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Pain arising due to the spinal degenerative disease significantly affects the quality of life of patients. In this cross-sectional study, the researchers evaluated the sex-specific effect of insomnia, psychological factors and pain severity on the chronic pain-related disability arising from spinal degenerative disease.
The present study suggest consideration of
sex-specific diffrences in disability in patients with musculoskeletal pain due
to spinal degenerative disease.
Pain arising due to the spinal degenerative disease
significantly affects the quality of life of patients. In this cross-sectional
study, the researchers evaluated the sex-specific effect of insomnia,
psychological factors and pain severity on the chronic pain-related disability
arising from spinal degenerative disease.
The analysis was performed on a total of
111 outpatients, with an initial diagnosis of chronic spinal degenerative
disease. The chronic spinal degenerative disease was defined as the presence of
localized neck or lower back pain for more than three months confirmed by the
findings of nerve root compression on neurological imaging studies. The
patients were assessed using Pain Disability Assessment Scale (PDAS), Pain Catastrophizing
Scale (PCS), Numerical Rating Scale (NRS), Athens Insomnia Scale (AIS) and
Hospital Anxiety and Depression Scale (HADS). To find the influence of sex on
the PDAS score, univariate regression analysis was conducted. The variables
linked to the PDAS score were identified using sex-stratified multivariate
regression analysis.
The significant predictor of PDAS score was
recognized as sex. The AIS score was found to be linked to PDAS in men while
age and NRS were linked to PDAS in women. In both genders, no association
between HADS-A, HADS-D, PCS and PDAS were noted.
A significant association between insomnia
and disability in men and ageing and pain severity in women was noted. However,
in both sexes, catastrophic thinking was not linked to the disability.
Pain research and Management
Sex-Specific Impact of Pain Severity, Insomnia, and Psychosocial Factors on Disability due to Spinal Degenerative Disease
Keito Koh et al.
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