ArticleRheumatology (Oxford, England)2015
Impact of musculoskeletal pain on insomnia onset: a prospective cohort study.
Article in Rheumatology (Oxford, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Life-Context Factors on Chronic Rhinosinusitis 22-Item Sinonasal Outcomes Test: Systematic Review + Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Pooled it
- Influencing factors of sleep disorders and sleep quality in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.Nursing open · 2023Pooled it
- The SPADE Symptom Cluster in Primary Care Patients With Chronic Pain.The Clinical journal of pain · 2016Trial
- Prospective multidimensional predictors of poor sleep quality in older adults: A cross-national study.Applied psychology. Health and well-being · 2026Article
- Patients' experiences of chronic pain and sleep as a vicious circle: a qualitative explorative study from a pain rehabilitation setting.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Insomnia disorder and cancer mortality in South Korea: a secondary analysis of musculoskeletal disease cohort.Sleep & breathing = Schlaf & Atmung · 2024Article
- Article
- Sleep Disturbance and Quality of Life in Rheumatoid Arthritis: Prospective mHealth Study.Journal of medical Internet research · 2022Article
- Chronic Lumbar Pain and Insomnia in College-Aged Students.Healthcare (Basel, Switzerland) · 2022Article
- Effects of a Digital Musculoskeletal Acute Care Program on Chronic Pain Prevention: An Observational Study with Nonparticipant Comparison Group.Journal of pain research · 2022Article
- Risk factors of persistent insomnia among survivors of traumatic injury: a retrospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Article
- Review
- Identification of comprehensive geriatric assessment-based risk factors for insomnia in elderly Chinese hospitalized patients.Aging medicine (Milton (N.S.W)) · 2021Article
- Psychosocial Factors Associated with Sleep Quality and Duration Among Older Adults with Chronic Pain.Population health management · 2021Article
- Independent and synergistic effects of pain, insomnia, and depression on falls among older adults: a longitudinal study.BMC geriatrics · 2020Article
- Factors associated with insomnia among Chinese front-line nurses fighting against COVID-19 in Wuhan: A cross-sectional survey.Journal of nursing management · 2020Article
- Lifestyle factors associated with prevalent and exacerbated musculoskeletal pain after the Great East Japan Earthquake: a cross-sectional study from the Fukushima Health Management Survey.BMC public health · 2020Article
- Sleep duration and physical function in people with severe obesity: a prospective cross-sectional study.Irish journal of medical science · 2020Article
- Exploring the Meaning of Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Pain.Pain medicine (Malden, Mass.) · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivePain, the most common manifestation of rheumatological conditions, is highly prevalent among older adults, with worse health outcomes found in those with co-morbid insomnia. Proactive prevention of insomnia may reduce the overall disease burden of pain and rheumatological conditions. To inform such development, this study examined the role of pain, physical limitation and reduced social participation in predicting and mediating insomnia onset.
methodsA prospective cohort study was conducted involving 6676 individuals ≥50 years of age who completed questionnaires at baseline and a 3-year follow-up. Participants were classified into none, some and widespread pain according to the ACR criteria. Logistic regression was used to examine the relationship between baseline pain and insomnia onset at 3 years. Path analysis was used to test for the mediating role of physical limitation and social participation restriction.
resultsSome [adjusted odds ratio (AOR) 1.57 (95% CI 1.15, 2.13)] and widespread [2.13 (1.66, 3.20)] pain increased the risk of insomnia onset at 3 years, after adjusting for age, gender, socio-economic class, education, anxiety, depression, sleep and co-morbidity at baseline. The combination of physical limitation and reduced social participation explained up to 68% of the effect of some pain on insomnia onset and 66% of the effect of widespread pain on insomnia onset.
conclusionThere was a dose-response association between the extent of pain at baseline and insomnia onset at 3 years that was substantially mediated by physical limitation and reduced social participation. Targeting physical limitation and social participation in older people with pain may buffer co-morbid insomnia, reducing the overall disease burden.
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