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Sleep Characteristics in Diabetic Patients Depending on the Occurrence of Neuropathic Pain and Related Factors

Author

Listed:
  • Cristina Naranjo

    (University Hospital Puerta del Mar, Avda. Ana de Viya 21, 1009 Cádiz, Spain)

  • María Dueñas

    (Department of Statistics and Operational Research, University of Cadiz, Calle Enrique Villegas Vélez, 2, 11002 Cádiz, Spain
    Biomedical Research and Innovation Institute of Cádiz (INiBICA), Avda. Ana de Viya 21, 11009 Cádiz, Spain
    The Observatory of Pain (External Chair of Pain), Grünenthal Foundation, University of Cádiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

  • Carlos Barrera

    (University Hospital Puerta del Mar, Avda. Ana de Viya 21, 1009 Cádiz, Spain)

  • Guillermo Moratalla

    (Primary Care Center Loreto-Puntales, Health district Bahía de Cádiz-La Janda, C/ Hidroavión Numancia 0, 11011 Cádiz, Spain)

  • Inmaculada Failde

    (Biomedical Research and Innovation Institute of Cádiz (INiBICA), Avda. Ana de Viya 21, 11009 Cádiz, Spain
    The Observatory of Pain (External Chair of Pain), Grünenthal Foundation, University of Cádiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain
    Preventive Medicine and Public Health Area, University of Cádiz, Avda. Ana de Viya 52, 11009 Cádiz, Spain)

Abstract

This study aims to compare the sleep characteristics (structure and quality) in patients with type-2 diabetes mellitus with and without diabetic neuropathic pain (DNP), and to investigate the relationship of sensory phenotypes, anxiety, and depression with sleep quality in DNP patients. A cross-sectional study was performed in patients with type-2 diabetes mellitus and neuropathy. Patients were classified into two groups—with or without neuropathic pain—according to the “Douleur Neuropathique-4 (DN4)” scale. Sleep characteristics and quality (Medical Outcomes Study—MOS-sleep), pain phenotype (Neuropathic Pain Symptom Inventory—NPSI), mood status (Hospital Anxiety and Depression scale—HADS), pain intensity (Visual Analogue Scale—VAS), and quality of life (SF-12v2) were measured. The sample included 130 patients (65 with DNP). The mean scores in all the dimensions of the MOS-sleep scale were higher (more disturbances) in the DNP patients. Higher scores in anxiety or depression, greater intensity of pain or a higher score in the paroxysmal pain phenotype were associated with lower sleep quality in DNP patients. A shorter duration of the diabetes and lower levels of glycated hemoglobin were also associated with lower sleep quality. The results show the relationship between DNP and sleep quality, and the importance of assessing sensory phenotypes and mental comorbidities in these patients. Taking these factors into consideration, to adopt a multimodal approach is necessary to achieve better clinical results.

Suggested Citation

  • Cristina Naranjo & María Dueñas & Carlos Barrera & Guillermo Moratalla & Inmaculada Failde, 2020. "Sleep Characteristics in Diabetic Patients Depending on the Occurrence of Neuropathic Pain and Related Factors," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8125-:d:439559
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    References listed on IDEAS

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    1. Bingqian Zhu & Patricia E Hershberger & Mary C Kapella & Cynthia Fritschi, 2017. "The relationship between sleep disturbance and glycaemic control in adults with type 2 diabetes: An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4053-4064, December.
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    Cited by:

    1. Alejandro Salazar & Jenifer Palomo-Osuna & Helena de Sola & Jose A. Moral-Munoz & María Dueñas & Inmaculada Failde, 2021. "Psychological Impact of the Lockdown Due to the COVID-19 Pandemic in University Workers: Factors Related to Stress, Anxiety, and Depression," IJERPH, MDPI, vol. 18(8), pages 1-16, April.
    2. Jenifer Palomo-Osuna & Inmaculada Failde & Helena De Sola & María Dueñas, 2022. "Differences in Cognitive Function in Women and Men with Diabetic Peripheral Neuropathy with or without Pain," IJERPH, MDPI, vol. 19(24), pages 1-12, December.

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