The Relationship Between Pain Level and Sleep Quality, Quality of Life and Psychological Status in Patients with Chronic Neck Pain

Abstract

Objectives: Chronic neck pain is one of the most common musculoskeletal diseases. This pain may negatively affect the quality of sleep, quality of life, and psychological status of individuals. This study aimed to investigate the relationship between pain level and quality of life, quality of sleep, and psychological status in patients with chronic neck pain. Materials And Methods: Seventy-three female n=56 and male n=17 patients mean age 47.04±13.54 years with chronic neck pain were included in the study. Pain severity was evaluated by McGill Melzack Pain Questionnaire MMPQ , quality of sleep was evaluated by Pittsburgh Sleep Quality Index PSQI , quality of life was evaluated by Short Form-36 SF-36 , depression level was evaluated by Beck Depression Inventory BDI , and anxiety level was evaluated by Beck Anxiety Inventory BAI . Results: The pain level score of the patients was found 32.12±16.86; sleep quality score was severe 7.24±3.11 ; SF-36 physical function component score was low 71.23±20.52 ; SF-36 pain component score was low 57.32±17.30 ; depression and anxiety level scores were mild 10.50±7.73, 15.00±10.14, respectively . There was a negative correlation between the level of pain of patients and sleep quality and a positive correlation between the level of pain of patients and SF-36 pain component score and anxiety level. Conclusion: . It is thought that sleep quality, quality of life, and anxiety management should be taken into consideration during the rehabilitation of patients with chronic neck pain.

Keywords

• pain, quality of life, quality of sleep, anxiety

References

1. 1. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006;15:834–848. [CrossRef]
2. 2. Hogg-Johnson S, van der Velde G, Carroll LJ, et al. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33:S39–S51. [CrossRef]
3. 3. Hoy D, March L, Woolf A, et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014;73:1309–1315. [CrossRef]
4. 4. Soysal M, Kara B, Arda MN. Assessment of physical activity in patients with chronic low back or neck pain. Turk Neurosurg 2013;23:75–80. [CrossRef]
5. 5. Elbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, HajjajHassouni N. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. Pan Afric Med J 2016;24:89. [CrossRef]
6. 6. Harutoğlu H, Öztürk B, Zenginler Y. Isı, Işık ve Hidroterapi. Ankara: Hipokrat Kitabevi; 2016.
7. 7. Carroll LJ, Hogg-Johnson S, van der Velde G, et al. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33:S75–S82. [CrossRef]
8. 8. Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci 2016;28:665–670. [CrossRef]

9. 9. Buysse DJ, Hall ML, Strollo PJ, et al. Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. J Clin Sleep Med 2008;4:563–571. [CrossRef]
10. 10. Artner J, Cakir B, Spiekermann J-A, et al. prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients. J Pain Res 2013;6:1–6. [CrossRef]
11. 11. Kuğuluoğlu S, Aslan FE. McGill Melzack Ağrı soru Formu’nun Türkçe’ye uyarlanması. Ağrı 2003;15:47–51.
12. 12. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193–213. [CrossRef]
13. 13. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatr Derg 1996;7:107–115.
14. 14. Kocyigit H. Reliability and validity of the Turkish version of short form36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther 1999;12:102–106.
15. 15. Ware Jr JE. SF-36 health survey update. Spine 2000;25:3130–3139. [CrossRef]
16. 16. Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliliği, güvenilirliği (A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989;7:3–13. https://toad.halileksi.net/sites/default/files/pdf/beckdepresyon-envanteri-toad.pdf
17. 17. Ulusoy M, Sahin NH, Erkmen H. Turkish Version of the Beck anxiety inventory: Psychometric properties. J Cogn Psychother 1998;12:163– 172.
18. 18. Yazıcı K, Tot Ş, Biçer A, Yazıcı A, Buturak V. Bel ve Boyun Ağrısı Hastalarında Anksiyete, Depresyon ve Yaşam Kalitesi. Klin Psikiyatr Derg 6:95–101. https://www.journalagent.com/kpd/pdfs/ KPD_6_2_95_101.pdf
19. 19. Turk DC, Robinson JP, Sherman JJ, Burwinkle T, Swanson K. Assessing fear in patients with cervical pain: development and validation of the Pictorial Fear of Activity Scale-Cervical (PFActS-C). Pain 2008;139:55– 62. [CrossRef]
20. 20. Lüning Bergsten C, Lundberg M, Lindberg P, Elfving B. Change in kinesiophobia and its relation to activity limitation after multidisciplinary rehabilitation in patients with chronic back pain. Disabil Rehabil 2012;34:852–858. [CrossRef]
21. 21. Monticone M, Ambrosini E, Rocca B, Magni S, Brivio F, Ferrante S. A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: results of a randomised controlled pilot study. Eur Spine J 2014;23:2105–2113. [CrossRef]
22. 22. Muñoz-Muñoz S, Muñoz-García MT, Alburquerque-Sendín F, ArroyoMorales M, Fernández-de-las-Peñas C. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. J Manip Physiol Ther 2012;35:608–613. [CrossRef]
23. 23. Auvinen JP, Tammelin TH, Taimela SP, et al. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. Eur Spine J 2010;19:641–649. [CrossRef]
24. 24. Valenza MC, Valenza G, González-Jiménez E, De-la-Llave-Rincón AI, Arroyo-Morales M, Fernández-de-las-Peñas C. Alteration in sleep quality in patients with mechanical insidious neck pain and whiplashassociated neck pain. Am J Phys Med Rehabil 2012;91:584–591. [CrossRef]
25. 25. Rezai M, Côté P, Cassidy JD, Carroll L. The association between prevalent neck pain and health-related quality of life: a crosssectional analysis. Eur Spine J 2009;18:371–381. [CrossRef]
26. 26. Nolet PS, Côté P, Kristman VL, Rezai M, Carroll LJ, Cassidy JD. Is neck pain associated with worse health-related quality of life 6 months later? A population-based cohort study. Spine J 2015;15:675–684. [CrossRef]
27. 27. Joslin LE, Davis CR, Dolan P, Clark EM. Quality of life and neck pain in nurses. Int J Occup Med Environ Health 2014;27:236–242. [CrossRef] https://doi.org/10.2478/s13382-014-0267-7
28. 28. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Do psychological states associate with pain and disability in chronic neck pain patients? J Back Musculoskelet Rehabil 2015;28:797–802. [CrossRef]
29. 29. Demyttenaere K, Bruffaerts R, Lee S, et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain 2007;129:332–342. [CrossRef]
30. 30. Yalcinkaya H, Ucok K, Ulasli AM, et al. Do male and female patients with chronic neck pain really have different health‐related physical fitness, depression, anxiety and quality of life parameters? Int J Rheum Dis 2017;20:1079–1087. [CrossRef]