The influence of sleep disturbances and sleep disorders on pain outcomes among veterans: A systematic scoping review

被引：31
作者：
Saconi, Bruno [1 ,2 ]
Polomano, Rosemary C. [1 ,3 ,5 ,6 ,7 ]
Compton, Peggy C. [1 ,8 ]
McPhillips, Miranda, V [1 ,4 ,9 ]
Kuna, Samuel T. [2 ,4 ,10 ,11 ]
Sawyer, Amy M. [1 ,2 ,4 ,12 ]
机构：
[1] Univ Penn, Sch Nursing, 418 Curie Blvd,Claire Fagin Hall, Philadelphia, PA 19104 USA
[2] Corporal Michael J Crescenz Vet Affairs Med Ctr, Philadelphia, PA USA
[3] Univ Penn, Dept Anesthesiol & Crit Care, Perelman Sch Med, Philadelphia, PA 19104 USA
[4] Univ Penn, Ctr Sleep & Circadian Neurobiol, Perelman Sch Med, Philadelphia, PA 19104 USA
[5] Univ Penn, Sch Nursing, Practice, 418 Curie Blvd,Claire Fagin Hall,Rm 448, Philadelphia, PA 19104 USA
[6] Univ Penn, Sch Nursing, Pain Practice, 418 Curie Blvd,Claire Fagin Hall,Rm 448, Philadelphia, PA 19104 USA
[7] Univ Penn, Perelman Sch Med, Anesthesiol & Crit Care Secondary, 418 Curie Blvd,Claire Fagin Hall,Rm 448, Philadelphia, PA 19104 USA
[8] Dept Family & Community Hlth, 418 Curie Blvd,Claire Fagin Hall,Rm 402, Philadelphia, PA 19104 USA
[9] Univ Penn, Dept Biobehav Hlth Sci, Sch Nursing, 418 Curie Blvd,Claire Fagin Hall,Rm 307 B, Philadelphia, PA 19104 USA
[10] Univ Penn, Med, Perelman Sch Med, 111P,3900 Woodland Ave, Philadelphia, PA 19104 USA
[11] Corporal Michael J Crescenz Vet Affairs Med Ctr, Sleep Med, Sleep Med Sect, 111P,3900 Woodland Ave, Philadelphia, PA 19104 USA
[12] Univ Penn, Sleep & Hlth Behav, Sch Nursing, Dept Biobehav Hlth Sci, 418 Curie Blvd,Claire Fagin Hall,Rm 349, Philadelphia, PA 19104 USA
来源：
SLEEP MEDICINE REVIEWS | 2021年 / 56卷
基金：
美国国家卫生研究院;
关键词：
Sleep disturbance; Sleep disorder; Sleep; Chronic pain; Veteran; TRAUMATIC BRAIN-INJURY; QUALITY-OF-LIFE; GENERAL-POPULATION; MENTAL-HEALTH; UNITED-STATES; APNEA; INSOMNIA; PTSD; ASSOCIATIONS; PREVALENCE;
D O I：
10.1016/j.smrv.2020.101411
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Chronic nonmalignant pain, sleep disturbances and sleep disorders are highly prevalent conditions among U.S. military veterans. Evidence summaries highlight the influence of sleep on pain outcomes in the general adult population but not for the military veteran population. This is a significant gap as U.S. military veterans are an exceedingly high-risk population for both chronic pain and sleep disturbances and/or disorders. We aimed to review the influence of sleep disturbances and sleep disorders on pain outcomes among veterans with chronic nonmalignant pain. A systematic scoping review was conducted using PubMed/Medline, EMBASE, Scopus, CINAHL, and PsycINFO. Twenty-six out of 1450 studies from initial search were included in this review resulting in a combined sample size of N = 923,434 participants. Sleep disturbances and sleep disorders were associated with worse pain outcomes among veterans with chronic pain. Treatment-induced sleep improvements ameliorated pain outcomes in veterans with sleep disorders and sleep disturbances. Research is indicated to address an overlooked pain treatment opportunity - that of sleep disturbance and sleep disorder management. (C) 2020 Elsevier Ltd. All rights reserved.
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页数：15
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