Sleep Quality in Chronic Neck Pain Patients

Abstract

Introduction: Neck Pain (NP) is a significant public health issue. Many people's social and economic participation is harmed as a result of NP. Patients with this condition frequently complain of fatigue and pain. Both can disrupt patients' daily lives by affecting their sleep quality, which can lead to psychological issues. However, the prevalence of fatigue and its relationship with pain, sleep quality, and psychological factors in NP patients has not been thoroughly investigated. Aim: To investigate the prevalence of fatigue and its relationship to pain intensity, depression, anxiety, and sleep disturbance in NP patients. Materials and Methods: Between March and November 2019, a cross-sectional study of 296 NP patients with a mean age of 37.2 years (181 males and 115 females) was conducted. It was held at the Physiotherapy Department. To assess fatigue, depression and anxiety, sleep quality, and pain intensity, the Multidimensional Fatigue Inventory (MFI), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), and Numeric Pain Rating Scale (NPRS) were used. For analysis, Spearman's rank correlation coefficient and the Mann-Whitney U test were used. Results: The participants' point prevalence of severe fatigue was 39.86%. Pain intensity, psychological factors, and sleep quality were all associated with fatigue (p0.05). In this sample, we also found a significant relationship between sleep quality and psychological factors (p0.05). Conclusion: Fatigue was a significant factor in NP patients, and it was linked to pain intensity, depression, anxiety, and sleep disturbance. Fatigue was more prevalent in the chronic stage of NP than in the acute stage. Identifying these risk factors may aid in the prevention and management of NP and its associated co-morbidities