Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial

Eivind Schjelderup Skarpsno,1,2 Sigmund Østgård Gismervik,1,3 Marius Steiro Fimland,4,5 Lene Aasdahl1,5 1Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; 2Department of Neurology and Clinical N...

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Autores principales:	Skarpsno ES, Gismervik SØ, Fimland MS, Aasdahl L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	sleep problems occupational therapy work chronic pain mental health sick leave Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/9ca8ebb11a3b46cd84d9df3ffde3498f
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spelling	oai:doaj.org-article:9ca8ebb11a3b46cd84d9df3ffde3498f2021-12-02T17:08:58ZInsomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial1179-1608https://doaj.org/article/9ca8ebb11a3b46cd84d9df3ffde3498f2021-08-01T00:00:00Zhttps://www.dovepress.com/insomnia-is-associated-with-the-effect-of-inpatient-multimodal-occupat-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Eivind Schjelderup Skarpsno,1,2 Sigmund Østgård Gismervik,1,3 Marius Steiro Fimland,4,5 Lene Aasdahl1,5 1Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; 2Department of Neurology and Clinical Neurophysiology, St. Olavs Hospital, Trondheim, Norway; 3Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway; 4Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway; 5Unicare Helsefort Rehabilitation Centre, Rissa, NorwayCorrespondence: Eivind Schjelderup SkarpsnoDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, 7491, NorwayTel +47 97521297Email eivind.s.skarpsno@ntnu.noStudy Objectives: Insomnia is common among people with musculoskeletal and/or mental health disorders. This study aimed to assess whether insomnia is associated with the favorable effect from inpatient multimodal occupational rehabilitation on future work participation among individuals with these conditions.Methods: Insomnia was measured at baseline through a randomized clinical trial that compared the effect of inpatient multimodal occupational rehabilitation with a less-comprehensive program of outpatient acceptance and commitment therapy on future work participation. The inpatient multimodal program lasted 3.5 weeks at the rehabilitation center, comprising psychoeducational sessions (including sleep education), fixed schedules, acceptance and commitment therapy, physical exercise and work-related problem-solving, whereas the outpatient program comprised mainly six weekly acceptance and commitment therapy sessions. Both programs were group-based. The study tracked cumulative sick leave during the 12 months of follow-up using national registry data.Results: Among the 163 adults included in this subgroup analysis, 56% (n=91) reported insomnia. Overall, we found statistical evidence of interaction between the occupational program and insomnia concerning cumulative sick leave (p=0.03). Compared with people without insomnia in the comprehensive inpatient multimodal program, people with insomnia had 12 (95% CI: − 48 to 24) fewer days with sick leave if they participated in the inpatient program and 46 (95% CI: 8 to 83) more days if they participated in the outpatient program.Conclusion: These findings suggest that insomnia should be addressed specifically before individuals on sick leave are considered for participation in occupational rehabilitation and that individuals with insomnia may benefit in particular from inpatient rehabilitation.Keywords: sleep problems, occupational therapy, work, chronic pain, mental health, sick leaveSkarpsno ESGismervik SØFimland MSAasdahl LDove Medical Pressarticlesleep problemsoccupational therapyworkchronic painmental healthsick leavePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 1431-1439 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep problems occupational therapy work chronic pain mental health sick leave Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep problems occupational therapy work chronic pain mental health sick leave Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Skarpsno ES Gismervik SØ Fimland MS Aasdahl L Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial
description	Eivind Schjelderup Skarpsno,1,2 Sigmund Østgård Gismervik,1,3 Marius Steiro Fimland,4,5 Lene Aasdahl1,5 1Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; 2Department of Neurology and Clinical Neurophysiology, St. Olavs Hospital, Trondheim, Norway; 3Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway; 4Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway; 5Unicare Helsefort Rehabilitation Centre, Rissa, NorwayCorrespondence: Eivind Schjelderup SkarpsnoDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, 7491, NorwayTel +47 97521297Email eivind.s.skarpsno@ntnu.noStudy Objectives: Insomnia is common among people with musculoskeletal and/or mental health disorders. This study aimed to assess whether insomnia is associated with the favorable effect from inpatient multimodal occupational rehabilitation on future work participation among individuals with these conditions.Methods: Insomnia was measured at baseline through a randomized clinical trial that compared the effect of inpatient multimodal occupational rehabilitation with a less-comprehensive program of outpatient acceptance and commitment therapy on future work participation. The inpatient multimodal program lasted 3.5 weeks at the rehabilitation center, comprising psychoeducational sessions (including sleep education), fixed schedules, acceptance and commitment therapy, physical exercise and work-related problem-solving, whereas the outpatient program comprised mainly six weekly acceptance and commitment therapy sessions. Both programs were group-based. The study tracked cumulative sick leave during the 12 months of follow-up using national registry data.Results: Among the 163 adults included in this subgroup analysis, 56% (n=91) reported insomnia. Overall, we found statistical evidence of interaction between the occupational program and insomnia concerning cumulative sick leave (p=0.03). Compared with people without insomnia in the comprehensive inpatient multimodal program, people with insomnia had 12 (95% CI: − 48 to 24) fewer days with sick leave if they participated in the inpatient program and 46 (95% CI: 8 to 83) more days if they participated in the outpatient program.Conclusion: These findings suggest that insomnia should be addressed specifically before individuals on sick leave are considered for participation in occupational rehabilitation and that individuals with insomnia may benefit in particular from inpatient rehabilitation.Keywords: sleep problems, occupational therapy, work, chronic pain, mental health, sick leave
format	article
author	Skarpsno ES Gismervik SØ Fimland MS Aasdahl L
author_facet	Skarpsno ES Gismervik SØ Fimland MS Aasdahl L
author_sort	Skarpsno ES
title	Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial
title_short	Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial
title_full	Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial
title_fullStr	Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial
title_full_unstemmed	Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial
title_sort	insomnia is associated with the effect of inpatient multimodal occupational rehabilitation on work participation in workers with musculoskeletal or mental health disorders: secondary analyses of a randomized clinical trial
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/9ca8ebb11a3b46cd84d9df3ffde3498f
work_keys_str_mv	AT skarpsnoes insomniaisassociatedwiththeeffectofinpatientmultimodaloccupationalrehabilitationonworkparticipationinworkerswithmusculoskeletalormentalhealthdisorderssecondaryanalysesofarandomizedclinicaltrial AT gismerviksø insomniaisassociatedwiththeeffectofinpatientmultimodaloccupationalrehabilitationonworkparticipationinworkerswithmusculoskeletalormentalhealthdisorderssecondaryanalysesofarandomizedclinicaltrial AT fimlandms insomniaisassociatedwiththeeffectofinpatientmultimodaloccupationalrehabilitationonworkparticipationinworkerswithmusculoskeletalormentalhealthdisorderssecondaryanalysesofarandomizedclinicaltrial AT aasdahll insomniaisassociatedwiththeeffectofinpatientmultimodaloccupationalrehabilitationonworkparticipationinworkerswithmusculoskeletalormentalhealthdisorderssecondaryanalysesofarandomizedclinicaltrial
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Insomnia is Associated with the Effect of Inpatient Multimodal Occupational Rehabilitation on Work Participation in Workers with Musculoskeletal or Mental Health Disorders: Secondary Analyses of a Randomized Clinical Trial

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