Cited by 1,620Sleep and related disordersMusculoskeletal pain and rehabilitationPain Mechanisms and Treatments

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The Association of Sleep and Pain: An Update and a Path Forward

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Finan, Patrick H., Goodin, Burel R., Smith, Michael T.·2013·The Journal of Pain

DOI 10.1016/j.jpain.2013.08.007PMC PMC4046588

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Abstract

Unlabelled Ample evidence suggests that sleep and pain are related. However, many questions remain about the direction of causality in their association, as well as mechanisms that may account for their association. The prevailing view has generally been that they are reciprocally related. The present review critically examines the recent prospective and experimental literature (2005-present) in an attempt to update the field on emergent themes pertaining to the directionality and mechanisms of the association of sleep and pain. A key trend emerging from population-based longitudinal studies is that sleep impairments reliably predict new incidents and exacerbations of chronic pain. Microlongitudinal studies employing deep subjective and objective assessments of pain and sleep support the notion that sleep impairments are a stronger, more reliable predictor of pain than pain is of sleep impairments. Recent experimental studies suggest that sleep disturbance may impair key processes that contribute to the development and maintenance of chronic pain, including endogenous pain inhibition and joint pain. Several biopsychosocial targets for future mechanistic research on sleep and pain are discussed, including dopamine and opioid systems, positive and negative affect, and sociodemographic factors.Perspective This critical review examines the recent prospective and experimental research (2005-present) on the association of sleep and pain in an attempt to identify trends suggestive of directionality and potential mechanisms. An update on this literature is needed to guide future clinical efforts to develop and augment treatments for chronic sleep disturbance and chronic pain.

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Authors: Finan, P. H., Goodin, B. R., & Smith, M. T.
Affiliations: Johns Hopkins University (US)
University of Alabama at Birmingham (US)
Corresponding author: Finan, Patrick H.
ORCID: Finan, Patrick H.
Goodin, Burel R.
Smith, Michael T.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2013-12
Volume: 14
Issue: 12
Pages: 1539-1552
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2013.08.007
PMC: PMC4046588
OpenAlex: W2005396232
Cited by: 1,620
References: 139
Citations by year: 2026: 205 · 2025: 166 · 2024: 163 · 2023: 171 · 2022: 174 · 2021: 200 · 2020: 126 · 2019: 130 · 2018: 79 · 2017: 70 · 2016: 53 · 2015: 63 · 2014: 17 · 2013: 1
FWCI: 7.40
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 3571 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01ar054871-05, 5r01ar059410-04)
National Institute on Aging (L30 AG040467)
National Institute of Neurological Disorders and Stroke (T32NS070201)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01-AR-059410, R01-AR-054871, R01 AR05487)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Keywords: sleep, chronic pain, sleep disorders, bidirectional relationship, endogenous pain inhibition, joint pain, dopamine, opioid system, affect, sociodemographic factors, biopsychosocial mechanisms
MeSH terms: Humans, Longitudinal Studies, Pain, Prospective Studies, Sleep, Sleep Wake Disorders, Pain Management

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The Association of Sleep and Pain: An Update and a Path Forward

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