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Somatic symptoms in sleep disturbance.
Gustav Nordin1, Robin Sundqvist1, Steven Nordin1
1Department of Psychology, Umeå University, Umeå, Sweden.
Psychology, Health & Medicine
|September 29, 2021
Summary
Common somatic symptoms like stomach pain and dizziness are linked to sleep disturbance. Experiencing multiple such symptoms increases the risk, suggesting primary care screening for sleep issues.
Area of Science:
- General Medicine
- Psychiatry
- Epidemiology
Background:
- Sleep disturbance and somatic symptoms are prevalent health complaints.
- The specific relationship between individual somatic symptoms and sleep disturbance requires further elucidation.
Purpose of the Study:
- Identify somatic symptoms associated with sleep disturbance (SS-SD).
- Determine the risk of sleep disturbance linked to SS-SD, adjusting for anxiety and depression.
- Evaluate the sensitivity and specificity of SS-SD counts for identifying sleep disturbance.
Main Methods:
- Utilized population-based, cross-sectional data from a Swedish sample.
- Employed validated questionnaire instruments for data collection.
- Categorized participants into sleep disturbance (n=864) and reference (n=2340) groups.
Main Results:
- Stomach pain, back pain, nausea/gas/indigestion, dizziness, and bowel issues were identified as SS-SD.
- Each SS-SD increased the risk of sleep disturbance (ORs 1.93-2.44, adjusted ORs 1.36-1.91).
- Risk of sleep disturbance rose by 1.44 times per SS-SD (adjusted ORs 1.25-1.30).
- A threshold of 2-3+ SS-SD showed 72.5%/54.2% sensitivity and 50.0%/69.7% specificity for sleep disturbance.
Conclusions:
- Specific somatic symptoms are significantly associated with sleep disturbance.
- The number of somatic symptoms is a predictor of sleep disturbance risk.
- Primary care clinicians should consider screening for sleep disturbance in patients presenting with these somatic symptoms.
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