Comorbid insomnia in patients with chronic pain: a study based on the Swedish quality registry for pain rehabilitation (SQRP)
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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Moderate to severe insomnia (ISI score ≥15) is frequently (53-65%) reported among patients with chronic pain.
“Moderate to severe insomnia (score ≥ 15) according to the Insomnia Severity Index (ISI) is frequently (53–65%) reported among patients with chronic pain [2–4].”
From Is sleep disturbance in patients with chronic pain affected by physical exercise or ACT-based stress management? - A randomized controlled study (2018) · cites this paper as [2]
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
The validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779 · cited 1× · see citing works
“HADS is frequently used both in clinical practice and in research and has good psychometric characteristics [29,30].”
MethodValidation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067 · see citing works
Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011) · Sleep · doi:10.1093/sleep/34.5.601 · Cited by 4,620 · see citing works
Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance
Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995) · Pain · doi:10.1016/0304-3959(94)00279-n · Cited by 2,446 · see citing works
Crombez, G., Vlaeyen, J. W. S., Heuts, P. H. T. G., & Lysens, R. (1999) · Pain · doi:10.1016/s0304-3959(98)00229-2 · Cited by 1,662 · see citing works
Insomnia: Definition, Prevalence, Etiology, and Consequences
Roth, T. G. (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26929 · Cited by 1,499 · see citing works
Sullivan, M., Karlsson, J., & Ware, J. E. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(95)00125-q · Cited by 1,315 · see citing works
Acceptance of chronic pain: component analysis and a revised assessment method
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004) · Pain · doi:10.1016/j.pain.2003.10.012 · Cited by 1,101 · see citing works
Multi- and megavariate data analysis
Eriksson, L. (2006) · Cited by 736 · see citing works
Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links
TANG, N. K. Y., & CRANE, C. (2006) · Psychological Medicine · doi:10.1017/s0033291705006859 · Cited by 639 · see citing works
Sleep deprivation and pain perception
LAUTENBACHER, S., KUNDERMANN, B., & KRIEG, J. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2005.08.001 · Cited by 613 · see citing works
Multidisciplinary treatment for chronic pain: a systematic review of interventions and outcomes
Scascighini, L., Toma, V., Dober-Spielmann, S., & Sprott, H. (2008) · Rheumatology · doi:10.1093/rheumatology/ken021 · Cited by 613 · see citing works
Induction of Neurasthenic Musculoskeletal Pain Syndrome by Selective Sleep Stage Deprivation
Moldofsky, H., & Scarisbrick, P. (1976) · Psychosomatic Medicine · doi:10.1097/00006842-197601000-00006 · Cited by 560 · see citing works
The effects of sleep deprivation on pain inhibition and spontaneous pain in women
Smith, M. T., Edwards, R. R., McCann, U. D., & Haythornthwaite, J. A. (2007) · Sleep · doi:10.1093/sleep/30.4.494 · Cited by 539 · see citing works
Onen, S. ‐., Alloui, A., Gross, A. S., Eschalier, A., & Dubray, C. (2001) · Journal of Sleep Research · doi:10.1046/j.1365-2869.2001.00240.x · Cited by 512 · see citing works
Fugl‐Meyer, A. R., Melin, R., & Fugl-Meyer, K. S. (2002) · Journal of Rehabilitation Medicine · doi:10.1080/165019702760279242 · Cited by 482 · see citing works
Ohayon, M. M. (1997) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(97)00002-2 · Cited by 423 · see citing works
Moldofsky, H. (2001) · Sleep Medicine Reviews · doi:10.1053/smrv.2001.0179 · Cited by 407 · see citing works
Prevalence and correlates of clinical insomnia co‐occurring with chronic back pain
TANG, N. K. Y., WRIGHT, K. J., & SALKOVSKIS, P. M. (2007) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2007.00571.x · Cited by 383 · see citing works
Insomnia: Epidemiology, characteristics, and consequences
Roth, T. G., & Roehrs, T. (2003) · Clinical cornerstone · doi:10.1016/s1098-3597(03)90031-7 · Cited by 358 · see citing works
The epidemiology of insomnia: Associations with physical and mental health.
Sivertsen, B., Krokstad, S., Øverland, S. N., & Mykletun, A. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.05.001 · Cited by 341 · see citing works
The Association Between Chronic Low Back Pain and Sleep
Kelly, G. A., Blake, C. M., Power, C. K., O'Keeffe, D., & Fullen, B. M. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181f3bdd5 · Cited by 335 · see citing works
Lentz, M. J., Landis, C. A., Rothermel, J., & Shaver, J. L. F. (1999) · PubMed · Cited by 333 · see citing works
Relationship between chronic painful physical condition and insomnia
Ohayon, M. M. (2005) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2004.07.001 · Cited by 310 · see citing works
Roelofs, J., Sluiter, J. K., Frings-Dresen, M. H. W., Goossens, M., Thibault, P., Boersma, K., & Vlaeyen, J. W. S. (2007) · Pain · doi:10.1016/j.pain.2007.01.008 · Cited by 295 · see citing works
Risk factors for incident chronic insomnia: A general population prospective study
Singareddy, R., Vgontzas, A. N., Fernandez-Mendoza, J., Liao, D., Calhoun, S., Shaffer, M. L., & Bixler, E. O. (2012) · Sleep Medicine · doi:10.1016/j.sleep.2011.10.033 · Cited by 272 · see citing works
Sleep Disturbance and Nonmalignant Chronic Pain: A Comprehensive Review of the Literature
Menefee, L. A., Cohen, M. J. M., Anderson, W. R., Doghramji, K., Frank, E. D., & Lee, H. B. (2000) · Pain Medicine · doi:10.1046/j.1526-4637.2000.00022.x · Cited by 234 · see citing works
Deshmukh, A. D., Sarvaiya, A. A., Seethalakshmi, R., & Nayak, A. (2009) · Nordic Journal of Music Therapy · doi:10.1080/08098130802697269 · Cited by 208 · see citing works
Tang, N. K. Y., Goodchild, C. E., Sanborn, A. N., Howard, J., & Salkovskis, P. M. (2012) · SLEEP · doi:10.5665/sleep.1830 · Cited by 208 · see citing works
The role of depression and catastrophizing in musculoskeletal pain
Lintonl, S. J., Nicholasl, M. K., MacDonaldl, S., Boersmal, K., Bergboml, S., Maherl, C., & Refshaugel, K. (2011) · European Journal of Pain · doi:10.1016/j.ejpain.2010.08.009 · Cited by 198 · see citing works
Prevalence of Insomnia in the Adult Norwegian Population
Pallesen, S., Nordhus, I. H., Nielsen, G. H., Havik, O. E., Kvale, G., Johnsen, B. H., & Skjøtskift, S. (2001) · SLEEP · doi:10.1093/sleep/24.7.771 · Cited by 194 · see citing works
Bergström, G., Jensen, I. B., Bodin, L., Linton, S. J., Nygren, Å. L., & Carlsson, S. G. (1998) · Pain · doi:10.1016/s0304-3959(97)00210-8 · Cited by 186 · see citing works
Sleep problems and risk of fibromyalgia: Longitudinal data on an adult female population in Norway
Mork, P. J., & Nilsen, T. I. L. (2011) · Arthritis & Rheumatism · doi:10.1002/art.33346 · Cited by 185 · see citing works
Pain sensitivity and modulation in primary insomnia
Haack, M., Scott‐Sutherland, J., Santangelo, G., Simpson, N. S., Sethna, N. F., & Mullington, J. M. (2011) · European Journal of Pain · doi:10.1016/j.ejpain.2011.07.007 · Cited by 164 · see citing works
Lewandowski, A. S., Palermo, T. M., la Motte, S. D., & Fu, R. (2010) · Pain · doi:10.1016/j.pain.2010.07.016 · Cited by 157 · see citing works
Wicksell, R. K., Olsson, G. L., & Melin, L. (2009) · European Journal of Pain · doi:10.1016/j.ejpain.2008.09.003 · Cited by 135 · cited 1× · see citing works
“shown to be reliable and valid both in the English and Swedish versions [32,33].”
BackgroundPohjanen, E., Thysell, E., Jonsson, P., Eklund, C., Silfver, A., Carlsson, I.-B., Lundgren, K., Möritz, T., Svensson, M., & Antti, H. (2007) · Journal of Proteome Research · doi:10.1021/pr070007g · Cited by 124 · see citing works
FIBROMYALGIA AND CHRONIC FATIGUE SYNDROME
Buchwald, D. (1996) · Rheumatic Disease Clinics of North America · doi:10.1016/s0889-857x(05)70270-2 · Cited by 112 · see citing works
Association between report of insomnia and daytime functioning
Ustinov, Y., Lichstein, K. L., Wal, G. S. V., Taylor, D. J., Riedel, B. W., & Bush, A. J. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2009.07.009 · Cited by 110 · see citing works
Do Sleep Disorders Contribute to Pain Sensitivity?
Okifuji, A., & Hare, B. D. (2011) · Current Rheumatology Reports · doi:10.1007/s11926-011-0204-8 · Cited by 100 · see citing works
McCracken, L. M., Williams, J. L., & Tang, N. K. Y. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01115.x · Cited by 96 · see citing works
Economic Implications of Sleep Disorders
Skaer, T. L., & Sclar, D. A. (2010) · PharmacoEconomics · doi:10.2165/11537390-000000000-00000 · Cited by 95 · see citing works
(2009) · PubMed · Cited by 93 · see citing works
Prevalence and correlates of insomnia in the Swedish population aged 19–75 years
Ohayon, M. M., & Bader, G. G. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2010.07.012 · Cited by 92 · see citing works
Jansson‐Fröjmark, M., & Linton, S. J. (2006) · Psychology and Health · doi:10.1080/14768320500129015 · Cited by 90 · see citing works
Depression and pain: an overview
Williams, L. J., Jacka, F. N., Pasco, J. A., Dodd, S., & Berk, M. (2006) · Acta Neuropsychiatrica · doi:10.1111/j.1601-5215.2006.00130.x · Cited by 81 · see citing works
van de Water, A. T. M., Eadie, J., & Hurley, D. A. (2011) · Manual Therapy · doi:10.1016/j.math.2011.05.004 · Cited by 77 · see citing works
Does Sleep Differ Among Patients with Common Musculoskeletal Pain Disorders?
Lavigne, G. J., Nashed, A., Manzini, C., & Carra, M. C. (2011) · Current Rheumatology Reports · doi:10.1007/s11926-011-0209-3 · Cited by 71 · see citing works
Does Effective Management of Sleep Disorders Improve Pain Symptoms?
Roehrs, T. (2009) · Drugs · doi:10.2165/11531260-000000000-00000 · Cited by 68 · see citing works
Nightly Analyses of Subjective and Objective (Actigraphy) Measures of Sleep in Fibromyalgia Syndrome
Okifuji, A., & Hare, B. D. (2010) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31820485db · Cited by 64 · see citing works
Sleep as a Marker in the Effective Management of Chronic Osteoarthritis Pain with Opioid Analgesics
Turk, D. C., & Cohen, M. J. M. (2009) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2008.10.006 · Cited by 60 · see citing works
Rains, J. C., & Penzien, D. B. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00545-7 · Cited by 58 · see citing works
Sleep in Older Chronic Pain Patients
Blågestad, T., Pallesen, S., Lunde, L.-H., Sivertsen, B., Nordhus, I. H., & Grønli, J. (2012) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182313899 · Cited by 48 · see citing works
Between Metabolite Relationships: an essential aspect of metabolic change
Jansen, J. J., Szymańska, E., Hoefsloot, H. C. J., Jacobs, D. M., Strassburg, K., & Smilde, A. K. (2011) · Metabolomics · doi:10.1007/s11306-011-0316-1 · Cited by 46 · see citing works
Fishbain, D. A., Cole, B., Lewis, J. E., & Gao, J. (2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00706.x · Cited by 44 · see citing works
Concordance of Sleep and Pain Outcomes of Diverse Interventions: An Umbrella Review
Doufas, A. G., Panagiotou, O. A., & Ioannidis, J. P. A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0040891 · Cited by 37 · see citing works
Treatment of Chronic Pain by Long‐Acting Opioids and the Effects on Sleep
Mystakidou, K., Clark, A. J., FISCHER, J. H., Lam, A., Pappert, K., & Richarz, U. (2010) · Pain Practice · doi:10.1111/j.1533-2500.2010.00417.x · Cited by 33 · see citing works
Sleep deprivation in chronic somatoform pain—effects on mood and pain regulation
Busch, V., Haas, J., Crönlein, T., Pieh, C., Geisler, P., Hajak, G., & Eichhammer, P. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.07.021 · Cited by 31 · see citing works
Consideration of sleep dysfunction in rehabilitation
Valenza, M. C., Rodenstein, D. O., & Fernández‐de‐las‐Peñas, C. (2010) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2010.07.009 · Cited by 21 · see citing works
Sleep, pain, fibromyalgia, and chronic fatigue syndrome
Landis, C. A. (2010) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52006-7.00039-3 · Cited by 19 · see citing works
The coping process after traumatic brain injury.
Ar, F.-M., & Fugl‐Meyer, K. (1988) · PubMed · Cited by 18 · see citing works
The Hypereosinophilic Syndrome
Borgfeldt, C., Hansen, B. U., & Manthorpe, R. (1988) · Scandinavian Journal of Rheumatology · doi:10.3109/03009748809098759 · Cited by 15 · see citing works
Pain, sleeping problems and their many relatives
Lautenbacher, S. (2012) · Pain · doi:10.1016/j.pain.2012.03.001 · Cited by 9 · see citing works
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Genome-wide association study of multisite chronic pain in UK Biobank
Johnston, K. J. A., Adams, M. J., Nicholl, B. I., Ward, J., Strawbridge, R. J., Ferguson, A., McIntosh, A. M., Bailey, M. E. S., & Smıth, D. J. (2019) · PLoS Genetics · doi:10.1371/journal.pgen.1008164 · Cited by 263 · see citing works
HUSAK, A., & Bair, M. J. (2019) · Pain Medicine · doi:10.1093/pm/pnz343 · Cited by 144 · see citing works
Chuang, Y., Weng, S., Hsu, Y.-W., Huang, C. L.-C., & Wu, M. (2015) · International Urology and Nephrology · doi:10.1007/s11255-014-0908-6 · Cited by 75 · see citing works
Dragioti, E., Levin, L., Bernfort, L., Larsson, B. K., & Gerdle, B. U. C. (2017) · Annals of General Psychiatry · doi:10.1186/s12991-017-0137-3 · Cited by 63 · see citing works
Self-citationWatson, N. F., Benca, R. M., Krystal, A. D., McCall, W. V., & Neubauer, D. N. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12072493 · Cited by 59 · see citing works
Insomnia Really Hurts: Effect of a Bad Night's Sleep on Pain Increases With Insomnia Severity
Wei, Y., Blanken, T. F., & Someren, E. J. W. V. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00377 · Cited by 56 · see citing works
Dragioti, E., Wiklund, T., Alföldi, P., & Gerdle, B. (2015) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2015.06.001 · Cited by 55 · see citing works
Self-citationDragioti, E., Bernfort, L., Larsson, B. K., Gerdle, B. U. C., & Levin, L. (2017) · European Journal of Pain · doi:10.1002/ejp.1130 · Cited by 53 · see citing works
Self-citationGarnæs, K. K., Mørkved, S., Salvesen, Ø. O., Tønne, T., Furan, L., Grønhaug, G., Vasseljen, O., & Johannessen, H. H. (2021) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-020-03914-x · Cited by 51 · see citing works
Garnæs, K. K., Mørkved, S., Tønne, T., Furan, L., Vasseljen, O., & Johannessen, H. H. (2022) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-022-06051-9 · Cited by 47 · see citing works
Wiklund, T., Linton, S. J., Alföldi, P., & Gerdle, B. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-2020-z · Cited by 45 · see citing works
Self-citationDong, H., Gerdle, B. U. C., Bernfort, L., Levin, L., & Dragioti, E. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9072073 · Cited by 45 · see citing works
Self-citationStechmiller, J. K., Lyon, D., Schultz, G. S., Gibson, D. J., Weaver, M. T., Wilkie, D. J., Ferrell, A. V., Whitney, J. D., Kim, J., & Millan, S. B. (2019) · Biological Research For Nursing · doi:10.1177/1099800419853881 · Cited by 40 · see citing works
Wiklund, T., Gerdle, B. U. C., Linton, S. J., Dragioti, E., & Larsson, B. K. (2020) · European Journal of Pain · doi:10.1002/ejp.1582 · Cited by 39 · see citing works
Self-citationMendelian randomization highlights insomnia as a risk factor for pain diagnoses
Broberg, M. E., Karjalainen, J. M., FinnGen, & Ollila, H. M. (2021) · SLEEP · doi:10.1093/sleep/zsab025 · Cited by 37 · see citing works
Testing the Interpersonal Theory of Suicide in Chronic Pain
Wilson, K. G., Heenan, A., Kowal, J., Henderson, P. R., McWilliams, L. A., & Castillo, D. (2016) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000451 · Cited by 37 · see citing works
Johnston, K. J. A., Adams, M. J., Nicholl, B. I., Ward, J., Strawbridge, R. J., McIntosh, A. M., Smıth, D. J., & Bailey, M. E. S. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0613-4 · Cited by 30 · see citing works
Daily associations between sleep and pain in patients with chronic musculoskeletal pain
Abeler, K., Bergvik, S., Sand, T., & Friborg, O. (2021) · Journal of Sleep Research · doi:10.1111/jsr.13237 · Cited by 29 · see citing works
Dong, H., Dragioti, E., Fischer, M. R., & Gerdle, B. U. C. (2021) · Journal of Pain Research · doi:10.2147/jpr.s305399 · Cited by 29 · see citing works
Self-citationModeling community integration in workers with delayed recovery from mild traumatic brain injury
Mollayeva, T., Shapiro, C. M., Mollayeva, S., Cassidy, J. D., & Colantonio, A. (2015) · BMC Neurology · doi:10.1186/s12883-015-0432-z · Cited by 28 · see citing works
Gerdle, B. U. C., & Ghafouri, B. (2020) · Expert Review of Proteomics · doi:10.1080/14789450.2020.1797499 · Cited by 27 · see citing works
Self-citationImpact of Sleep Disorders and Other Factors on the Quality of Life in General Population
Hallit, S. R., Hajj, A., Sacre, H., Karaki, G. A., Malaeb, D. N., Kheir, N., Salameh, P., & Hallit, R. R. (2019) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000968 · Cited by 25 · see citing works
Wiklund, T., Molander, P., Lindner, P., Andersson, G., Gerdle, B. U. C., & Dragioti, E. (2022) · Journal of Medical Internet Research · doi:10.2196/29258 · Cited by 25 · see citing works
Self-citationAlföldi, P., Dragioti, E., Wiklund, T., & Gerdle, B. U. C. (2016) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2162 · Cited by 24 · see citing works
Self-citationHållstam, A., Löfgren, M., Svensén, C., & Stålnacke, B. (2015) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2015.08.008 · Cited by 22 · see citing works
Sleep Characteristics in Adults With and Without Chronic Musculoskeletal Pain
Abeler, K., Friborg, O., Engstrøm, M., Sand, T., & Bergvik, S. (2020) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000854 · Cited by 21 · see citing works
Gerdle, B. U. C., Fischer, M. R., & Ringqvist, Å. (2022) · Pharmaceutical science. · doi:10.5772/intechopen.102411 · Cited by 20 · see citing works
Self-citationWu, F., Song, Y., Li, F., He, X., Ma, J., Feng, T., Guan, B., Wang, L., Li, S., Liu, X., et al. (2014) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2014/872547 · Cited by 18 · see citing works
Assessment and treatment at a pain clinic: A one-year follow-up of patients with chronic pain
Hållstam, A., Löfgren, M., Benson, L., Svensén, C., & Stålnacke, B. (2016) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2016.08.004 · Cited by 17 · see citing works
Molander, P., Dong, H., Äng, B. O., Enthoven, P., & Gerdle, B. U. C. (2018) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2018-0003 · Cited by 18 · see citing works
Self-citationClinically Important Change in Insomnia Severity After Chronic Pain Rehabilitation
Wilson, K. G., Kowal, J., & Ferguson, E. J. (2016) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000325 · Cited by 15 · see citing works
Zheng, H., Sun, J., Pang, T., Liu, J., Lu, L., & Chang, S. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.09.036 · Cited by 15 · see citing works
Salazar‐Méndez, J., Viscay‐Sanhueza, N., Pinto-Vera, C., Oyarce-Contreras, F., Parra-Vera, M.-F., Suso‐Martí, L., Guzmán-Muñoz, E., López‐Bueno, R., Núñez‐Cortés, R., & Calatayud, J. (2024) · Sleep Medicine · doi:10.1016/j.sleep.2024.07.031 · Cited by 14 · see citing works
Dong, H.-J., Larsson, B., Fischer, M. R., & Gerdle, B. (2019) · PLoS ONE · doi:10.1371/journal.pone.0239818 · Cited by 15 · see citing works
Self-citationMakowka, S., Mory, L.-N., Mouthon, M., Mancini, C., Guggisberg, A. G., & Chabwine, J. N. (2023) · PLoS ONE · doi:10.1371/journal.pone.0281986 · Cited by 12 · see citing works
Jessa, J. S., Tomfohr‐Madsen, L. M., Dhillon, A. K., Walker, A. M., Noel, M. E., Sedov, I. D., & Miller, J. V. (2024) · PAIN Reports · doi:10.1097/pr9.0000000000001137 · Cited by 11 · see citing works
Lind, J., Andréll, P., & Grimby‐Ekman, A. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10184040 · Cited by 11 · see citing works
Kallman, T. F., & Bäckryd, E. (2020) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2758 · Cited by 10 · see citing works
Gerdle, B. U. C., Dragioti, E., Fischer, M. R., Dong, H., & Ringqvist, Å. (2023) · Frontiers in Pain Research · doi:10.3389/fpain.2023.1244606 · Cited by 10 · see citing works
Self-citationVægter, H. B., Høybye, M. T., Bergen, F. H., & Parsons, C. E. (2021) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2020-0155 · Cited by 9 · see citing works
Guandalini, L. S., da Silva, E. F., Lopes, J. D. L., Santos, V. B., Lopes, C. T., & de Barros, A. L. B. L. (2020) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2020.09.003 · Cited by 9 · see citing works
Insomnia symptoms and chronic pain: Outcomes of an interdisciplinary pain rehabilitation program
Craner, J. R., & Flegge, L. G. (2021) · Pain Practice · doi:10.1111/papr.13075 · Cited by 8 · see citing works
Lundberg, G., & Gerdle, B. U. C. (2015) · Disability and Rehabilitation · doi:10.3109/09638288.2015.1035459 · Cited by 9 · see citing works
Self-citationPatient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients
García, J. A. G., Hernández-Puiggròs, P., Nieto, J. T., Lázaro, M. P. A., González, A. C., Soler, M. J. A., & Vega, S. M. (2016) · Pain Research and Treatment · doi:10.1155/2016/7829585 · Cited by 8 · see citing works
Owiredua, C., Flink, I. K., Vixner, L., Äng, B. O., Tseli, E., & Boersma, K. (2020) · PubMed Central · doi:10.2147/jpr.s263035 · Cited by 6 · see citing works
de Rooij, A., van der Leeden, M., Roorda, L. D., Rinkema, M., Beuving, W., & Dekker, J. (2020) · Pain Practice · doi:10.1111/papr.12873 · Cited by 6 · see citing works
Abeler, K., Bergvik, S., & Friborg, O. (2024) · Sleep Science and Practice · doi:10.1186/s41606-024-00099-3 · Cited by 4 · see citing works
Correlation of pain and psychological disorder
Ордатій, Н. М., & Ordatii, A. V. (2020) · Pain medicine · doi:10.31636/pmjua.v5i3.2 · Cited by 3 · see citing works
A nonpharmacologic approach to managing insomnia in primary care
Taylor, K., Bilan, N., Tsytsyna, N., & Mandel, E. D. (2017) · JAAPA · doi:10.1097/01.jaa.0000525905.52107.20 · Cited by 3 · see citing works
Skarpsno, E. S., Gismervik, S. Ø., Fimland, M. S., & Aasdahl, L. (2021) · Nature and Science of Sleep · doi:10.2147/nss.s318052 · Cited by 3 · see citing works
Pharmacologic Treatment of Insomnia in Children and Adolescents with Chronic Pain Conditions
Cárdenas, V. H. G., Constantin, E., Somaini, M., Radzioch, A., & Ingelmo, P. M. (2019) · Current anesthesiology reports · doi:10.1007/s40140-019-00316-1 · Cited by 1 · see citing works
Sleep Disorders in the Geriatric Population
Heidari, S., & Huege, S. (2020) · Springer eBooks · doi:10.1007/978-3-030-44447-1_15 · Cited by 1 · see citing works
Rosenvinge, J. H., Bergvik, S., Abeler, K., Tvedt, K., Berge, T., Lang, N., Wilhelmsen, M., Danielsson, L., Pettersen, G., & Friborg, O. (2025) · Trials · doi:10.1186/s13063-025-09041-z · Cited by 1 · see citing works
Gandløse, J. S., Vela, J., Westermann, R., Kristensen, S., Newton, C., & Palsson, T. S. (2026) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2026.103605 · Cited by 1 · see citing works
Benjamin, D. (2015) · University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg)
Hållstam, A. (2016) · Figshare
Iuzbashian, P. G., Lvov, A. N., Tereshenko, A. V., Volel, B. A., Satrudinova, R. R., & Romanov, D. V. (2021) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202112110113
The treatment lottery of chronic back pain? A case series at a multidisciplinary pain centre
Mattsson, A., Ghafouri, N., & Bäckryd, E. (2022) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2022-0133
Dong, H., Genander, A., & Dragioti, E. (2025) · Annals of Medicine · doi:10.1080/07853890.2025.2517816
Bäckryd, E. (2025) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2025-0015
Jessa, J. S., Tomfohr‐Madsen, L. M., Sedov, I. D., Walker, A. M., Miller, S. N., Davis, K. P., & Miller, J. V. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120830 · Cited by 1 · see citing works
Hållstam, A., Angelhoff, C., & Gellerstedt, L. (2026) · Frontiers in Pain Research · doi:10.3389/fpain.2026.1869706
Salehpoor, G., Rahimi, C., & Mohammadi, N. (2026) · Zahedan Journal of Research in Medical Sciences · doi:10.5812/zjrms-169726
Bäckryd, E., Gerdle, B., Fischer, M. R., Åkerblom, S., Schouenborg, A. T., Dragioti, E., Huan-ji, D., & Ringqvist, Å. (2026) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2026-0030
Self-citation
- Authors
- Alföldi, P., Wiklund, T., & Gerdle, B.
- Affiliations
- Linköping University (SE)
- Corresponding author
- Gerdle, Björn
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- 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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