Sleep disturbances predict future sickness absence among individuals with lower back or neck-shoulder pain: A 5-year prospective study
2015 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 3, 315-323 p.Article in journal (Refereed) Published
Background: 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). Methods: The cohort (n = 2286) in this 5-year prospective study (using data from the MUSIC-Norrtalje study) was stratified by self-reported pain into three groups: no LBP or NSP, solely LBP or NSP, and oncurrent 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. Results: 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 (> 90days) 5 years later, compared to the group with the best sleep. Conclusions: Sleep disturbances predict sickness absence among individuals regardless of co-existing features of LBP and/or NSP. The clinical evaluation of patients should take possible sleep disturbances into account in the planning of treatments.
Place, publisher, year, edition, pages
2015. Vol. 43, no 3, 315-323 p.
musculoskeletal pain, occupational health, pain, predictors, public health, risk factors, sleep, sleep quality, spinal pain, work ability
Public Health, Global Health, Social Medicine and Epidemiology Environmental Health and Occupational Health
IdentifiersURN: urn:nbn:se:uu:diva-252990DOI: 10.1177/1403494814567755ISI: 000352980000013PubMedID: 25724467OAI: oai:DiVA.org:uu-252990DiVA: diva2:812445