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Cited by 310Sleep and related disordersMusculoskeletal pain and rehabilitationObstructive Sleep Apnea Research

Relationship between chronic painful physical condition and insomnia

Ohayon, Maurice M.·2005·Journal of Psychiatric Research
DOI 10.1016/j.jpsychires.2004.07.001
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Abstract

Background A chronic painful physical condition (CPPC) can be a major cause of sleep disturbances. Few community-based surveys examined the specific relationship between these two conditions.Methods Eighteen thousand, nine hundred and eighty participants aged 15 years or older from five European countries (the United Kingdom, Germany, Italy, Portugal and Spain) and representative of approximately 206 millions Europeans were interviewed by telephone. The interview included questions about sleeping habits, health, sleep and mental disorders. Painful physical conditions were ascertained through questions about medical treatment, consultations and/or hospitalizations for medical reasons and a list of 42 diseases. A painful physical condition was considered chronic when it lasted at least six months. Insomnia symptoms were defined as difficulty initiating or maintaining sleep or non-restorative sleep, present at least three nights per week, lasting at least one month, and accompanied by daytime consequences.Results (1) The point prevalence of at least one CPPC was set at 17.1% (95% CI: 16.5-17.6%) in the sample. (2) Difficulty initiating sleep was found in 5.1% (95% CI: 4.8-5.4%) of the sample, disrupted sleep in 7.5% (95% CI: 7.2-7.9%); early morning awakenings in 4.8% (95% CI: 7.2-7.9%) and non-restorative sleep in 4.5% (95% CI: 4.2-4.8%). (3) More than 40% of individuals with insomnia symptoms reported at least one CPPC. (4) CPPC was associated with more frequent difficulty or inability to resume sleep once awake and a shorter sleep duration. (5) In middle-aged subjects (45-64 years of age), CPPC was associated with longer insomnia duration. At any age, insomnia with CPPC was associated with a greater number of daytime consequences (average of four consequences) than in insomnia without CPPC (average of 2.3 consequences). (6) In multivariate models, CPPC, especially backaches and joint/articular diseases, were at least as importantly associated with insomnia than were mood disorders with odds ratios ranging from 4.1 to 5.0 for backaches and from 3.0 to 4.8 for joint/articular diseases.Conclusions CPPC is associated with a worsening of insomnia on several aspects: a greater number of insomnia symptoms, more severe daytime consequences and more chronic insomnia situation. CPPC plays a major role on insomnia. Its place as major contributive factor for insomnia is as much important as mood disorders.

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  • Ohayon examined patients with chronic pain conditions and found 3 times more frequency of insomnia symptoms and more reported daytime impairments due to sleep issues in those with chronic pain in comparison to those with just reported insomnia symptoms.

    “Ohayon [44] examined patients with chronic pain conditions and found 3 times more frequency of insomnia symptoms and more reported daytime impairments due to sleep issues in those with chronic pain in comparison to those with just reported insomnia symptoms.”

    From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [44]

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Authors
Ohayon, M. M.
Affiliations
Stanford Medicine (US)
Corresponding author
Ohayon, Maurice M.
ORCID
Ohayon, Maurice M.
Venue
Journal of Psychiatric Research
Publisher
Elsevier BV
Published
2005-03
Volume
39
Issue
2
Pages
151-159
ISSN
0022-3956 (ISSN-L)
DOI
10.1016/j.jpsychires.2004.07.001
OpenAlex
W1991781775
Cited by
310
References
19
Citations by year
2026: 4 · 2025: 10 · 2024: 10 · 2023: 12 · 2022: 8 · 2021: 13 · 2020: 17 · 2019: 10 · 2018: 17 · 2017: 16 · 2016: 14 · 2015: 20 · 2014: 19 · 2013: 15 · 2012: 25
FWCI
12.20
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Psychiatric Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Sanofi
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords
insomnia, sleep disorders, back pain, sleep duration, mood disorders, prevalence of chronic pain, European adults, middle-aged adults, non-restorative sleep, early morning awakening, difficulty initiating sleep
MeSH terms
Adolescent, Adult, Age Factors, Aged, Chronic Disease, Female, Health Surveys, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pain, Prevalence, Multivariate Analysis

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