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Factors Associated with Increased Risk for Clinical Insomnia in Patients with Chronic Neck Pain

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dc.contributor.author김신형-
dc.contributor.author안종린-
dc.contributor.author윤경봉-
dc.contributor.author윤덕미-
dc.contributor.author이동훈-
dc.date.accessioned2018-03-26T16:54:49Z-
dc.date.available2018-03-26T16:54:49Z-
dc.date.issued2015-
dc.identifier.issn1533-3159-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/156955-
dc.description.abstractBACKGROUND: Insomnia is highly prevalent among people with chronic pain conditions. Because insomnia has been shown to worsen pain, mood, and physical functioning, it could negatively impact the clinical outcomes of patients with chronic pain. OBJECTIVE: To determine the risk factors associated with clinical insomnia in chronic neck pain (CNP) patients. STUDY DESIGN: Retrospective analysis. SETTING: Outpatient department for interventional pain management at a university hospital. METHODS: Data from 218 CNP patients were analyzed in this study. The Insomnia Severity Index (ISI) was used to determine the presence of clinical insomnia (ISI score ≥ 15). Patient demographics and pain-related factors were evaluated with logistic regression analysis to identify risk factors of clinical insomnia in CNP. RESULTS: In total, 53.7% of patients reported mild to severe insomnia after neck pain development; 22.9% of patients met the criteria for clinically significant insomnia (ISI score ≥ 15). In multivariate analysis, high pain intensity, the presence of comorbid musculoskeletal pain, and a high level of depression were strongly associated with clinical insomnia in patients with CNP. Among these factors, a greater level of depression was the strongest predictor of clinical insomnia, with the highest odds ratio of 3.689 (95% CI 1.570-8.667). LIMITATIONS: This study was conducted in a single clinical setting including a selected study population with a homogeneous racial background. The ISI does not include several sleep-related variables, the roles of which are unknown in determining insomnia severity. CONCLUSIONS: Insomnia should be addressed as an indispensable part of pain management in CNP patients with these risk factors, especially depression. CLINICAL TRIAL: This study is a retrospective analysis. IRB No: 4-2014-0801.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherAmerican Society of Interventional Pain Physicians-
dc.relation.isPartOfPAIN PHYSICIAN-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAnxiety/etiology-
dc.subject.MESHAnxiety/psychology-
dc.subject.MESHChronic Pain-
dc.subject.MESHDepression/etiology-
dc.subject.MESHDepression/psychology-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMusculoskeletal Pain/complications-
dc.subject.MESHNeck Pain/complications*-
dc.subject.MESHNeck Pain/epidemiology-
dc.subject.MESHNeck Pain/psychology-
dc.subject.MESHPain Management-
dc.subject.MESHPrevalence-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSleep Initiation and Maintenance Disorders/epidemiology-
dc.subject.MESHSleep Initiation and Maintenance Disorders/etiology*-
dc.subject.MESHSleep Initiation and Maintenance Disorders/psychology-
dc.subject.MESHYoung Adult-
dc.titleFactors Associated with Increased Risk for Clinical Insomnia in Patients with Chronic Neck Pain-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine-
dc.contributor.googleauthorShin Hyung Kim-
dc.contributor.googleauthorDong Hoon Lee-
dc.contributor.googleauthorKyung Bong Yoon-
dc.contributor.googleauthorJong Rin An-
dc.contributor.googleauthorDuck Mi Yoon-
dc.contributor.localIdA00676-
dc.contributor.localIdA04766-
dc.contributor.localIdA02539-
dc.contributor.localIdA02545-
dc.contributor.localIdA04780-
dc.relation.journalcodeJ02460-
dc.identifier.eissn2150-1149-
dc.identifier.pmid26606011-
dc.subject.keywordChronic neck pain-
dc.subject.keywordinsomnia-
dc.subject.keywordrisk factors-
dc.subject.keywordpain severity-
dc.subject.keywordneuropathic pain-
dc.subject.keywordmusculoskeletal pain-
dc.subject.keyworddepression-
dc.contributor.alternativeNameKim, Shin Hyung-
dc.contributor.alternativeNameAn, Jong Rin-
dc.contributor.alternativeNameYoon, Kyoung Bong-
dc.contributor.alternativeNameYoon, Duck Mi-
dc.contributor.alternativeNameLee, Dong Hoon-
dc.contributor.affiliatedAuthorKim, Shin Hyung-
dc.contributor.affiliatedAuthorAn, Jong Rin-
dc.contributor.affiliatedAuthorYoon, Kyoung Bong-
dc.contributor.affiliatedAuthorYoon, Duck Mi-
dc.contributor.affiliatedAuthorLee, Dong Hoon-
dc.citation.volume18-
dc.citation.number6-
dc.citation.startPage593-
dc.citation.endPage598-
dc.identifier.bibliographicCitationPAIN PHYSICIAN, Vol.18(6) : 593-598, 2015-
dc.identifier.rimsid41264-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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