Sleep Disorders and Fibromyalgia

被引：0
作者：
Suely Roizenblatt
Nilton Salles Rosa Neto
Sergio Tufik
机构：
[1] Universidade Federal de São Paulo,Departamento de Psicobiologia
来源：
Current Pain and Headache Reports | 2011年 / 15卷
关键词：
Sleep; Fibromyalgia pathophysiology; Treatment; Sleep disorders; Fibromyalgia; Fibromyalgia criteria; Amitriptyline; Cognitive-behavioral therapy; Pain; Nonrestorative sleep; Genetics; Polysomnography; Inventory; Sleep quality; Medical Outcomes Study Sleep Scale; Fibromyalgia Impact Questionnaire; Sleep Assessment Questionnaire; Patient-Reported Outcome Measurement Information System;
D O I：
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中图分类号：
学科分类号：
摘要：
Disordered sleep is such a prominent symptom in fibromyalgia that the American College of Rheumatology included symptoms such as waking unrefreshed, fatigue, tiredness, and insomnia in the 2010 diagnostic criteria for fibromyalgia. Even though sleep recording is not part of the routine evaluation, polysomnography may disclose primary sleep disorders in patients with fibromyalgia, including obstructive sleep apnea and restless leg syndrome. In addition, genetic background and environmental susceptibility link fibromyalgia and further sleep disorders. Among nonpharmacological treatment proposed for sleep disturbance in fibromyalgia, positive results have been obtained with sleep hygiene and cognitive-behavioral therapy. The effect of exercise is contradictory, but overweight or obese patients with fibromyalgia should be encouraged to lose weight. Regarding the approved antidepressants, amitriptyline proved to be superior to duloxetine and milnacipran for sleep disturbances. New perspectives remain on the narcolepsy drug sodium oxybate, which recently was approved for sleep management in fibromyalgia.
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页码：347 / 357
页数：10
相关论文
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