Abstract
We aimed to evaluate the quality of sleep (QoS) in patients with neuropathic pain (NP) and to investigate the association between possible QoS impairment and NP characteristics. Patients with NP and controls were examined. Age, sex, NP duration, NP cause (central, peripheral, or mixed), and pain intensity (with a Likert-type scale and visual analog scale) were recorded. NP was screened with Douleur Neuropathique 4 questions (DN4), and QoS was evaluated using the Pittsburg Sleep Quality Index (PSQI). Mann-Whitney U test and regression analysis were performed to evaluate the data. Seventy patients with NP and 30 age- and sex-matched controls were included. The mean age of the patients and controls were 45.04±10.21 years and 39.00±19.23 years, respectively. Significantly higher scores of sleep latency (p=0.002), sleep duration (p=0.003), sleep efficiency (p=0.002), sleep disturbance (p<0.000), daytime dysfunction (p=0.04), and PSQI total were observed in patients with NP than in controls (p<0.000). In addition, 80% of patients with NP and 37 % of controls were classified as having poor QoS (p<0.000). Female sex, pain intensity, and NP duration were found to be factors related to having poor QoS in patients with NP (p=0.026, p=0.006, and p<0.000, respectively). In our study, 80% of patients with NP had poor QoS regardless of the NP cause. Female sex, pain severity, and NP duration were found to be factors correlated with poor QoS. Treatment strategies that target not only NP itself but also better QoS may contribute to the overall success of management.
Highlights
Chronic pain because of several factors, as a widespread problem, has been estimated to affect 19% of the European population [1, 2]
Higher scores of sleep latency (p=0.002), sleep duration (p=0.003), sleep efficiency (p=0.002), sleep disturbance (p
80% of patients with NP and 37 % of controls were classified as having poor quality of sleep (QoS) (p
Summary
Chronic pain because of several factors, as a widespread problem, has been estimated to affect 19% of the European population [1, 2]. Within this population, neuropathic pain (NP) is of particular interest because they have a greater comorbidity profile than age- and sex-matched controls. Quality of Sleep in Neuropathic Pain 41 affecting the somatosensory system” and its estimated prevalence has been accepted to be approximately 7% in general population [3, 4]. Several factors can damage the central or peripheral nervous system and cause NP, which is generally more difficult to manage than many other types of chronic pain. NP has various symptoms such as spontaneously or trigger-induced chronic pain, characteristic burning, stabbing, electric-like shocks, sharp, shooting, lancinating or sometimes as dull, aching, pressure, squeezing, deep, cold pain, and neuropathic itch [5]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
