Sleep hygiene strategies for individuals with chronic pain: a scoping review

Abstract

ObjectivesUp to a quarter of the world’s population experience chronic pain, which, in addition to interfering with daily activities and waking function, is often associated with poor sleep. Individuals experiencing poor sleep are often encouraged to implement sleep hygiene strategies. However, current sleep hygiene strategies have not been developed considering the unique challenges faced by individuals with chronic pain and therefore they might not be as effective in this population. The aim of this scoping review is to map the state of the existing literature examining sleep hygiene strategies in individuals with chronic pain.DesignThis scoping review included a search of four online databases (Medline, Embase, PsycINFO and CINAHL) to identify articles examining the use of sleep hygiene strategies in populations with chronic pain.ResultsThirty articles investigated at least one sleep hygiene strategy in individuals with chronic pain, with improvements to sleep reported for six sleep hygiene strategies (education, exercise, limiting alcohol use, limiting tobacco use, prebed state and sleep environment). However, the timing of these strategies was often not reported which limits the degree to which these strategies can be generalised for use as a presleep strategy.ConclusionThis scoping review examined the existing literature focusing on sleep hygiene strategies for people with chronic pain. There are limitations to the methodology of the existing literature and gaps in our understanding of sleep hygiene strategies in some chronic pain conditions that must be addressed in future research before the effectiveness of these strategies can be understood.

Pain and the Non-Pharmacological Management of Pain in People with Parkinson’s Disease

“…Strategies that improve sleep can help with pain management in the general population [64]; however, to our knowledge there are no trials that have evaluated the effects of interventions for sleep on pain in PwP. Strategies that could be considered include cog-nitive behavioral therapy and sleep hygiene [64][65][66]. Overall, acupuncture, massage and sleep therapies require methodologically robust investigation with consideration of the biopsychosocial nature of pain when designing the intervention and outcomes.…”

Comparação de duas técnicas anestésicas no bloqueio do plano eretor da espinha bilateral em cirurgia cardíaca

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