Evaluating Evidence for the Role of Sleep in Fibromyalgia: A Test of the Sleep and Pain Diathesis Model

被引:0
作者
Nancy A. Hamilton
Mindy Pressman
Teresa Lillis
Ruthann Atchley
Cynthia Karlson
Natalie Stevens
机构
[1] University of Kansas,
[2] University of Mississippi Medical Center,undefined
[3] Rush University Medical Center,undefined
来源
Cognitive Therapy and Research | 2012年 / 36卷
关键词
Fibromyalgia; Sleep; Pain; Disability; Depression; Helplessness; Cognition;
D O I
暂无
中图分类号
学科分类号
摘要
The sleep and pain diathesis (SAPD) model predicts that sleep quality is related to Fibromylagia (FM) outcomes such as disability and depression and that these relationships are mediated by both pain and impaired emotional dysregulation. The purpose of this paper is to provide a preliminary test of this model using cross-sectional data. 35 adult women, who had been living with FM for an average of 13 years, completed a battery of questionnaires that included reports of pain, sleep, affect, and disability. Consistent with this model, FM patients who reported more disrupted sleep also reported higher levels of psychological disability (i.e., beck depression inventory depression symptoms) and physical disability. Moreover, the trajectory of the relationship between sleep and pain appears to be mediated by cognitive processes such as increased pain helplessness and, thus, the relationship between sleep and disability appears to be mediated via pain. These data are consistent with the SAPD model, and lend support for the need to include sleep related factors as a critical contributor to our understanding of FM.
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页码:806 / 814
页数:8
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