Sleep quality and presleep arousal in chronic pain

Smith, M. T.; Perlis, M. L.; Smith, M. S.; Giles, D. E.; Carmody, T. P.

doi:10.1023/a:1005444719169

Cited by 302Sleep and related disordersMusculoskeletal pain and rehabilitationObstructive Sleep Apnea Research

Sleep quality and presleep arousal in chronic pain

Smith, M. T., Perlis, M. L., Smith, M. S., Giles, D. E., Carmody, T. P.·2000·Journal of Behavioral Medicine

DOI 10.1023/a:1005444719169

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Abstract

This study was designed (1) to characterize the extent and nature of sleep complaints of chronic pain patients and (2) to examine the factors that predict sleep quality. A heterogeneous sample of 51 outpatients with benign, chronic pain was recruited from newspaper and pain clinic advertisements. Patients completed a variety of self-report instruments including the Multidimensional Pain Inventory, the Pittsburgh Sleep Quality Index, the Pre-Sleep Arousal Scale, and the Beck Depression Inventory. Sleep complaints were reported by 88% of the sample. Presleep cognitive arousal, rather than pain severity, was found to be the primary predictor of sleep quality.

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Insomnia rates range from 16 to 33% for those with comorbid medical conditions, such as diabetes mellitus, heart disease, and chronic back pain, and the rates range as high as 88% for those with insomnia symptoms and chronic pain.
“Insomnia rates range from 16 to 33 % for those with comorbid medical conditions, such as diabetes mellitus, heart disease, and chronic back pain [14,45], and the rates range as high as 88 % for those with insomnia symptoms and chronic pain [46].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [46]

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Authors: Smith, M. T., Perlis, M. L., Smith, M. S., Giles, D. E., & Carmody, T. P.
Affiliations: University of Rochester Medicine (US)
San Francisco VA Medical Center (US)
ORCID: Smith, M. T.
Perlis, M. L.
Venue: Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 2000-02
Volume: 23
Issue: 1
Pages: 1-13
ISSN: 0160-7715 (ISSN-L)
1573-3521
DOI: 10.1023/a:1005444719169
OpenAlex: W1570776100
Cited by: 302
References: 38
Citations by year: 2026: 3 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 15 · 2021: 17 · 2020: 14 · 2019: 18 · 2018: 13 · 2017: 20 · 2016: 17 · 2015: 20 · 2014: 15 · 2013: 19 · 2012: 14
FWCI: 9.18
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
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: sleep quality, chronic pain, sleep complaints, cognitive arousal, pain intensity, depression, predictors of sleep quality
MeSH terms: Adolescent, Adult, Aged, Arousal, Chronic Disease, Depression, Female, Humans, Male, Middle Aged, Pain, Sleep Wake Disorders

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Sleep quality and presleep arousal in chronic pain

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