Versions
- 2022-07-29 (3)
- 2022-07-28 (2)
- 2022-07-28 (1)
Keywords
Insomnia
Chronic Pain
How to Cite
Abstract
Introduction: sleep disorders are common in patients with chronic pain; there are many clinical studies that show the direct relationship between these two pathologies. The objective of this narrative review of the literature was to make a brief description of the main concepts related to insomnia and chronic pain and how are they related. Methods: bibliographic review of scientific articles published in databases: PubMed, EBSCO, Scopus and Medline. Results: there is a direct relationship between insomnia and chronic pain, demonstrated by multiple clinical studies. Sleep problems are associated with worsening pain perception and are even considered a poor prognostic factor. Conclusions: for health professionals, especially those who develop their clinical practice in Palliative Care and/or pain treatment units it is essential to know the basic concepts that allow an adequate evaluation and treatment of sleep problems, in particular insomnia.
References
Afolalu EF, Ramlee F, Tang NKY. Effects of sleep changes on pain-related health outcomes in the general population: A systematic review of longitudinal studies with exploratory meta-analysis. Sleep Med Rev [Internet]. 2018;39:82-97. doi: 10.1016/j.smrv.2017.08.001.
Sivertsen B, Lallukka T, Petrie KJ, Steingrímsdóttir OA, Stubhaug A, Nielsen CS. Sleep and pain sensitivity in adults. Pain [Internet]. 2015;156(8):1433-1439. doi: 10.1097/j.pain.0000000000000131.
Simpson NS, Scott-Sutherland J, Gautam S, Sethna N, Haack M. Chronic exposure to insufficient sleep alters processes of pain habituation and sensitization. Pain [Internet]. 2018;159(1):33-40. doi: 10.1097/j.pain.0000000000001053.
Mathias JL, Cant ML, Burke ALJ. Sleep disturbances and sleep disorders in adults living with chronic pain: a meta-analysis. Sleep Med [Internet]. 2018;52:198-210. doi: 10.1016/j.sleep.2018.05.023.
Aili K, Nyman T, Svartengren M, Hillert L. Sleep as a predictive factor for the onset and resolution of multi-site pain: a 5-year prospective study. Eur J Pain [Internet]. 2015;19(3): 341-349. doi: 10.1002/ejp.552.
Agmon M, Armon G. Increased Insomnia Symptoms Predict the Onset of Back Pain among Employed Adults. PLoS One [Internet]. 2014;9(8):1-7 doi: 10.1371/journal.pone.0103591
Yun SY, Kim DH, Do HY, Kim SH. Clinical insomnia and associated factors in failed back surgery syndrome: a retrospective cross-sectional study. Int J Med Sci [Internet]. 2017;14(6):536-542. doi: 10.7150/ijms.18926
Vitiello MV, McCurry SM, Shortreed SM, Baker LD, Rybarczyk BD, Keefe FJ et al. Short-term improvement in insomnia symptoms predicts long-term improvements in sleep, pain, and fatigue in older adults with comorbid osteoarthritis and insomnia. Pain [Internet]. 2014;155(8):1547-1554. doi: 10.1016/j.pain.2014.04.032
Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest [Internet]. 2014;146(5):1387-1394. doi: 10.1378/chest.14-0970.
Wei Y, Blanken TF, Van Someren EJW. Insomnia Really Hurts: Effect of a Bad Night's Sleep on Pain Increases with Insomnia Severity. Front Psychiatry [Internet]. 2018;9(377):1-9. doi: 10.3389/fpsyt.2018.00377
Woelk J, Goerlitz D, Wachholtz A. I'm tired and it hurts! Sleep quality and acute pain response in a chronic pain population. Sleep Med [Internet]. 2019;67:28-32. doi: 10.1016/j.sleep.2019.10.017
Herrero A, De Koninck BP, Beetz G, De Beaumont L, Martel MO, Lavigne GJ. Sleep and pain: recent insights, mechanisms, and future directions in the investigation of this relationship. J Neural Transm [Internet]. 2020;127(4):647-660. doi: 10.1007/s00702-019-02067-z.
Cheatle MD, Foster S, Pinkett A, Lesneski M, David Qu, Dhingra L. Assessing and Managing Sleep Disturbance in Patients with Chronic Pain. Anesthesiol Clin [Internet]. 2016. 34(2):379-393. doi: 10.1016/j.anclin.2016.01.007.
Bastien CH, Valliéres A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med [Internet]. 2001;2(4): 297-307.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res [Internet]. 1989;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.
Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res [Internet]. 2000;48(6):555-560. doi: 10.1016/s0022-3999(00)00095-7.
Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep [Internet]. 1992;15(4):376-381. doi: 10.1093/sleep/15.4.376.
Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc G, Ellis JG et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res [Internet]. 2017;26(6):675-700. doi: 10.1111/jsr.12594.
Qaseem A, Kansagara D, Forcieaa MA, Cooke M, Denberg TD. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline from the American College of Physicians. Ann Intern Med [Internet]. 2016;165(2):125-133. doi: 10.7326/M15-2175.
Morgenthaler T, Kramer M, Alessi C, Friedman L, Boehlecke B, Brown T et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. An american academy of sleep medicine report. Sleep [Internet]. 2006;29(11):1415-1419. doi: 10.1093/SLEEP/29.11.1415.
Trauer JM, Qian MY, Doyle JS, Rajaratnam SMW, Cunnington D. Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis. Ann Intern Med [Internet]. 2015;163(3):191-204. doi: 10.7326/M14-2841.
Tang NKY, Lereya ST, Boulton H, Miller MA, Wolke D, Cappuccio FP. Nonpharmacological Treatments of Insomnia for Long-Term Painful Conditions: A Systematic Review and Meta-analysis of Patient-Reported Outcomes in Randomized Controlled Trials. Sleep [Internet]. 2015;38(11):1751-1764. doi: 10.5665/sleep.5158.
Rash JA, Kavangh VAJ, Garland SN. A Meta-Analysis of Mindfulness-Based Therapies for Insomnia and Sleep Disturbance: Moving Towards Processes of Change. Sleep Med Clin [Internet]. 2019;14(2):209-233. doi: 10.1016/j.jsmc.2019.01.004.
Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med [Internet]. 2017;13(2):307-349. doi: 10.5664/jcsm.6470.
Winkler A, Auer C, Doering BK, Rief W. Drug treatment of primary insomnia: a meta-analysis of polysomnographic randomized controlled trials. CNS Drugs [Internet]. 2014;28(9):799-816. doi: 10.1007/s40263-014-0198-7.
Twycross R, Wilcock A, Howard P, editores. Palliative Care Formulary. 6a ed. Reino Unido: Pharmaceutical Press; 2017.
Liu Y, Xu X, Dong M, Jia S, Wei Y. Treatment of insomnia with tricyclic antidepressants: a meta-analysis of polysomnographic randomized controlled trials. Sleep Med [Internet]. 2017;34:126-133. doi: 10.1016/j.sleep.2017.03.007.
Contreras T, Bravo-Soto G, Rada G. Do cannabinoids constitute a therapeutic alternative for insomnia? Medwave [Internet]. 2018;18(1):e7152. doi: 10.5867/medwave.2018.01.7151.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Copyright (c) 2022 Alejandro Vargas Bermúdez