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RELATIONSHIP BETWEEN SLEEP DISTURBANCE, PAIN, DEPRESSION AND FUNCTIONING IN LONG-TERM SICK-LISTED PATIENTS EXPERIENCING DIFFICULTY IN RESUMING WORK
Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden.
Karolinska Inst, Danderyd Univ Hosp, Dept Clin Sci, Div Rehabil Med, Stockholm, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Karolinska Inst, Danderyd Univ Hosp, Dept Clin Sci, Div Rehabil Med, Stockholm, Sweden.
2014 (English)In: JOURNAL OF REHABILITATION MEDICINE, ISSN 1651-2081, Vol. 46, no 8, 798-805 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To describe the frequency of reported sleeping, depression and pain problems, the severity of these problems and the degree of self-estimated difficulties in mental functions and activities in relation to the sleep disturbance and pain category group in patients on long-term sick-leave. Design: Cross-sectional study. Patients: A total of 1206 patients experiencing difficulty in resuming work. Methods: Patient examinations by specialists in psychiatry, orthopaedic surgery and rehabilitation medicine. Validated questionnaires, including status regarding depression, sleep, pain and functioning were used. Results: The prevalence of sleep disturbance was 83%; 74% of the patients with moderate/severe sleep disturbance also had moderate/severe pain problems and 26% had no/mild pain problems. Fifty-seven percent of the patients with no/mild sleep disturbance and 83% of the patients with moderate/severe sleep disturbance also had depression. The degree of difficulty in performing the 6 selected International Classification of Functioning, Disability and Health activities and mental functions was higher for the category with moderate/severe sleep problems, compared with those with no/mild sleep problems. Conclusion: To optimize rehabilitation for patients on long-term sick-leave experiencing difficulties in returning to work, the results indicate a need also to focus attention on sleep problems and not only on pain and depression. This may entail the planning of measures to improve decision-making and concentration and alleviate lassitude, fatigability, sadness and pessimistic thoughts.

Place, publisher, year, edition, pages
2014. Vol. 46, no 8, 798-805 p.
Keyword [en]
sleep disorders, pain, depression, functioning, sick leave, rehabilitation, mental functions, activity limitations, disability, work resumption
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:miun:diva-23226DOI: 10.2340/16501977-1833ISI: 000342037500011Scopus ID: 2-s2.0-84921976500OAI: oai:DiVA.org:miun-23226DiVA: diva2:756119
Available from: 2014-10-16 Created: 2014-10-16 Last updated: 2015-03-13Bibliographically approved

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Citation style
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