东日本大地震幸存者睡眠障碍与新发主观性膝关节疼痛之间的关联：宫城县的一项前瞻性队列研究。
Association between sleep disturbance and new-onset subjective knee pain in Great East Japan Earthquake survivors: A prospective cohort study in the Miyagi prefecture.
作者信息
Hagiwara Yoshihiro, Sekiguchi Takuya, Sugawara Yumi, Yabe Yutaka, Koide Masashi, Itaya Nobuyuki, Yoshida Shinichiro, Sogi Yasuhito, Tsuchiya Masahiro, Tsuji Ichiro, Itoi Eiji
机构信息
Department of Orthopedic Surgery, Tohoku University School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.
Department of Orthopedic Surgery, Tohoku University School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan; Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.
出版信息
J Orthop Sci. 2018 Mar;23(2):334-340. doi: 10.1016/j.jos.2017.10.011. Epub 2017 Nov 11.
BACKGROUND
The Great East Japan Earthquake (GEJE) and Tsunami devastated the northeastern coast of Japan on March 11, 2011. This study aimed to determine whether sociopsychological factors, such as sleep disturbance and psychological distress, influenced new-onset subjective knee pain in survivors during the post-disaster phase of the GEJE.
METHODS
From November 2012 to February 2013 (2 years after the GEJE) and from November 2013 to February 2014 (3 years after the GEJE), survivors (≥18 years) completed self-reported questionnaires. A total of 1470 survivors responded to the questionnaires and were included in this study. New-onset subjective knee pain was defined as knee pain by encircled response absent at 2 years but present at 3 years after the GEJE. Two years after the GEJE, ≥10/24 points on the Kessler Psychological Distress Scale, and ≥6/24 points on the Athens Insomnia Scale defined the presence of psychological distress and sleep disturbance, respectively. Multiple logistic regression analysis was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of the association between new-onset subjective knee pain and psychological distress or sleep disturbance.
RESULTS
Among the participants, 10.9% (160/1470) reported experiencing new-onset subjective knee pain. Sleep disturbance was significantly associated with new-onset subjective knee pain (OR, 1.57, 95% CI, 1.08-2.29, P = 0.017); however, psychological distress was not (OR, 1.07, 95% CI, 0.65-1.78, P = 0.80).
CONCLUSIONS
This is the first study to indicate an association between sleep disturbance and new-onset subjective knee pain among survivors of the GEJE. 247/300.
背景
2011年3月11日，东日本大地震及海啸重创了日本东北海岸。本研究旨在确定社会心理因素，如睡眠障碍和心理困扰，是否会在东日本大地震后的灾后阶段影响幸存者新发的主观膝关节疼痛。
方法
在2012年11月至2013年2月（东日本大地震后2年）以及2013年11月至2014年2月（东日本大地震后3年）期间，幸存者（≥18岁）完成了自我报告问卷。共有1470名幸存者回复了问卷并纳入本研究。新发主观膝关节疼痛定义为在东日本大地震后2年时无但在3年时出现的圈选反应性膝关节疼痛。东日本大地震后2年，凯斯勒心理困扰量表得分≥10/24分以及雅典失眠量表得分≥6/24分分别定义为存在心理困扰和睡眠障碍。采用多元逻辑回归分析来估计新发主观膝关节疼痛与心理困扰或睡眠障碍之间关联的比值比（OR）和95%置信区间（CI）。
结果
在参与者中，10.9%（160/1470）报告经历了新发主观膝关节疼痛。睡眠障碍与新发主观膝关节疼痛显著相关（OR，1.57，95%CI，1.08 - 2.29，P = 0.017）；然而，心理困扰并非如此（OR，1.07，95%CI，0.65 - 1.78，P = 0.80）。
结论
这是第一项表明东日本大地震幸存者中睡眠障碍与新发主观膝关节疼痛之间存在关联的研究。247/300。
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