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Disrupted Sleep Patterns and Daily Functioning in Patients with Chronic Pain
Open accessAbstract
OBJECTIVE: To investigate the role of disturbed sleep in the daily functioning of persons with chronic pain. subjects and METHODS: Participants comprised 287 patients seeking treatment for chronic pain at a university pain clinic. All patients completed the measures employed in the present study as part of a comprehensive initial evaluation. RESULTS: Descriptive analyses showed that 88.9% of patients reported as least one problem with disturbed sleep. Correlation analyses showed that greater sleep disturbance was associated with greater pain, disability, depression and physical symptoms, and less daily uptime. Hierarchical regression analyses showed that sleep disturbance predicted disability, daily uptime and physical symptoms independent of pain or depression. CONCLUSIONS: Sleep disruption is usually considered to be a consequence of the pain experience. However, the results of the present study reinforce the view that sleep disturbance may have a bidirectional relation with other features of chronic pain. Future studies should confirm that repairing disrupted sleep leads to an improvement in patients' daily activity and a reduction in their suffering.
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“Sleep-related variables have been shown to predict pain-related outcomes such as disability [74], and sleep disruption is related to increased pain sensitivity and lowered pain thresholds [75].”
From ACTsmart: Guided Smartphone-Delivered Acceptance and Commitment Therapy for Chronic Pain—A Pilot Trial. (2021) · cites this paper as [74]
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Metadata
- Authors
- McCracken, L. M., & Iverson, G. L.
- Affiliations
- Royal National Hospital for Rheumatic Diseases (GB)
- University of British Columbia (CA)
- Corresponding author
- McCracken, Lance M
- Venue
- Pain Research and Management
- Publisher
- Wiley
- Published
- 2002-01
- Volume
- 7
- Issue
- 2
- Pages
- 75-79
- ISSN
- 1203-6765 (ISSN-L)
- 1918-1523
- OpenAlex
- W1910977431
- Cited by
- 254
- References
- 21
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 11 · 2023: 8 · 2022: 18 · 2021: 14 · 2020: 11 · 2019: 19 · 2018: 9 · 2017: 14 · 2016: 10 · 2015: 14 · 2014: 18 · 2013: 14 · 2012: 6
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Pain Research and Management (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep disorders, chronic pain, daily functioning, disability, depression, somatic symptoms, daytime sleepiness
- MeSH terms
- Activities of Daily Living, Adult, Chronic Disease, Female, Humans, Male, Middle Aged, Pain, Regression Analysis, Retrospective Studies, Sleep Wake Disorders
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