AI Article Synopsis

  • - This study investigates how nonspecific chronic spinal pain (nCSP) and insomnia symptoms are related, focusing on their connections, strengths, and how they influence each other.
  • - Using baseline data from a randomized controlled trial involving 123 patients with nCSP and insomnia, researchers employed a detailed statistical model to analyze symptom interconnections.
  • - The findings indicate a weak direct link between pain and sleep, but suggest that anxiety and depression may mediate the relationship, with fatigue and feeling slowed down identified as key results of the interaction.

Article Abstract

: This exploratory study aims to explore the relationship between nonspecific chronic spinal pain (nCSP) and insomnia symptoms, by examining the interconnections, strengths, and directional dependence of the symptoms. In addition, we aim to identify the key symptoms of the nCSP-insomnia relationship and shed light on the bidirectional nature of this relationship. : This study is a secondary analysis of the baseline data (cross-sectional) from a randomized controlled trial, which examined the added value of Cognitive Behavioral Therapy for Insomnia (CBT-I) combined with cognition-targeted exercise therapy, conducted in collaboration with the Universiteit Gent and Vrije Universiteit Brussel (Belgium). One hundred and twenty-three nCSP patients with comorbid insomnia were recruited through the participating hospitals, advertisements, announcements in local newspapers, pharmacies, publications from support groups, and primary care. To explore the interconnections and directionality between symptoms and the strengths of the relationships, we estimated a regularized Gaussian graphical model and a directed acyclic graph. : We found only one direct, but weak, link between sleep and pain, namely, between average pain and difficulties maintaining sleep. : Despite the lack of strong direct links between sleep and pain, pain and sleep seem to be indirectly linked via anxiety and depression symptoms, acting as presumable mediators in the network of nCSP and comorbid insomnia. Furthermore, feeling slowed down and fatigue emerged as terminal nodes, implying their role as consequences of the network.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10932262PMC
http://dx.doi.org/10.3390/jcm13051452DOI Listing

Publication Analysis

Top Keywords

comorbid insomnia
12
anxiety depression
8
nonspecific chronic
8
chronic spinal
8
spinal pain
8
sleep pain
8
pain
6
insomnia
5
symptoms
5
role anxiety
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!