ArticleBMC musculoskeletal disorders2013
Detecting insomnia in patients with low back pain: accuracy of four self-report sleep measures.
Article in BMC musculoskeletal disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Optimal exercise dose and type for improving sleep quality: a systematic review and network meta-analysis of RCTs.Frontiers in psychology · 2024Pooled it
- Prevalence of sleep impairment in patients with tinnitus: a systematic review and single-arm meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Pooled it
- Effectiveness, Mediators and Moderators of Remote Live vs. Pre-Recorded Physical Exercise Training for Chronic Low Back Pain.European journal of pain (London, England) · 2026Trial
- Cognitive Behavioral Therapy for Insomnia in Pain Management for Nonspecific Chronic Spinal Pain: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Optimising conservative management of chronic low back pain: study protocol for a randomised controlled trial.Trials · 2017Trial
- Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Mental Health and Addiction.Acta medica Philippina · 2026Article
- The Effect of Dry Needling on Sleep Quality in Individuals With Musculoskeletal Pain Disorders.Pain research & management · 2026Review
- Effectiveness of acupressure at different ear acupoints on Insomnia: A secondary analysis of a randomized controlled trial.Sleep medicine: X · 2025Article
- Effects of sleep quality on the default mode network and on anxiety-depression symptoms in premenstrual syndrome.BMC psychiatry · 2025Article
- A Randomized, Sham-Controlled Trial on the Efficacy and Safety of Electroacupuncture for Lumbar Disc Herniation with Radiculopathy: Rationale and Study Protocol.Journal of pain research · 2025Article
- Sleep Status and Chronotype in University Athletes with and without Chronic Low Back Pain: A Cross-Sectional Study.Sleep science (Sao Paulo, Brazil) · 2024Article
- How to Evaluate the Efficacy of Manipulations in Spine Disorders-A Comprehensive Review of New and Traditional Outcome Measures.Clinics and practice · 2024Review
- The associations of depression, anxiety, and insomnia at baseline with disability at a five-year follow-up point among outpatients with chronic low back pain: a prospective cohort study.BMC musculoskeletal disorders · 2023Article
- Review
- Role of Oxidative Stress and Inflammation in Insomnia Sleep Disorder and Cardiovascular Diseases: Herbal Antioxidants and Anti-inflammatory Coupled with Insomnia Detection using Machine Learning.Current pharmaceutical design · 2022Article
- Association of insomnia and daytime sleepiness with low back pain: A bidirectional mendelian randomization analysis.Frontiers in genetics · 2022Article
- Family Caregivers of People with Dementia Have Poor Sleep Quality: A Nationwide Population-Based Study.International journal of environmental research and public health · 2021Article
- Mental Health in Student Athletes: Associations With Sleep Duration, Sleep Quality, Insomnia, Fatigue, and Sleep Apnea Symptoms.Athletic training & sports health care · 2021Article
- Do Patients of Chronic Low Back Pain have Psychological Comorbidities?Avicenna journal of medicine · 2021Article
- Short-term insomnia symptoms are associated with level and not type of physical activity in a sample of Indian college students.Journal of preventive medicine and hygiene · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough insomnia is common in patients with low back pain (LBP), it is unknown whether commonly used self-report sleep measures are sufficiently accurate to screen for insomnia in the LBP population. This study investigated the discriminatory properties of the Pittsburgh Sleep Quality Index (Pittsburgh questionnaire), Insomnia Severity Index (Insomnia index), Epworth Sleepiness Scale (Epworth scale) and the sleep item of the Roland and Morris Disability Questionnaire (Roland item) to detect insomnia in patients with LBP by comparing their accuracy to detect insomnia to a sleep diary. The study also aimed to determine the clinical optimal cut-off scores of the questionnaires to detect insomnia in the LBP population.
methodsSeventy nine patients with LBP completed the four self-reported questionnaires and a sleep diary for 7 consecutive nights. The accuracy of the questionnaires was evaluated using Receiver Operator Characteristic (ROC) curves with the Area Under the Curve (AUC) used to examine each test's accuracy to discriminate participants with insomnia from those without insomnia.
resultsThe Pittsburgh questionnaire and Insomnia index had moderate accuracy to detect insomnia (AUC = 0.79, 95% CI = 0.68 to 0.87 and AUC = 0.78, 95% CI = 0.67 to 0.86 respectively), whereas the Epworth scale and the Roland item were not found to be accurate discriminators (AUC = 0.53, 95% CI = 0. 41 to 0.64 and AUC = 0.64, 95% CI = 0.53 to 0.75 respectively). The cut-off score of > 6 for the Pittsburgh questionnaire and the cut-off point of > 14 for the Insomnia index provided optimal sensitivity and specificity for the detection of insomnia.
conclusionsThe Pittsburgh questionnaire and Insomnia index had similar ability to screen for insomnia in patients with low back pain.
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