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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(01): 25-29
DOI: 10.1590/0004-282X20160186
Article

Pain-induced depression is related to overestimation of sleep quality in a very elderly population with pain

Depressão-dor induzida está relacionada à superestimação da qualidade do sono em longevos com dor
Ricardo Humberto Felix
1   Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brasil
2   Universidade Federal de São Paulo, Departamento de Psicobiologia, Ambulatório de Sonolência Excessiva Diurna, São Paulo SP, Brasil
,
Carla Bezerra Lopes Almeida
1   Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brasil
,
Renata Carvalho Cremaschi
2   Universidade Federal de São Paulo, Departamento de Psicobiologia, Ambulatório de Sonolência Excessiva Diurna, São Paulo SP, Brasil
3   Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brasil
,
Fernando Morgadinho Coelho
2   Universidade Federal de São Paulo, Departamento de Psicobiologia, Ambulatório de Sonolência Excessiva Diurna, São Paulo SP, Brasil
3   Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brasil
,
Fânia Cristina Santos
1   Universidade Federal de São Paulo, Disciplina de Geriatria e Gerontologia, Serviço de Dor e Doenças Osteoarticulares, São Paulo SP, Brasil
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ABSTRACT

Objective:

To study the quality of sleep in very elderly people with chronic pain.

Methods:

We investigated 51 very elderly people without dementia and with chronic pain according to the Geriatric Pain Measure. Katz and Lawton questionnaires were used to evaluate functionality. The Geriatric Depression Scale and Geriatric Psychosocial Assessment of Pain-induced Depression were also used. Self-perceptions of sleep and quality of sleep were checked using the Pittsburgh Sleep Quality Index.

Results:

Moderate pain was seen in 64.7% participants. The tracking of depression was positive for 41.2%. Poor quality of sleep was noted in 49% of them, but 82.3% perceived that they had a very good, or a good, sleep. The main factors associated with poor sleep quality were measurement of pain, self-perception of sleep, and pain-induced depression.

Conclusion:

Very elderly people with chronic pain, and without dementia, had a higher prevalence of poor sleep; however, they overestimated their sleep quality. Poor quality of sleep was associated with a poor self-perception of sleep and pain-induced depression.

RESUMO

Objetivo:

Estudar a qualidade do sono em longevos com dor crçnica.

Métodos:

Foram investigados 51 longevos sem demência e com dor crçnica de acordo com o Geriatric Pain Measure. Os questionários de Katz e Lawton foram utilizados para avaliar a funcionalidade. Para o rastreio de depressão foram usados o Geriatric Depression Scale e Geriatric Psychosocial Assessment of Pain-induced Depression. Auto-percepção e qualidade do sono, de acordo com o Pittsburgh Sleep Quality Index, também foram verificados.

Resultados:

Dor moderada foi observada em 64,7% dos participantes. O rastreamento de depressão foi positivo para 41,2% da amostra. Má qualidade do sono foi observada em 49% deles, entretanto 82,3% dos participantes tiveram uma muito boa ou boa auto-percepção do sono. Os principais fatores associados à má qualidade do sono foram mensuração da dor, auto-percepção ruim do sono e depressão induzida por dor.

Conclusão:

Os longevos com dor crçnica e sem demência apresentam maior prevalência de sono de má qualidade, entretanto com superestimação desta. A má qualidade do sono foi associada com auto-percepção do sono ruim e depressão induzida por dor.

Keywords:

chronic pain - sleep - aging - aged

Palavras-chave:

dor crçnica - sono - envelhecimento - idoso


Publication History

Received: 12 June 2016

Accepted: 28 September 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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