Cited by 65Sleep and related disordersMusculoskeletal pain and rehabilitationTemporomandibular Joint Disorders

Comorbid insomnia in patients with chronic pain: a study based on the Swedish quality registry for pain rehabilitation (SQRP)

Alföldi, Peter, Wiklund, Tobias, Gerdle, Björn·2014·Disability and Rehabilitation

Abstract

PURPOSE: This study investigates the prevalence of insomnia and its relationship to other symptoms and health aspects in patients with chronic pain. METHODS: Patients with chronic pain conditions (n = 845) referred to a multidisciplinary pain centre completed surveys provided by the Swedish quality registry for pain rehabilitation (SQRP). The SQRP collects data on socio-demographics, health status, symptoms of pain, mood and insomnia and life satisfaction. RESULTS: The majority of patients (65.3%) had clinical insomnia according to the insomnia severity index (ISI). Insomnia correlated significantly but weakly with pain, depression, anxiety and coping; the strongest multivariate correlations were found with depression and anxiety followed by pain interference and pain severity. Pain intensity, depression and anxiety correlated stronger than ISI with respect to the two investigated aspects of health. CONCLUSIONS: The prevalence of insomnia is high in patients with chronic pain conditions, but the level of importance in relation to other symptoms for health aspects is low, and the associations with other important symptoms are relatively weak. One way to increase the effects of multimodal rehabilitation programs may be to provide interventions directed specifically at insomnia rather than focusing only on interventions that address pain, depression and anxiety. Implications for Rehabilitation The prevalence of insomnia is high in patients with complex chronic pain conditions. Relatively low correlations existed between insomnia and pain intensity, depression, anxiety and other psychological aspects. Pain intensity, anxiety and depression were more important for perceived health aspects than insomnia. One way to increase the effects of multimodal rehabilitation programs may be to also include interventions directed directly to insomnia.

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Crossref · 10.3109/09638288.2013.864712

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Authors
Alföldi, P., Wiklund, T., & Gerdle, B.
Affiliations
Linköping University (SE)
Corresponding author
Gerdle, Björn
Venue
Disability and Rehabilitation
Published
2013-12-09
Volume
36
Issue
20
Pages
1661-1669
ISSN
  • 0963-8288 (ISSN-L)
  • 1464-5165
OpenAlex
W2016621842
Cited by
65
References
64
Citations by year
2026: 4 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 11 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 1
FWCI
5.86
Type
journal article
Language
en
Open access
closed
Locations
  • Disability and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Funders
Vårdalstiftelsen
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
Keywords
insomnia, chronic pain, comorbidities, depression, anxiety, pain intensity, pain interference, sleep quality, life satisfaction
MeSH terms
Adaptation, Psychological, Anxiety, Depression, Disability Evaluation, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Pain Measurement, Quality of Life, Surveys and Questionnaires, Registries, Severity of Illness Index, Sweden, Prevalence, Chronic Pain, Pain Management

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