How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature

被引:647
作者
Smith, MT [1 ]
Haythornthwaite, JA [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Behav Med Res Lab, Dept Psychiat & Behav Sci, Baltimore, MD 21287 USA
关键词
chronic pain; pain; insomnia; cognitive-behavior therapy; sleep; clinical trials;
D O I
10.1016/S1087-0792(03)00044-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Sleep disturbance is perhaps one of the most prevalent complaints of patients with chronically painful conditions. Experimental studies of healthy subjects and cross-sectional research in clinical populations suggest the possibility that the relationship between sleep disturbance and pain might be reciprocal, such that pain disturbs sleep continuity/quality and poor sleep further exacerbates pain. This suggests that aggressive management of sleep disturbance may be an important treatment objective with possible benefits beyond the improvement in sleep. Little is known, however, about how to effectively treat sleep disturbance associated with pain or whether such treatment might have beneficial effects on reducing pain. A small, but growing literature has applied cognitive-behavioral therapies (CBT) for either pain management or insomnia to patients with chronic pain. In this article, we review the longitudinal literature on sleep disturbance associated with chronic pain and clinical trial literatures of cognitive-behavior therapy for pain management and insomnia secondary to chronic pain with the aim of evaluating whether the relationship between clinical pain and insomnia is reciprocal. While methodological problems are common, the literature suggests that the relationship is reciprocal and CBT treatments for pain or insomnia hold promise in reducing pain severity and improving sleep quality. Directions for future research include the use of validated measures of sleep, longitudinal studies, and larger randomized clinical trials incorporating appropriate attentional controls and longer periods of follow-up. (C) 2003 Elsevier Ltd. All rights reserved.
引用
收藏
页码:119 / 132
页数:14
相关论文
共 92 条
[1]   Sequential daily relations of sleep, pain intensity, and attention to pain among women with fibromyalgia [J].
Affleck, G ;
Urrows, S ;
Tennen, H ;
Higgins, P ;
Abeles, M .
PAIN, 1996, 68 (2-3) :363-368
[2]   The relationship between selective sleep deprivation, nocturnal jaw-muscle activity and pain in heal thy men [J].
Arima, T ;
Svensson, P ;
Rasmussen, C ;
Nielsen, KD ;
Drewes, AM ;
Arendt-Nielsen, L .
JOURNAL OF ORAL REHABILITATION, 2001, 28 (02) :140-148
[3]   SUBJECTIVE SLEEP DISTURBANCE IN CHRONIC BACK PAIN [J].
ATKINSON, JH ;
ANCOLIISRAEL, S ;
SLATER, MA ;
GARFIN, SR ;
GILLIN, JC .
CLINICAL JOURNAL OF PAIN, 1988, 4 (04) :225-232
[4]   COGNITIVE BEHAVIORAL-THERAPY IN PATIENTS WITH ANKYLOSING-SPONDYLITIS IN A GERMAN SELF-HELP ORGANIZATION [J].
BASLER, HD ;
REHFISCH, HP .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1991, 35 (2-3) :345-354
[5]   Treatment outcome of chronic non-malignant pain patients managed in a Danish multidisciplinary pain centre compared to general practice: a randomised controlled trial [J].
Becker, N ;
Sjogren, P ;
Bech, P ;
Olsen, AK ;
Eriksen, J .
PAIN, 2000, 84 (2-3) :203-211
[6]  
Bootzin R.R., 1972, Proceedings of the 80th Annual Meeting of the American Psychological Association, V7, P395, DOI [DOI 10.1037/E465522008-198, 10.1016/B978-0-12-535606-0.50007-9]
[7]  
BOOTZIN RR, 1991, CASE STUDIES INSOMNI, P1991
[8]   Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults [J].
Breslau, N ;
Roth, T ;
Rosenthal, L ;
Andreski, P .
BIOLOGICAL PSYCHIATRY, 1996, 39 (06) :411-418
[9]   THE PITTSBURGH SLEEP QUALITY INDEX - A NEW INSTRUMENT FOR PSYCHIATRIC PRACTICE AND RESEARCH [J].
BUYSSE, DJ ;
REYNOLDS, CF ;
MONK, TH ;
BERMAN, SR ;
KUPFER, DJ .
PSYCHIATRY RESEARCH, 1989, 28 (02) :193-213
[10]   TREATMENT OF INSOMNIA IN CANCER-PATIENTS USING MUSCLE-RELAXATION TRAINING [J].
CANNICI, J ;
MALCOLM, R ;
PEEK, LA .
JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 1983, 14 (03) :251-256