Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain

Hafdís Skúladóttir, Herdis Sveinsdottir, Janean E. Holden, Thóra Jenný Gunnarsdóttir, Sigridur Halldorsdottir and Amalia Björnsdottir
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Hafdís Skúladóttir: School of Health Sciences, University of Akureyri, Solborg v/Nordurslod, 600 Akureyri, Iceland
Herdis Sveinsdottir: School of Health Sciences, Faculty of Nursing, University of Iceland, Eiríksgata 34, 101 Reykjavík, Iceland
Janean E. Holden: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
Thóra Jenný Gunnarsdóttir: School of Health Sciences, Faculty of Nursing, University of Iceland, Eiríksgata 34, 101 Reykjavík, Iceland
Sigridur Halldorsdottir: School of Health Sciences, University of Akureyri, Solborg v/Nordurslod, 600 Akureyri, Iceland
Amalia Björnsdottir: School of Education, Faculty of Education and Pedagogy, University of Iceland, Stakkahlíð 1, 105 Reykjavík, Iceland

IJERPH, 2021, vol. 18, issue 19, 1-11

Abstract: Multidisciplinary pain-management programs have the potential to decrease pain intensity, improve health-related quality of life (HRQOL), and increase sleep quality. In this longitudinal prospective cohort study, the aim was to investigate the long-term effects of multidisciplinary pain rehabilitation interventions in Iceland. More precisely, we (a) explored and described how individuals with chronic pain evaluated their pain severity, sleep, and HRQOL at pre-treatment and at one-year follow-up and (b) examined what predicted the participants’ one-year follow-up HRQOL. Seventy-nine patients aged 20–68 years, most of whom were women (85%), responded. The participants scored their pain lower at one-year follow-up ( p < 0.001). According to their response, most of them had disrupted sleep, mainly because of pain. One year after the treatment, more participants slept through the night ( p = 0.004), and their HRQOL increased. Higher pre-treatment mental component summary (MCS) scores and having pursued higher education predicted higher MCS scores at one-year follow-up, and higher pre-treatment physical component summary (PCS) scores predicted higher PCS scores at one-year follow-up. Sleep problems, being a woman, and having children younger than 18 years of age predicted lower MCS scores at one-year follow-up. These findings are suggestive that patients should be examined with respect to their mental status, and it could be beneficial if they received some professional support after completing the intervention.

Keywords: chronic pain; rehabilitation; health-related quality of life; sleep (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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