Insomnia is a risk factor for spreading of chronic pain: A Swedish longitudinal population study (SwePain)

Wiklund, Tobias; Gerdle, Björn; Linton, Steven J.; Dragioti, Elena; Larsson, Björn

doi:10.1002/ejp.1582

Cited by 18 publications

(13 citation statements)

References 42 publications

(84 reference statements)

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“…This study highlights the coexistence and overlap of mood disorders and insomnia in patients suffering from pain syndromes, which have little or no importance when assessing patients in primary health care centers. Taking note of the underdiagnosis of this overlap, as well as of the expanding anamnesis, and correctly using diagnostic tools for the disorders of interest in this study, which the current literature describes, increases their diagnosis rate by ignoring the positive relationship that exists between these disorders, and ignoring a fundamental pillar in the comprehensive treatment for these patients, in which there is more scientific evidence every day [32][33][34][35][36][37]. Regarding the results obtained, women continue to be the most affected in the development of mental disorders in the course of pain syndromes showed the most affected anatomical areas being the spine and the head.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Anxiety/Depression Mood Disorders and Insomnia in Patients with Pain Syndromes in Primary Health Care: A Cohort Study

Rodriguez¹

2022

Arch Clin Trial & Case Rep.

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Introduction: Chronic pain and mental health disorders are common in the general population, prevalence of chronic pain ranges from 2% to 40%, and the prevalence of mental health disorders ranges from 17% to 29%. Chronic pain is associated with irritability, depression, anxiety and sleep problems such as insomnia. However, the appearance of anxiety and depression has been described as a consequence of chronic pain. Aims: To determine the sociodemographic characteristics and the association between pain syndromes and mood disorders in individuals treated in primary care. Materials and methods: A prospective cohort study was undertaken in a primary care medical center for four months with patients whose pain was the reason for consultation. Scales such as DN4, VAS, Beck's criteria, and DSM-V were applied, and the sociodemographic characteristics of these individuals were determined. Results: A total of 132 patients who met the inclusion criteria were recruited. Of these, 81.81% (108) were women, 18.18% were men (24). The mean age for both sexes was 37.9 and the mean duration in hours of each painful episode was 14.35 hours. The proportion of the disorders that was noted were as follows: insomnia in 0.303, anxiety 0.265, depression 0.090. Those who presented with anxiety or depression and another disorder was 0.053. Patients who did not develop any of the diseases of interest in this study 0.185. Discussion: The coexistence and overlap of mood disorders and insomnia in patients suffering from pain syndromes, which have little or no importance when assessing patients in primary health care centers, are under-diagnosed. However, broadening the clinical history, and correctly using diagnostic tools for mood disorders increases their diagnosis rate, ignoring the positive relationship that exists between these disorders. Conclusions: Pain disorders trigger neuropsychiatric complications. Depression, anxiety, and insomnia worsen episodes of pain. However, the correct diagnostic approach and the application of adequate management greatly reduce the complications of these types of disorders.

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Section: Discussionmentioning

confidence: 99%

Relationship Between Anxiety/Depression Mood Disorders and Insomnia in Patients with Pain Syndromes in Primary Health Care: A Cohort Study

Rodriguez¹

2022

Arch Clin Trial & Case Rep.

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“…Adjustments such as patient-tailored content or format of ICBT have been studied (Păsărelu et al, 2017) and may be relevant when symptoms vary. Chronic pain patients have a high prevalence of comorbidity, for example, insomnia (Wiklund et al, 2020), depression (Gasslander et al, 2022b), and obesity (Dong et al, 2021). Today, not enough is known about the effects of fitting patients' needs, technology features, and treatment assignments.…”

Section: Future Directionsmentioning

confidence: 99%

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Bendelin

2023

Linköping University Medical Dissertations

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Chronic pain represents a major burden for individuals and society. Internet-delivered psychological interventions are evidence-based treatments that enable patients to access qualified care at a time and place convenient for them. Internet-delivered Acceptance and commitment therapy (IACT) has shown promising treatment effects for chronic pain patients on pain-related outcomes such as disability, pain intensity, and interference, and on psychological outcomes such as catastrophizing, fear-avoidance and acceptance. Interdisciplinary pain rehabilitation programs (IPRP) are multimodal interventions given by synchronized teams of health care professionals from different disciplines. With moderate treatment effects on many outcomes, IPRP is the best evidence treatment for chronic pain to date.• A focus on quality of life, physical and psychological functioning, and/or return-to-work (Kamper et al., 2015). • The content consists of multiple modalities given synchronized by a team of several professionals (Nordin et al., 2016). • The team collaborates extensively during assessment and treatment planning and continuously evaluates treatment processes throughout the rehabilitation phase. • The group-based psychology sessions incorporate components from cognitive behavioural therapy (CBT) (Eccleston et al., 2009) or Acceptance and commitment therapy (ACT) (Eccleston et al., 2013, Hann and and target catastrophizing, coping, experiential avoidance, goals, values, motivation, and sometimes sleep interventions. tions have nevertheless given promise to its feasibility on their own or as a part of stepped care in regular health services (Andersson et al., 2019). Delivery in specialist pain care EffectivenessWith regards to specialist level pain care, a non-randomized trial of IACT (n = 99) with individualized coaching given as a stand-alone treatment showed PapersThe papers associated with this thesis have been removed for copyright reasons. For more details about these see:

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“…The relationship between sleep and pain appears to be dose dependent 25,28,29,35,38. An 11-year cohort study of older adults found a dose-dependent and reciprocal relationship between sleep disturbance and persistent pain severity and number of pain sites 29.…”

Section: Relationship Between Sleep and Painmentioning

confidence: 99%

Sleep and pain: relationship, mechanisms, and managing sleep disturbance in the chronic pain population

Selvanathan

Tang

Peng

et al. 2021

International Anesthesiology Clinics

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Insomnia is a risk factor for spreading of chronic pain: A Swedish longitudinal population study (SwePain)

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Cited by 18 publications

References 42 publications

Relationship Between Anxiety/Depression Mood Disorders and Insomnia in Patients with Pain Syndromes in Primary Health Care: A Cohort Study

Relationship Between Anxiety/Depression Mood Disorders and Insomnia in Patients with Pain Syndromes in Primary Health Care: A Cohort Study

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Sleep and pain: relationship, mechanisms, and managing sleep disturbance in the chronic pain population

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