Sleep, pain, fibromyalgia, and chronic fatigue syndrome

Landis, Clark R.

doi:10.1016/b978-0-444-52006-7.00039-3

Cited by 11 publications

(14 citation statements)

References 201 publications

(269 reference statements)

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“…The multivariate regression of ISI confirmed the relatively low correlation (R 2 ¼ 0.23) and found that high psychological strain and high pain intensity resulted in the strongest associations with insomnia severity (Figure 2). In the present cohort of chronic pain patients, three psychological variables were stronger regressors than two pain variables and two coping aspects; therefore, high depressive and anxiety intensities were associated with the severity of insomnia, a finding that also agrees with the present literature [21]. Although anxiety seems to play a key role in the development of insomnia, depression may be considered a possible precipitating mechanism but even more likely as a consequence of insomnia [25].…”

Section: Discussionsupporting

confidence: 86%

“…The scores of the seven items are added as the total score of ISI (max ¼ 28). The score is divided into four categories: no clinically significant insomnia (ISI: 0-7); subthreshold insomnia (ISI: [8][9][10][11][12][13][14]; moderate clinical insomnia (ISI: [15][16][17][18][19][20][21]; and severe clinical insomnia (ISI: 22-28).…”

Section: Insomnia Severity Indexmentioning

confidence: 99%

“…Increases in the prevalence of insomnia in patients with chronic pain exhibit a relatively prominent variability (50-80% insomnia) [8][9][10][11][12][13]. Although chronic pain and insomnia has a bidirectional correlation [21,27,28], the relationship between the two has been largely ignored. Identifying the prevalence of insomnia and the strength of the correlation between insomnia and pain (and other symptoms) should be considered when deciding whether insomnia treatment ought to be included in multimodal/multidisciplinary rehabilitation programs (MMRP).…”

Section: Introductionmentioning

confidence: 98%

“…Patients with chronic somatoform pain exposed to one night total sleep deprivation exhibited increased complaints in clinical pain, but the exteroceptive pain thresholds remained unchanged the day after [5]. Pain-induced increase in alertness, which activates the neuronal and hormonal executive stress mechanisms, seems to play a significant role in both disturbances of sleep pattern and sleep quality [19,21]. Depression, a common feature in chronic pain patients, can affect pain threshold and tolerance [22].…”

Section: Introductionmentioning

confidence: 99%

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Comorbid insomnia in patients with chronic pain: a study based on the Swedish quality registry for pain rehabilitation (SQRP)

Alföldi

Wiklund

Gerdle

2013

Disability and Rehabilitation

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The prevalence of insomnia is high in patients with chronic pain conditions, but the level of importance in relation to other symptoms for health aspects is low, and the associations with other important symptoms are relatively weak. One way to increase the effects of multimodal rehabilitation programs may be to provide interventions directed specifically at insomnia rather than focusing only on interventions that address pain, depression and anxiety. Implications for Rehabilitation The prevalence of insomnia is high in patients with complex chronic pain conditions. Relatively low correlations existed between insomnia and pain intensity, depression, anxiety and other psychological aspects. Pain intensity, anxiety and depression were more important for perceived health aspects than insomnia. One way to increase the effects of multimodal rehabilitation programs may be to also include interventions directed directly to insomnia.

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Section: Discussionsupporting

confidence: 86%

Section: Insomnia Severity Indexmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comorbid insomnia in patients with chronic pain: a study based on the Swedish quality registry for pain rehabilitation (SQRP)

Alföldi

Wiklund

Gerdle

2013

Disability and Rehabilitation

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“…It should be noted that there are many studies documenting sleep disturbances in cancer (Sharma et al, 2012), and several studies showing the benefits of treating sleep disorders in the context of cancer (Garland et al, 2011, 2014; Roscoe et al, 2007; Sharma et al, 2012). Also, sleep disturbances have been described in other chronic diseases as well, such as pain syndromes (Besteiro Gonzalez et al, 2011; Landis, 2011; Lindstrom et al, 2012; Perlis et al, 1997; Wagner et al, 2012), dementias (Jaussent et al, 2012; Jirong et al, 2013; Zhou et al, 2012), human immunodeficiency virus (HIV) (Gamaldo et al, 2013b; Saberi et al, 2013; Taibi, 2013), and others (Cengic et al, 2012; Chakravorty et al, 2013; Jensen et al, 2013; Parhami et al, 2012; Wallhausser-Franke et al, 2013). This review focuses primarily on cardiometabolic disease, since the goal is to understand the potential role of sleep disturbance in preventing chronic disease.…”

Section: What Is Meant By ‘Cardiometabolic Disease?’mentioning

confidence: 99%

Addressing sleep disturbances: An opportunity to prevent cardiometabolic disease?

Grandner

2014

International Review of Psychiatry

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There is increasing awareness of the role of sleep disturbance as an important factor in health and disease. Although subclinical sleep disturbances (insufficient sleep duration or inadequate sleep quality) may be difficult to assess with conceptual and/or methodological clarity, this review attempts to summarize and synthesize these findings. First, the concept of sleep disturbance in a public health context is introduced, to provide context and rationale. Second, operational definitions of ‘cardiometabolic disease’ and ‘sleep disturbance’ are offered, to address many unclear operationalizations. Third, the extant literature is summarized regarding short or long sleep duration and/or insufficient sleep, insomnia and insomnia symptoms, general (non-specific sleep disturbances), circadian rhythm abnormalities that result in sleep disturbances, and, briefly, sleep-disordered breathing. Fourth, the review highlights the social/behavioural context of sleep, including discussions of sleep and race/ethnicity, socio-economic position, and other social/environmental factors, in order to place these findings in a social-environmental context relevant to public health. Fifth, the review highlights the issue of sleep as a domain of health behaviour and addresses issues regarding development of healthy sleep interventions. Finally, a research agenda of future directions is proposed.

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Sleep problems and risk of fibromyalgia: Longitudinal data on an adult female population in Norway

Mork¹,

Nilsen²

2011

Arthritis & Rheumatism

162

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Objective. Sleep problems are common among patients with fibromyalgia (FM). However, it is not known whether poor sleep is a contributing factor in FM or a consequence of the illness. The aim of the current study was to prospectively investigate the association between self-reported sleep problems and risk of FM among adult women.Methods. We longitudinally studied 12,350 women who did not have FM, musculoskeletal pain, or physical impairments at baseline (1984)(1985)(1986) Conclusion. These prospective data indicate a strong dose-dependent association between sleep problems and risk of FM. The association is somewhat, although not significantly, stronger in middle-aged and older women than in younger women.Fibromyalgia (FM) is a chronic musculoskeletal pain syndrome with a complex etiology. The prevalence of FM in the general adult population is ϳ3-5%, with a predominance among women (1). Disturbed sleep (e.g., insomnia and nocturnal awakening) and undue fatigue due to nonrestorative sleep are common comorbid symptoms in patients with FM (2,3). Self-reported sleep problems in patients with FM have been substantiated by polysomnographic recordings, showing alterations in sleep architecture and electroencephalographic sleep pattern, in some but not all studies (4). Whether poor sleep is a contributing factor in the development of FM or, rather, develops as a consequence of the illness is currently not known. We prospectively studied a large and unselected population of women who did not have FM, musculoskeletal pain, or physical impairment at baseline, to investigate whether sleep problems increase the risk of FM development. PATIENTS AND METHODSStudy population. The (Helseundersøkelsen i NordTrøndelag [Nord-Trøndelag Health Study] [HUNT study]) is a collaborative effort of the HUNT Research Centre at the Norwegian University of Science and Technology, the NordTrøndelag (Norway) County Council, and the Norwegian Institute of Public Health. All residents of Nord-Trøndelag County age Ն20 years were invited to participate in 2 separate phases of the HUNT study: first in 1984-1986 (HUNT 1) and then in 1995-1997 (HUNT 2). Among 42,568 women who were eligible, 38,274 (89.9%) accepted the invitation to participate in the HUNT 1 and completed a questionnaire that was sent with the invitation. A clinical examination was conducted, at which body mass and height were measured and the women were given a second questionnaire to complete at home and return in a prestamped envelope. For the HUNT 2, 46,709 women were invited to participate, and 34,518 (73.9%) accepted the invitation. The procedures were similar to those described for the HUNT 1, although both the questionnaires and the clinical examination were more comprehensive.There were 24,357 women who participated in both the HUNT 1 and the HUNT 2, and these women were selected for the present study. Of these 24,357 women, we excluded 6,093

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Sleep, pain, fibromyalgia, and chronic fatigue syndrome

Cited by 11 publications

References 201 publications

Comorbid insomnia in patients with chronic pain: a study based on the Swedish quality registry for pain rehabilitation (SQRP)

Comorbid insomnia in patients with chronic pain: a study based on the Swedish quality registry for pain rehabilitation (SQRP)

Addressing sleep disturbances: An opportunity to prevent cardiometabolic disease?

Sleep problems and risk of fibromyalgia: Longitudinal data on an adult female population in Norway

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