Anxiety and Insomnia in Young and Middle-Aged Adult Hip Pain Patients With and Without Femoroacetabular Impingement and Developmental Hip Dysplasia.
Heidi Prather, Andrew Creighton, Chris Sorenson and 4 others
PMID 29111466WHAT IT FOUND
Young and middle-aged adults with hip pain had more insomnia and anxiety than matched controls: 74% versus 14% had sleep disturbance.
Deformity type did not change this. Ask about sleep and pain-related anxiety.
Key findings
0174% of hip pain patients scored in the occult or absolute sleep disturbance category, compared with 14% of controls.
02Patients with hip pain slept significantly less per night than controls by nearly a full hour and had greater insomnia and anxiety scores.
03Insomnia and anxiety scores did not differ between hip deformity groups or between patients with deformity and patients without deformity.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only 50 hip pain patients and 50 controls were studied, so results may not apply to all hip pain patients. The study measured participants at one time point, so it cannot show how insomnia or anxiety developed or changed. The study did not track whether patients had surgery, received conservative care, or improved. Patients were selected for specific hip pain and minimal radiographic arthritis, so findings may not apply to other hip pain presentations.
Declared interests
The supplied text lists extramural N.I.H. research support. No author conflicts of interest are stated in the supplied text.
The easy way to misread this
Do not conclude that treating insomnia or anxiety will improve hip pain outcomes. This study compared questionnaires at one time point and did not test any treatment or follow patients over time.