Assessing and Managing Sleep Disturbance in Patients with Chronic Pain

Chronic pain is associated with symptoms that may impair a patient's quality of life, including emotional distress, fatigue, and sleep disturbance. There is a high prevalence of concomitant pain and sleep disturbance. Studies support the hypothesis that sleep and pain have a bidirectional and r...

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Bibliographic Details
Published inSleep medicine clinics Vol. 11; no. 4; p. 531
Main Authors Cheatle, Martin D, Foster, Simmie, Pinkett, Aaron, Lesneski, Matthew, Qu, David, Dhingra, Lara
Format Journal Article
LanguageEnglish
Published United States 01.12.2016
Subjects
Chronic Pain - therapy
Humans
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - therapy
Pharmacotherapy
Insomnia
Cognitive behavior therapy
Chronic pain
Sleep-disordered breathing
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Summary:Chronic pain is associated with symptoms that may impair a patient's quality of life, including emotional distress, fatigue, and sleep disturbance. There is a high prevalence of concomitant pain and sleep disturbance. Studies support the hypothesis that sleep and pain have a bidirectional and reciprocal relationship. Clinicians who manage patients with chronic pain often focus on interventions that relieve pain, and assessing and treating sleep disturbance are secondary or not addressed. This article reviews the literature on pain and co-occurring sleep disturbance, describes the assessment of sleep disturbance, and outlines nonpharmacologic and pharmacologic treatment strategies to improve sleep in patients with chronic pain.
ISSN:1556-4088
DOI:10.1016/j.jsmc.2016.08.004