SAT0764-HPR Retrospective study about association of mental and sleep disorders among adults with painful musculoskeletal conditions
Authors: S Abdul Latif, A Abdel Zaher, K Al Hassanein, M Zaghloul, MH Salama, E Barakat, E Mohamed, A Shaky
Journal: Annals of the Rheumatic Diseases (2017)

<h3>Background</h3> Chronic pain is a common condition that affects one-third of the population, accounting for a large number of medical consultations and a significant proportion of health care costs. Evidence suggests that anxiety and depression are associated with increased pain sensitivity and pain-related disability, co-morbid states that are more disabling than either condition alone. Likewise, sleep disorders have also been linked with chronic pain, and people who experience pain-related sleep disturbances are significantly more disabled than those who do not. <h3>Objectives</h3> The objective of this study was to determine the prevalence of anxiety, depression, and sleep disorders, painful musculoskeletal conditions in a sample of adults with disabilities. <h3>Methods</h3> This cross-sectional study analyzed data of 1692 adults aged 18 or older who have disabilities over 10 years (2005 to 2014). We examined the following chronic conditions, in which pain is a key symptom and forms part of the diagnosis, and organized them into 3 groups. Group 1 consisted of (rheumatic diseases), arthritis, osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis; group 2 consisted of muscular dystrophy; and group 3 consisted of neck or back pain; The prevalence (95% confidence interval) of painful musculoskeletal conditions was determined according to the diagnosis. Factors associated with these painful conditions were analyzed separately for men and women by using a logistic regression model. <h3>Results</h3> The prevalence of painful musculoskeletal conditions was 66.9% (95% CI, 66%–67.5%). Factors associated with these conditions in both men and women included older age, a sleep disorder, and concomitant chronic anxiety and/or depression was 23.5% (95% CI, 22.5%–24%), all of which were higher in women than in men. Of the 1692 adults with disability included in the study, 65% were women. The average age was 50.5 (standard deviation, 12.5 y), and 65% of participants were 50.5 or older. In addition, 48% of participants were married. Of the participants, 16% had been diagnosed with chronic anxiety and 22% with chronic depression; and 32% with sleep disorder (sleeping 6 hours or less per day. Prevalence of Painful Conditions in Adults with Disabilities, by Group of Conditions and by Sex, Differences between men and women were significant at P &lt;.001 (for all groups of conditions, except muscular dystrophy. <h3>Conclusions</h3> The prevalence of painful musculoskeletal conditions associated with depression, anxiety, and/or a sleep disorder, is high in people with disability, especially in women. To design plan for rehabilitation and improving the quality of life of adults with disability and painful conditions; treatments for depression, anxiety and/or sleep disorders should be considered in addition to conventional treatments. <h3>Disclosure of Interest</h3> None declared