Sex-Specific Impact of Pain Severity, Insomnia, and Psychosocial Factors on Disability due to Spinal Degenerative Disease
Joint Authors
Yamada, Keiko
Koh, Keito
Enomoto, Tatsuya
Kawai, Aiko
Hamaoka, Saeko
Chiba, Satoko
Iseki, Masako
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-07
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
Pain experience due to spinal degenerative disease decreases activity of daily living and quality of life.
The present cross-sectional study was aimed at examining the sex-specific impact of pain severity, psychosocial factors, and insomnia on the disability due to chronic pain arising from spinal degenerative disease.
Methods.
In total, 111 outpatients with chronic spinal degenerative on initial diagnosis were analyzed.
The definition of chronic spinal degenerative disease was (1) pain duration ≥3 months, (2) findings of nerve root compression on neurological examination and imaging, and (3) localized neck or lower back pain (not widespread, upper or lower limb pain).
We used Numerical Rating Scale (NRS), Pain Disability Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Catastrophizing Scale (PCS), and Athens Insomnia Scale (AIS) to assess patients.
Univariate regression analysis was performed to investigate whether sex influences the PDAS score, and sex-stratified multivariate regression analysis was conducted to identify the variables associated with the PDAS score.
Results.
Sex was identified as a predictor of the PDAS score (standardized coefficient (β) = 0.28; 95% confidence interval (CI), 0.10–0.46; p=0.003).
In men, the AIS score was associated with PDAS (β = 0.36, 95% CI 0.09–0.63).
Age (β = 0.31, 95% CI 0.06–0.55) and NRS (β = 0.40, 95% CI 0.14–0.67) were associated with PDAS in women.
HADS-A, HADS-D, and PCS were not associated with PDAS in both sexes.
Conclusion.
Insomnia was associated with disability in men, whereas aging and pain severity were associated with disability in women.
Catastrophic thinking was not associated with disability in both sexes.
American Psychological Association (APA)
Koh, Keito& Yamada, Keiko& Enomoto, Tatsuya& Kawai, Aiko& Hamaoka, Saeko& Chiba, Satoko…[et al.]. 2020. Sex-Specific Impact of Pain Severity, Insomnia, and Psychosocial Factors on Disability due to Spinal Degenerative Disease. Pain Research and Management،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1207029
Modern Language Association (MLA)
Koh, Keito…[et al.]. Sex-Specific Impact of Pain Severity, Insomnia, and Psychosocial Factors on Disability due to Spinal Degenerative Disease. Pain Research and Management No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1207029
American Medical Association (AMA)
Koh, Keito& Yamada, Keiko& Enomoto, Tatsuya& Kawai, Aiko& Hamaoka, Saeko& Chiba, Satoko…[et al.]. Sex-Specific Impact of Pain Severity, Insomnia, and Psychosocial Factors on Disability due to Spinal Degenerative Disease. Pain Research and Management. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1207029
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1207029