Pain, insomnia, and depression often drive osteoarthritis patients to seek medical care

August 22, 2018, Wiley
Credit: CC0 Public Domain

Pain was the main driver of seeking medical care in an Arthritis Care & Research study of patients with osteoarthritis. In addition to pain, insomnia and depression increased health care use.

In the study of 2976 patients, half of participants presented with at least one of the three symptoms (pain, insomnia, depression), and approximately 34% and 29% suffered from insomnia or depression, respectively, in addition to moderate to severe pain.

The combined effects of pain + insomnia, and pain + depression were additive and increased diverse types of health care use, and these effects increased greatly with increasing insomnia and depression severity after controlling for .

The findings indicate the important role that concurrent symptomatic conditions may play in increasing use of health care services.

"Pain, , and depression are common in older adults with osteoarthritis. Unfortunately, they commonly occur together," said lead author Dr. Minhui Liu, of Johns Hopkins University School of Nursing. "To our knowledge, our study is the first to examine their effects on diverse health care use. We are glad to find that although their effects on use are substantial, their combined effects are not greater than the sum of their individual effects, which is good for patients."

Explore further: Is knee pain linked to depression?

More information: Minhui Liu et al, Effects of Osteoarthritis Pain, and Concurrent Insomnia and Depression on Health Care Use in a Primary Care Population of Older Adults, Arthritis Care & Research (2018). DOI: 10.1002/acr.23695

Related Stories

Is knee pain linked to depression?

March 23, 2018
In the U.S., about 13 percent of women and 10 percent of men aged 60 or older have knee pain due to osteoarthritis (OA). Osteoarthritis occurs when a joint becomes inflamed, usually because the protective cartilage and other ...

Sleepless in Japan—How insomnia kills

February 9, 2018
Lay people tend to think that insomnia is usually a symptom of something else, like stress, a bad diet or a sedentary lifestyle, but this may not be true at all. It is possible that insomnia itself causes many of the conditions ...

Impaired sleep linked to lower pain tolerance

April 30, 2015
People with insomnia and other sleep problems have increased sensitivity to pain, reports a study published in Pain, the official publication of the International Association for the Study of Pain.

A vicious cycle in osteoarthritis: Sleep disturbance-pain-depression-disability

October 6, 2014
New research confirms that sleep disturbances are linked to pain and depression, but not disability, among patients with osteoarthritis (OA). Study results published in Arthritis Care & Research, a journal of the American ...

College education linked to opioid misuse among baby boomers

March 22, 2018
The more educated a member of the baby boomer generation, the more likely they are to misuse prescription opioids, according to new research from the University at Buffalo.

Poor sleep, negative attitude amplify pain in knee osteoarthritis

June 4, 2015
A new study reports that patients with knee osteoarthritis (OA) who have poor sleep habits display greater central sensitization—an amplification of clinical pain. Findings published in Arthritis Care & Research, a journal ...

Recommended for you

Research shows diet has little influence on precursor to gout

October 11, 2018
Dietary factors have a far smaller influence on urate levels (a precursor to gout) than previously envisaged, new University of Otago research reveals.

More doctor visits lead to less suicide attempts for fibromyalgia patients

September 19, 2018
Fibromyalgia patients who regularly visit their physicians are much less likely to attempt suicide than those who do not, according to a new Vanderbilt University Medical Center study published in Arthritis Care & Research.

Antioxidant found to be effective in treating mice with osteoarthritis

September 14, 2018
A team of researchers in Belgium and the Netherlands has found that feeding a common antioxidant to test mice was effective in treating osteoarthritis. In their paper published in Science Translational Medicine, the group ...

Researchers find answers as to why some people are at risk of gout

September 12, 2018
University of Otago researchers have helped characterise a genetic variant that enables new understanding of why some people are at risk of gout, a painful and debilitating arthritic disease.

Emotions like anger and sadness may cause pain as well as being a result of it

September 10, 2018
While emotions such as anger or sadness are often thought of as being a result of stress or pain, findings recently published by Penn State researchers suggest that negative or mixed emotions could function as stressors themselves.

Dietary carbohydrates could lead to osteoarthritis, new study finds

August 9, 2018
Do your knees ache? According to new findings from the Oklahoma Medical Research Foundation, your diet could be a culprit.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.