Sleep quality and presleep arousal in chronic pain

被引:191
作者
Smith, MT
Perlis, ML
Smith, MS
Giles, DE
Carmody, TP
机构
[1] Univ Rochester, Med Ctr, Dept Psychiat, Sleep Res Lab, Rochester, NY 14642 USA
[2] Univ Rochester, Med Ctr, Dept Psychol, Rochester, NY 14642 USA
[3] Univ Rochester, Med Ctr, Dept Neurol, Rochester, NY 14642 USA
[4] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA
[5] Dept Vet Affairs Med Ctr, San Francisco, CA USA
关键词
chronic pain; sleep quality; presleep arousal; insomnia;
D O I
10.1023/A:1005444719169
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study was designed (I) 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.
引用
收藏
页码:1 / 13
页数:13
相关论文
共 37 条
[21]   INSOMNIACS PERCEPTIONS OF COGNITIVE VERSUS SOMATIC DETERMINANTS OF SLEEP DISTURBANCE [J].
LICHSTEIN, KL ;
ROSENTHAL, TL .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1980, 89 (01) :105-107
[22]   INDUCTION OF NEURASTHENIC MUSCULOSKELETAL PAIN SYNDROME BY SELECTIVE SLEEP STAGE DEPRIVATION [J].
MOLDOFSKY, H ;
SCARISBRICK, P .
PSYCHOSOMATIC MEDICINE, 1976, 38 (01) :35-44
[23]   MUSCULOSKELETAL SYMPTOMS AND NON-REM SLEEP DISTURBANCE IN PATIENTS WITH FIBROSITIS SYNDROME AND HEALTHY SUBJECTS [J].
MOLDOFSKY, H ;
SCARISBRICK, P ;
ENGLAND, R ;
SMYTHE, H .
PSYCHOSOMATIC MEDICINE, 1975, 37 (04) :341-351
[25]   BEHAVIORAL-MANAGEMENT OF SLEEP DISTURBANCES SECONDARY TO CHRONIC PAIN [J].
MORIN, CM ;
KOWATCH, RA ;
WADE, JB .
JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 1989, 20 (04) :295-302
[26]   Self-reported sleep and mood disturbance in chronic pain patients [J].
Morin, CM ;
Gibson, D ;
Wade, J .
CLINICAL JOURNAL OF PAIN, 1998, 14 (04) :311-314
[27]   THE PHENOMENOLOGY OF THE PRE-SLEEP STATE - THE DEVELOPMENT OF THE PRE-SLEEP AROUSAL SCALE [J].
NICASSIO, PM ;
MENDLOWITZ, DR ;
FUSSELL, JJ ;
PETRAS, L .
BEHAVIOUR RESEARCH AND THERAPY, 1985, 23 (03) :263-271
[28]   LONGITUDINAL RELATIONSHIPS AMONG PAIN, SLEEP PROBLEMS, AND DEPRESSION IN RHEUMATOID-ARTHRITIS [J].
NICASSIO, PM ;
WALLSTON, KA .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1992, 101 (03) :514-520
[29]  
NIELSEN KD, 1994, METHOD INFORM MED, V33, P76
[30]   Psychophysiological insomnia: the behavioural model and a neurocognitive perspective [J].
Perlis, ML ;
Giles, DE ;
Mendelson, WB ;
Bootzin, RR ;
Wyatt, JK .
JOURNAL OF SLEEP RESEARCH, 1997, 6 (03) :179-188