Cited 9 times in
Factors Associated with Increased Risk for Clinical Insomnia in Patients with Postherpetic Neuralgia: A Retrospective Cross-Sectional Study
DC Field | Value | Language |
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dc.contributor.author | 김신형 | - |
dc.contributor.author | 박지은 | - |
dc.contributor.author | 윤경봉 | - |
dc.contributor.author | 윤덕미 | - |
dc.contributor.author | 이동훈 | - |
dc.date.accessioned | 2017-10-26T07:38:52Z | - |
dc.date.available | 2017-10-26T07:38:52Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1526-2375 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152324 | - |
dc.description.abstract | OBJECTIVE: To determine the risk factors associated with clinical insomnia in postherpetic neuralgia (PHN) patients. DESIGN: A retrospective cross-sectional study. SETTING: Outpatient department for interventional pain management at a university hospital. SUBJECTS: A total of 111 patients with PHN satisfied the study inclusion criteria and were included in the analyses. METHODS: The Insomnia Severity Index (ISI) was used to determine the presence of clinical insomnia (ISI score?≥?15). Patient demographics, pain-related factors, and rash severity and location were evaluated with logistic regression analysis to identify risk factors of clinical insomnia among patients with PHN. RESULTS: In total, 50.5% of patients reported mild to severe insomnia symptoms (ISI score?≥ 8) after pain development. Moderate to severe clinical insomnia (ISI score?≥ 15) was observed in 30.6% of PHN patients. Multivariate logistic regression analyses revealed that high pain intensity was the strongest predictor of clinical insomnia (odds ratio (OR) = 12.417, 95% confidence interval (CI): 2.990-51.561, P = 0.001). However, presence of mechanical allodynia (OR?=?4.263, 95% CI: 1.040-17.481, P = 0.034) and high anxiety and depression level (OR?=?4.452, 95% CI: 1.201-16.508, P = 0.026; OR?=?6.975, 95% CI: 1.425-34.138, P = 0.017) were also significantly associated with clinical insomnia after adjusting for pain score. Clinical insomnia was not significantly related to age, gender, rash severity, or location of skin lesion. CONCLUSIONS: Insomnia should be addressed as an important part of pain management in PHN patients with these risk factors, especially in patients with severe pain. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Oxford University Press on behalf of the American Academy of Pain Medicine | - |
dc.relation.isPartOf | PAIN MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Cross-Sectional Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neuralgia, Postherpetic/diagnosis* | - |
dc.subject.MESH | Neuralgia, Postherpetic/epidemiology* | - |
dc.subject.MESH | Neuralgia, Postherpetic/therapy | - |
dc.subject.MESH | Pain Management/methods* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Sleep Initiation and Maintenance Disorders/diagnosis* | - |
dc.subject.MESH | Sleep Initiation and Maintenance Disorders/epidemiology* | - |
dc.subject.MESH | Sleep Initiation and Maintenance Disorders/therapy | - |
dc.subject.MESH | Young Adult | - |
dc.title | Factors Associated with Increased Risk for Clinical Insomnia in Patients with Postherpetic Neuralgia: A Retrospective Cross-Sectional Study | - |
dc.type | Article | - |
dc.publisher.location | England | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine | - |
dc.contributor.googleauthor | Dong Hoon Lee | - |
dc.contributor.googleauthor | Ji Eun Park | - |
dc.contributor.googleauthor | Duck Mi Yoon | - |
dc.contributor.googleauthor | Kyung Bong Yoon | - |
dc.contributor.googleauthor | Kiwook Kim | - |
dc.contributor.googleauthor | Shin Hyung Kim | - |
dc.identifier.doi | 10.1093/pm/pnw066 | - |
dc.contributor.localId | A01691 | - |
dc.contributor.localId | A02539 | - |
dc.contributor.localId | A02545 | - |
dc.contributor.localId | A04780 | - |
dc.contributor.localId | A00676 | - |
dc.relation.journalcode | J02459 | - |
dc.identifier.eissn | 1526-4637 | - |
dc.identifier.pmid | 27073226 | - |
dc.identifier.url | https://academic.oup.com/painmedicine/article-lookup/doi/10.1093/pm/pnw066 | - |
dc.subject.keyword | Allodynia | - |
dc.subject.keyword | Anxiety | - |
dc.subject.keyword | Depression | - |
dc.subject.keyword | Insomnia | - |
dc.subject.keyword | Neuropathic Pain | - |
dc.subject.keyword | Postherpetic Neuralgia | - |
dc.contributor.alternativeName | Kim, Shin Hyung | - |
dc.contributor.alternativeName | Park, Ji Eun | - |
dc.contributor.alternativeName | Yoon, Kyoung Bong | - |
dc.contributor.alternativeName | Yoon, Duck Mi | - |
dc.contributor.alternativeName | Lee, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Park, Ji Eun | - |
dc.contributor.affiliatedAuthor | Yoon, Kyoung Bong | - |
dc.contributor.affiliatedAuthor | Yoon, Duck Mi | - |
dc.contributor.affiliatedAuthor | Lee, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Kim, Shin Hyung | - |
dc.citation.volume | 17 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1917 | - |
dc.citation.endPage | 1922 | - |
dc.identifier.bibliographicCitation | PAIN MEDICINE, Vol.17(10) : 1917-1922, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 48059 | - |
dc.type.rims | ART | - |
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