D.K. VINOGRADOV¹, O.B. DORONINA², B.M. DORONIN²

 ¹City Neurological Center «Sibneiromed», Novosibirsk

²Novosibirsk State Medical University of the Ministry of Health of the Russian Federation, Novosibirsk

 Contact details:

Vinogradov D.K. — Neurologist, Somnologist

Address: 37 Michurina St., Novosibirsk, Russian Federation, 630091, tel.: +7-923-742-14-88, e-mail: [email protected] 

Chronic pain syndrome is a predictor of changes in the structure of sleep and psycho-vegetative disorders, a detailed description of the objective data of sleep patterns in patients with chronic tension headache and back pain is presented.

The purpose — studying the effect of chronic pain syndromes on the clinical and neurophysiological characteristics of structures, phases and quality of sleep, and their reciprocal mutual relations.

Materials and methods. Patients were randomly divided into three groups (main, control and comparison groups) and underwent examination according to the following algorithm: objective examination, assessment of neurological status, filling out neurological scales and questionnaires, a comprehensive study of night sleep — polysomnography — was performed once.

Results. Pain syndrome has an inverse relationship with the duration of delta sleep, amplitude of the alpha rhythm in a dream, total duration of sleep, and duration of the rapid eye movement sleep. Direct connection with the level of anxiety and latency of the first stage of sleep. Intensity of the pain syndrome is a predictor of dissomnic phenomena (OR 1,33 (0,8; 2,1)).

Conclusion. There is direct and inverse relationship between the severity of chronic pain syndrome with dissomnic phenomena and the psycho-vegetative status.

Key words: insomnia, back pain, chronic pain, chronic tension headache.

(For citation: Vinogradov D.K., Doronina O.B., Doronin B.M. Clinical relevance of sleep disorders in patients with chronic pain as exemplified by tension headache and back pain. Practical Medicine. 2019. Vol. 17, № 7, P. 79-84)

REFERENCES

1. Ancoli-Israel S., Travell J.G., Simons D.G. Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. Sleep, 1999, vol. 22, pp. 347–353.
2. Morin C.M., LeBlanc M., Daley M., Gregoire J.P., Mérette C. Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Med, 2006, vol. 7, pp. 123–130.
3. Thase M.E. Treatment issues related to sleep and depression. J. Clin. Psychiatry, 2000, vol. 61, suppl. 11, pp. 46–50.
4. Dubnitskaya E.B. Atipichnye depressii i gipomanii. Pogranichnaya psikhicheskaya patologiya v obshchemeditsinskoy praktike [Atypical depression and hypomania. Borderline mental pathology in general medical practice]. Moscow, 2000. Pp. 15–18.
5. Uhlig B.L., Engstrøm M., Ødegård S.S. et al. Headache and insomnia in population-based epidemiological studies. Cephalalgia, 2014, vol. 34 (10), pp. 745–751. doi: 10.1177/0333102414540058
6. Engstrøm M, Hagen K., Bjørk M.H. et al. Sleep quality and arousal in migraine and tension-type head-ache: the headache-sleep study. Acta Neurol Scand, 2014, vol. 198, pp. 47–54.
7. Dubinina T.V., Eliseev M.S. Pain in the lower back: prevalence, causes, diagnosis, treatment. Nevrologiya, neyropsikhiatriya, psikhosomatika, 2011, no. 1, pp. 22–26 (in Russ.).
8. Caspersen N., Hirsvang J.R., Kroell L. et al. Is there a relation between tension-type headache, temporomandibular disorders and sleep? Pain Res Treat, 2013. 845684. doi: 10.1155/2013/845684
9. Kikuchi H., Yoshiuchi K., Yamamoto Y. et al. Does sleep aggravate tension-type headache? An investigation using computerized ecological momentary assessment and actigraphy. Biopsychosoc. Med, 2011, vol. 5 (10). doi: 10.1186/1751-0759-5-10
10. Zhu Z., Fan X., Li X. et al. Prevalence and predictive factors for poor sleep quality among migraineurs in a tertiary hospital headache clinic. Acta Neurologica Belgica, 2013, vol. 113 (3), pp. 229–235. doi: 10.1007/s13760-012-0159-1
11. Fernandez-Mendoza J., Vgontzas A.N., Liao D. et al. Insomnia with objective short sleep duration and incident hypertension: the Penn State Cohort. Hypertension, 2012, vol. 60 (4), pp. 929–935.
12. Bathgate C.J., Edinger A.D., Wyatt J.K., Krystal A.D. Objective but not subjective short sleep duration associated with increased risk for hypertension in individuals with insomnia. Sleep, 2016, vol. 39, pp. 1037–1045.
13. Vinogradov D.K., Doronina O.B. Features of sleep disorders in patients with chronic back pain. Klinicheskaya praktika, 2019, vol. 10 (2), pp. 46–52 (in Russ.). doi: 10.17816/clinpract10246–5.