Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life

Örjan Skogar,1,5 Per-Arne Fall,2 Gunnar Hallgren,3 Birgitta Bringer,2 Miriam Carlsson,1 Ulla Lennartsson,3 Håkan Sandbjörk,3 Carl-Johan Törnhage,4 Johan Lökk51Department of Geriatrics, Ryhov Hospital, Jonkoping, Sweden; 2Department of...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Skogar Ö, Fall P-A, Hallgren G, Bringer B, Carlsson M, Lennartsson U, Sandbjörk H, Törnhage C-J, Lökk J
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2012
Materias:
Acceso en línea:https://doaj.org/article/bc8d67172dda46eda25c7eb52374ef34
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:bc8d67172dda46eda25c7eb52374ef34
record_format dspace
spelling oai:doaj.org-article:bc8d67172dda46eda25c7eb52374ef342021-12-02T06:56:18ZParkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life1176-63281178-2021https://doaj.org/article/bc8d67172dda46eda25c7eb52374ef342012-10-01T00:00:00Zhttp://www.dovepress.com/parkinsonrsquos-disease-patientsrsquo-subjective-descriptions-of-chara-a11267https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Örjan Skogar,1,5 Per-Arne Fall,2 Gunnar Hallgren,3 Birgitta Bringer,2 Miriam Carlsson,1 Ulla Lennartsson,3 Håkan Sandbjörk,3 Carl-Johan Törnhage,4 Johan Lökk51Department of Geriatrics, Ryhov Hospital, Jonkoping, Sweden; 2Department of Geriatrics, University Hospital, Linkoping, Sweden; 3Department of Neurology, 4Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden; 5Institution of Neurobiology, Karolinska Institutet, Stockholm, SwedenObjective: Nonmotor symptoms are common in Parkinson’s disease (PD). Health-related quality of life (HRQoL) is negatively affected by different factors, of which pain and sleep disturbances are important contributors. This study was performed to evaluate and describe subjective experiences of pain, sleeping patterns, and HRQoL in a cohort of PD patients with chronic pain.Methods: A total of 45 participants with established PD for more than 2 years, and PD-related pain for the preceding three months, were recruited from three sites in Sweden. Data regarding time point for onset, duration and degree of pain parameters, body localization of pain, external influences, and treatments were obtained. HRQoL was evaluated with the Short Form-36® Health Survey, and sleeping patterns were registered with the Parkinson’s disease Sleep Scale, both completed along with a questionnaire.Results: In one-third of participants, pain preceded the PD diagnosis. Median pain score measured with a visual analog scale was 6.6 and 5.9 (for females and males, respectively) the week before the study. In almost half of the participants, pain was present during all their waking hours. Significantly more females described their pain as troublesome, while more males described their pain as irritating. Feelings of numbness and creeping sensations at night were strongly associated with the maximal visual analog scale scores. Polypharmacy was common; 89% used medication for anxiety/insomnia, and 18% used antidepressants. Only one-third of patients who reported pain relief with analgesics had these prescribed on their drug lists. Sleep was characterized by frequent awakenings. Urinary urgency and restless legs were frequently reported as troublesome. Patients rated HRQoL as significantly worse in all items compared with a healthy reference population matched for age and sex.Conclusions: Experiences of chronic PD-related pain are complex; there is substantial sleep fragmentation and negative impact on HRQoL.Keywords: data reporting, pain, Parkinson disease, sleep fragmentationSkogar ÖFall P-AHallgren GBringer BCarlsson MLennartsson USandbjörk HTörnhage C-JLökk JDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2012, Iss default, Pp 435-442 (2012)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Skogar Ö
Fall P-A
Hallgren G
Bringer B
Carlsson M
Lennartsson U
Sandbjörk H
Törnhage C-J
Lökk J
Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
description Örjan Skogar,1,5 Per-Arne Fall,2 Gunnar Hallgren,3 Birgitta Bringer,2 Miriam Carlsson,1 Ulla Lennartsson,3 Håkan Sandbjörk,3 Carl-Johan Törnhage,4 Johan Lökk51Department of Geriatrics, Ryhov Hospital, Jonkoping, Sweden; 2Department of Geriatrics, University Hospital, Linkoping, Sweden; 3Department of Neurology, 4Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden; 5Institution of Neurobiology, Karolinska Institutet, Stockholm, SwedenObjective: Nonmotor symptoms are common in Parkinson’s disease (PD). Health-related quality of life (HRQoL) is negatively affected by different factors, of which pain and sleep disturbances are important contributors. This study was performed to evaluate and describe subjective experiences of pain, sleeping patterns, and HRQoL in a cohort of PD patients with chronic pain.Methods: A total of 45 participants with established PD for more than 2 years, and PD-related pain for the preceding three months, were recruited from three sites in Sweden. Data regarding time point for onset, duration and degree of pain parameters, body localization of pain, external influences, and treatments were obtained. HRQoL was evaluated with the Short Form-36® Health Survey, and sleeping patterns were registered with the Parkinson’s disease Sleep Scale, both completed along with a questionnaire.Results: In one-third of participants, pain preceded the PD diagnosis. Median pain score measured with a visual analog scale was 6.6 and 5.9 (for females and males, respectively) the week before the study. In almost half of the participants, pain was present during all their waking hours. Significantly more females described their pain as troublesome, while more males described their pain as irritating. Feelings of numbness and creeping sensations at night were strongly associated with the maximal visual analog scale scores. Polypharmacy was common; 89% used medication for anxiety/insomnia, and 18% used antidepressants. Only one-third of patients who reported pain relief with analgesics had these prescribed on their drug lists. Sleep was characterized by frequent awakenings. Urinary urgency and restless legs were frequently reported as troublesome. Patients rated HRQoL as significantly worse in all items compared with a healthy reference population matched for age and sex.Conclusions: Experiences of chronic PD-related pain are complex; there is substantial sleep fragmentation and negative impact on HRQoL.Keywords: data reporting, pain, Parkinson disease, sleep fragmentation
format article
author Skogar Ö
Fall P-A
Hallgren G
Bringer B
Carlsson M
Lennartsson U
Sandbjörk H
Törnhage C-J
Lökk J
author_facet Skogar Ö
Fall P-A
Hallgren G
Bringer B
Carlsson M
Lennartsson U
Sandbjörk H
Törnhage C-J
Lökk J
author_sort Skogar Ö
title Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
title_short Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
title_full Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
title_fullStr Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
title_full_unstemmed Parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
title_sort parkinson’s disease patients’ subjective descriptions of characteristics of chronic pain, sleeping patterns and health-related quality of life
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/bc8d67172dda46eda25c7eb52374ef34
work_keys_str_mv AT skogarampouml parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT fallpa parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT hallgreng parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT bringerb parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT carlssonm parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT lennartssonu parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT sandbjampoumlrkh parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT tampoumlrnhagecj parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
AT lampoumlkkj parkinsonamprsquosdiseasepatientsamprsquosubjectivedescriptionsofcharacteristicsofchronicpainsleepingpatternsandhealthrelatedqualityoflife
_version_ 1718399715865788416