Relationship Between Sleep Disturbances and Chronic Pain: A Narrative Review
2024

Sleep Disturbances and Chronic Pain: A Review

publication Evidence: high

Author Information

Author(s): Sejal V. Jain, Geoffrey D. Panjeton, Yuri Chaves Martins

Primary Institution: Saint Louis University School of Medicine

Hypothesis

What is the impact of chronic pain on sleep and what is the impact of sleep disturbances on pain perception?

Conclusion

There is a bidirectional relationship between chronic pain and sleep disturbances, with sleep impairment being a stronger predictor of pain than pain is of sleep impairment.

Supporting Evidence

  • Sleep disturbances are associated with increased pain severity and longer pain duration.
  • Insomnia is the most common sleep disorder in chronic pain patients, affecting 24 to 72%.
  • Treatment of sleep disturbances can lead to improvements in chronic pain outcomes.

Takeaway

People with chronic pain often have trouble sleeping, and not getting enough sleep can make their pain worse. Fixing sleep problems can help reduce pain.

Methodology

A comprehensive literature search was conducted across multiple databases for studies published from 2010 onward, focusing on the relationship between chronic pain and sleep disturbances.

Potential Biases

Self-reported measures of sleep may be prone to inaccuracies due to memory and response biases.

Limitations

The variability in prevalence estimates across studies may stem from differences in sample size, study design, and methodologies.

Digital Object Identifier (DOI)

10.3390/clinpract14060209

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