Sleep and health-related quality of life in persons before and after participation in a chronic pain rehabiltation program

Presentatörer: A. Hållstam¹, J. Eriksson-Carnander¹, C. Angelhoff ², L. Gellerstedt ¹

¹ Karolinska Institutet, Stockholm, Sweden, ² Linköpings University, Linköping, Sweden

Background: Persons with chronic pain and simultaneous insomnia have more severe and widespread pain, increased disability, anxiety, and depression. Persons with insomnia on the

other sides are more likely to develop chronic pain. Multimodal rehabilitation (MMR) by interprofessional teams based on the bio-psycho-social understanding is an evidence-based intervention for chronic pain. Insomnia therapy is also based on educational and cognitive behavioral principles. The literature proposes simultaneous interventions for patients living with chronic pain and insomnia. Persons’ experiences of MMR focusing on sleep and health-related quality of life (HRQoL) is scarcely described.

Aims:

• to explore persons’ experience of sleep and HRQoL in MMR
• to describe patient reported measures of insomnia, HRQoL and pain before and after the program.

Methods:

• Transcripts of 2- 4 focus group interviews with persons who passed MMR will be analyzed by thematic analysis.
• Patient reported outcome measures (PROMs) for insomnia, HRQoL and pain before and after MMR will be analyzed by statistical methods.

Results: Preliminary findings of two focus group interviews show how poor sleep had a negative impact on daily activity, pain, and relations to neighbors. The informants also described a vicious circle between pain and poor sleep. PROMs show significant improvement in social functioning and decrease of insomnia from pre to post MMR.

Conclusions: Persons with chronic pain suffer from insomnia which also affects health related quality of life. A multimodal rehabilitation program can increase sleep and thus quality of life. The most significant intervention for the change was sleep ergonomics.