Effects of sleep quality on pain, cognitive factors, central sensitization, and quality of life in patients with chronic low back pain.

BACKGROUND: Sleep quality in patients with chronic low back pain (CLBP) may affect quality of life (QoL), possibly due to worsening pain, central sensitization (CS), and cognitive factors. However, causal relationship among the factors has not been confirmed yet. OBJECTIVE: The purpose of this study...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 37; no. 1; pp. 119 - 126
Autores principales: Moriki, Kento, Ogihara, Hirofumi, Yoshikawa, Koji, Kikuchi, Kenta, Endo, Ryunosuke, Sato, Takaaki
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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      issn: 10538127
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      dt: 2024
      vid: 37
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/BMR-220429
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        atl: Effects of sleep quality on pain, cognitive factors, central sensitization, and quality of life in patients with chronic low back pain.
      aug:
        au:
          Moriki, Kento
          Ogihara, Hirofumi
          Yoshikawa, Koji
          Kikuchi, Kenta
          Endo, Ryunosuke
          Sato, Takaaki
        affil: Shinoro Orthopedic, Sapporo, Japan
      sug:
        subj:
          Chronic Pain
          Low Back Pain
          Sleep Quality Evaluation
          Cognition Evaluation
          Central Nervous System Physiology
          Quality of Life Evaluation
          Human
          Structural Equation Modeling
          Causal Attribution
          Cross Sectional Studies
          Comparative Studies
          Patient-Reported Outcomes
          Clinical Assessment Tools
          Questionnaires
          Scales
      ab: BACKGROUND: Sleep quality in patients with chronic low back pain (CLBP) may affect quality of life (QoL), possibly due to worsening pain, central sensitization (CS), and cognitive factors. However, causal relationship among the factors has not been confirmed yet. OBJECTIVE: The purpose of this study was to test the hypothesis that sleep quality in patients with CLBP is attributable to pain, cognitive factors, and CS, and influences QoL, by structural covariance analysis. METHODS: This is a cross-sectional study. Participants were recruited from six health care facilities and 101 patients with CLBP were included. Structural covariance analysis assessed the fit of data to the model using goodness of fit index (GFI), adjusted goodness of fit index (AGFI), comparative fit index (CFI), and mean squared approximation error (RMSEA). RESULTS: The structural covariance analysis showed that the goodness-of-fit indices were high (GFI = 0.993, AGFI = 0.964, CFI = 1.00, RMSEA < 0.01). Sleep quality was not directly influenced by QoL but rather by CS and cognitive factors. CONCLUSION: This study suggests that sleep quality in patients with CLBP is indirectly mediated through multiple pathways, including cognitive factors and CS, which may influence QoL.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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