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Do patients with chronic spinal pain and comorbid insomnia have more features of central sensitization? A case-control study

(2023) HEALTHCARE. 11(24).
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Abstract
Background: Chronic spinal pain (CSP) is a major public health problem worldwide, frequently related to sleep problems. Central sensitization (CS) may worsen the clinical picture of CSP patients with insomnia. The aim of this study was to compare self-reported and objectively measured clinical outcomes between insomniac CSP patients with comorbid insomnia with and without symptoms of CS. Methods: A case-control study on baseline self-reported sleep, functioning, and psychological distress through online questionnaires. Objective sleep and physical activity parameters and pressure pain thresholds (PPTs) were assessed through polysomnography, actigraphy, and digital algometry, respectively. Independent sample t-test and Mann-Whitney U tests were used to examine possible differences in the outcome measures between the groups. Results: Data from 123 participants were included and revealed no statistically significant group for objective sleep and physical activity parameters. The CS group, however, presented with worse self-reported sleep (quality sleep, insomnia severity, and dysfunctional beliefs about sleep), increased mental and physical fatigue, and higher psychological distress (anxiety and depressive symptoms), and reported lower PPTs. Conclusions: symptoms of CS may influence perceived sleep and affect functional health and well-being perception but do not seem to affect objective sleep and physical activity.
Keywords
polysomnography, insomnia, chronic spinal pain, chronic pain, central sensitization

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MLA
Araujo Almeida, Lucas, et al. “Do Patients with Chronic Spinal Pain and Comorbid Insomnia Have More Features of Central Sensitization? A Case-Control Study.” HEALTHCARE, vol. 11, no. 24, 2023, doi:10.3390/healthcare11243152.
APA
Araujo Almeida, L., Bilterys, T., Van Looveren, E., Mairesse, O., Cagnie, B., Meeus, M., … De Baets, L. (2023). Do patients with chronic spinal pain and comorbid insomnia have more features of central sensitization? A case-control study. HEALTHCARE, 11(24). https://doi.org/10.3390/healthcare11243152
Chicago author-date
Araujo Almeida, Lucas, Thomas Bilterys, Eveline Van Looveren, Olivier Mairesse, Barbara Cagnie, Mira Meeus, Maarten Moens, et al. 2023. “Do Patients with Chronic Spinal Pain and Comorbid Insomnia Have More Features of Central Sensitization? A Case-Control Study.” HEALTHCARE 11 (24). https://doi.org/10.3390/healthcare11243152.
Chicago author-date (all authors)
Araujo Almeida, Lucas, Thomas Bilterys, Eveline Van Looveren, Olivier Mairesse, Barbara Cagnie, Mira Meeus, Maarten Moens, Dorien Goubert, Wouter Munneke, Lieven Danneels, Kelly Ickmans, Paula Rezende Camargo, Jo Nijs, Anneleen Malfliet, and Liesbet De Baets. 2023. “Do Patients with Chronic Spinal Pain and Comorbid Insomnia Have More Features of Central Sensitization? A Case-Control Study.” HEALTHCARE 11 (24). doi:10.3390/healthcare11243152.
Vancouver
1.
Araujo Almeida L, Bilterys T, Van Looveren E, Mairesse O, Cagnie B, Meeus M, et al. Do patients with chronic spinal pain and comorbid insomnia have more features of central sensitization? A case-control study. HEALTHCARE. 2023;11(24).
IEEE
[1]
L. Araujo Almeida et al., “Do patients with chronic spinal pain and comorbid insomnia have more features of central sensitization? A case-control study,” HEALTHCARE, vol. 11, no. 24, 2023.
@article{01HT5DW7YC5F716Q71N5TA9NG2,
  abstract     = {{Background: Chronic spinal pain (CSP) is a major public health problem worldwide, frequently related to sleep problems. Central sensitization (CS) may worsen the clinical picture of CSP patients with insomnia. The aim of this study was to compare self-reported and objectively measured clinical outcomes between insomniac CSP patients with comorbid insomnia with and without symptoms of CS. Methods: A case-control study on baseline self-reported sleep, functioning, and psychological distress through online questionnaires. Objective sleep and physical activity parameters and pressure pain thresholds (PPTs) were assessed through polysomnography, actigraphy, and digital algometry, respectively. Independent sample t-test and Mann-Whitney U tests were used to examine possible differences in the outcome measures between the groups. Results: Data from 123 participants were included and revealed no statistically significant group for objective sleep and physical activity parameters. The CS group, however, presented with worse self-reported sleep (quality sleep, insomnia severity, and dysfunctional beliefs about sleep), increased mental and physical fatigue, and higher psychological distress (anxiety and depressive symptoms), and reported lower PPTs. Conclusions: symptoms of CS may influence perceived sleep and affect functional health and well-being perception but do not seem to affect objective sleep and physical activity.}},
  articleno    = {{3152}},
  author       = {{Araujo Almeida, Lucas and Bilterys, Thomas and Van Looveren, Eveline and  Mairesse, Olivier and Cagnie, Barbara and Meeus, Mira and  Moens, Maarten and Goubert, Dorien and  Munneke, Wouter and Danneels, Lieven and  Ickmans, Kelly and  Rezende Camargo, Paula and  Nijs, Jo and Malfliet, Anneleen and  De Baets, Liesbet}},
  issn         = {{2227-9032}},
  journal      = {{HEALTHCARE}},
  keywords     = {{polysomnography,insomnia,chronic spinal pain,chronic pain,central sensitization}},
  language     = {{eng}},
  number       = {{24}},
  pages        = {{14}},
  title        = {{Do patients with chronic spinal pain and comorbid insomnia have more features of central sensitization? A case-control study}},
  url          = {{http://doi.org/10.3390/healthcare11243152}},
  volume       = {{11}},
  year         = {{2023}},
}

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