Cited by 123Sleep and related disordersSleep and Wakefulness ResearchPain Mechanisms and Treatments

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Polysomnographic characteristics in nonmalignant chronic pain populations: A review of controlled studies

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Bjurstrom, Martin F., Irwin, Michael R.·2016·Sleep Medicine Reviews

DOI 10.1016/j.smrv.2015.03.004PMC PMC4598249

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Abstract

Sleep and pain are critical homeostatic systems that interact in a bidirectional manner. Complaints of sleep disturbance are ubiquitous among patients with chronic pain disorders, and conversely, patients with persistent insomnia symptoms commonly report suffering from chronic pain. Sleep deprivation paradigms demonstrate that partial or complete sleep loss induce hyperalgesia, possibly due to shared mechanistic pathways including neuroanatomic and molecular substrates. Further, chronic pain conditions and sleep disturbances are intertwined through comorbidities, which together cause detrimental psychological and physical consequences. This critical review examines 29 polysomnography studies to evaluate whether nonmalignant chronic pain patients, as compared to controls, show differences in objective measures of sleep continuity and sleep architecture. Whereas these controlled studies did not reveal a consistent pattern of objective sleep disturbances, alterations of sleep continuity were commonly reported. Alterations of sleep architecture such as increases in light sleep or decreases in slow-wave sleep were less commonly reported and findings were mixed and also inconsistent. Methodological flaws were identified, which complicated interpretation and limited conclusions; hence, recommendations for future research are suggested. Knowledge of abnormalities in the sleep process has implications for understanding the pathophysiology of chronic pain conditions, which might also direct the development of novel intervention strategies.

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Authors: Bjurstrom, M. F., & Irwin, M. R.
Affiliations: University of California, Los Angeles (US)
ORCID: Irwin, Michael R.
Venue: Sleep Medicine Reviews
Publisher: Elsevier BV
Published: 2016-04
Volume: 26
Pages: 74-86
ISSN: 1087-0792 (ISSN-L)
DOI: 10.1016/j.smrv.2015.03.004
PMC: PMC4598249
OpenAlex: W1985990153
Cited by: 123
References: 110
Citations by year: 2026: 10 · 2025: 17 · 2024: 10 · 2023: 17 · 2022: 10 · 2021: 17 · 2020: 6 · 2019: 11 · 2018: 11 · 2017: 7 · 2016: 4
FWCI: 1.03
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine Reviews (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Lund University Publications (Lund University) (submittedVersion)
Funders: UCLA Older Americans Independence Center (P30 AG028748)
UCLA Clinical and Translational Science Institute (UL1TR000124)
National Institute of Health (R01 AG034588, R01 AG026364, R01 CA160245, R01 HL095799, R01 DA032922)
Cousins Center for Psychoneuroimmunology
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Keywords: chronic pain, polysomnography, sleep architecture, sleep continuity, sleep disorders, insomnia, sleep deprivation, hyperalgesia, slow-wave sleep, light sleep
MeSH terms: Humans, Sleep Initiation and Maintenance Disorders, Sleep Deprivation, Comorbidity, Randomized Controlled Trials as Topic, Polysomnography, Chronic Pain

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Polysomnographic characteristics in nonmalignant chronic pain populations: A review of controlled studies

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