pain is
associated with worse quality of life and mood
symptoms in a general population sample |
| title_sort | sleepiness comorbid to musculoskeletal pain is associated with worse quality of life and mood symptoms in a general population sample |
| topic | sleep musculoskeletal pain disorders of excessive somnolence mood disorders quality of life |
| url | http://sleepscience.org.br/export-pdf/607/ssci-12-02-0079.pdf |
| work_keys_str_mv | AT camilahirotsu sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample AT cristinafrange sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample AT patriciahhirata sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample AT renataccremaschi sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample AT fernandomcoelho sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample AT monicalandersen sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample AT sergiotufik sleepinesscomorbidtomusculoskeletalpainisassociatedwithworsequalityoflifeandmoodsymptomsinageneralpopulationsample |