Sleep disturbances predict future sickness absence among individuals with lower back or neck-shoulder pain: a 5-year prospective study

Scandinavian Journal of Public Health
Katarina AiliMagnus Svartengren

Abstract

Musculoskeletal pain is one of the most common causes of sickness absence. Sleep disturbances are often co-occurring with pain, but the relationship between sleep and pain is complex. Little is known about the importance of self-reported sleep, when predicting sickness absence among persons with musculoskeletal pain. This study aims to study the association between self-reported sleep quality and sickness absence 5 years later, among individuals stratified by presence of lower back pain (LBP) and neck and shoulder pain (NSP). The cohort (n = 2286) in this 5-year prospective study (using data from the MUSIC-Norrtälje study) was stratified by self-reported pain into three groups: no LBP or NSP, solely LBP or NSP, and concurrent LBP and NSP. Odds ratios (ORs) for the effect of self-reported sleep disturbances at baseline on sickness absence (> 14 consecutive days), 5 years later, were calculated. Within all three pain strata, individuals reporting the most sleep problems showed a significantly higher OR for all-cause sickness absence, 5 years later. The group with the most pronounced sleep problems within the concurrent LBP and NSP stratum had a significantly higher OR (OR 2.00; CI 1.09-3.67) also for long-term sickness absence (>...Continue Reading

References

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Citations

May 25, 2018·Psychology, Health & Medicine·Achim ElferingAnne F Mannion
Dec 9, 2020·Spine·Igor Macedo Tavares CorreiaNey Meziat-Filho
Jul 25, 2021·Journal of Clinical Medicine·Thomas BilterysAnneleen Malfliet

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