Sleep quality and acute pain severity among young adults with and without chronic pain: the role of biobehavioral factors

Abstract Background Interoception is mental awareness, recognition and acknowledgement of physiological body signals. Understanding the role of sleep and interoception may provide a better understanding surrounding the sleep-health connection. Our primary objective was to examine the potential relationships between subjective sleep quality and multiple dimensions of interoceptive abilities in a large sample of young adults, a group who are vulnerable to sleep impairment and its widespread health consequences. Methods We conducted an online cross-sectional survey targeting young adults, aged 18–25 years. The Pittsburgh Sleep Quality Index (PSQI) was used to identify subjective sleep quality and the Multidimensional Assessment of Interoceptive Awareness Version 2 was used to assess eight domains of interoception. We conducted a series of Spearman’s bivariate correlations to assess the relationships between global sleep quality as well as the seven PSQI sub-components in relation to the eight interoception outcomes. We then conducted quantile regression to assess if global PSQI score was an independent predictor of interoception. Participants (n = 609) consented and provided data. Results After adjustment, the global PSQI was a significant predictor of ‘Non-Distracting’, ‘Emotional Awareness’ and ‘Trusting’, where β = − 0.10 (95% CI: − 0.14, − 0.07), β = 0.05 (0.01, 0.09), and β = − 0.10 (− 0.14, − 0.05), respectively. Conclusions Our findings reveal a small, significant relationship between sleep quality and interoceptive abilities amongst young adults. Sleep impairment may inhibit interoceptive skills, thus adding value to the mechanistic explanation of the sleep-health relationship. Experimental and prospective studies are needed to determine temporal associations.

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The Role of Sleep Quality and Fatigue on the Benefits of an Interdisciplinary Treatment for Adults With Chronic Pain

Pain Practice ◽

10.1111/papr.12746 ◽

2018 ◽

Vol 19 (4) ◽

pp. 354-362 ◽

Cited By ~ 3

Author(s):

Rocío Vega ◽

Melanie Racine ◽

Elena Castarlenas ◽

Ester Solé ◽

Rubén Roy ◽

...

Keyword(s):

Chronic Pain ◽

Sleep Quality ◽

Interdisciplinary Treatment

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Sleep Quality and the Role of Sleep Medications for Veterans with Chronic Pain

Pain Medicine ◽

10.1111/j.1526-4637.2006.00110.x ◽

2006 ◽

Vol 7 (2) ◽

pp. 105-114 ◽

Cited By ~ 17

Author(s):

Judith B. Chapman ◽

Cassandra L. Lehman ◽

Janette Elliott ◽

J. David Clark

Keyword(s):

Chronic Pain ◽

Sleep Quality

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Does sleep quality predict pain-related disability in chronic pain patients? The mediating roles of depression and pain severity

Pain ◽

10.1016/j.pain.2006.08.019 ◽

2007 ◽

Vol 127 (3) ◽

pp. 243-252 ◽

Cited By ~ 49

Author(s):

Felix Naughton ◽

Polly Ashworth ◽

Suzanne M. Skevington

Keyword(s):

Chronic Pain ◽

Sleep Quality ◽

Pain Severity ◽

Chronic Pain Patients ◽

Pain Patients

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The role of pain, disability and perceived social support in psychological and academic functioning of university students with pain: an observational study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0032 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Danijela Serbic ◽

Jun Zhao ◽

Jiafan He

Keyword(s):

Social Support ◽

Chronic Pain ◽

University Students ◽

Acute Pain ◽

Psychological Functioning ◽

Perceived Social Support ◽

Academic Functioning ◽

Anxiety And Depression ◽

Pain Disability

AbstractObjectivesUniversity students with pain face unique physical, psychological, social and academic challenges, but research on this is limited. The main aim of this study was to examine how pain, disability and perceived social support relate to psychological and academic outcomes in students with pain. It also compared students with pain and students without pain on measures of depression, anxiety and perceived social support.MethodsThree hundred and eleven students enrolled in Chinese universities took part in the study, 198 with pain (102 reported acute pain and 96 chronic pain) and 113 without pain. They completed measures of perceived social support, depression, anxiety, pain (intensity, frequency, duration), disability and pain interference with academic functioning.ResultsStudents with chronic pain reported higher levels of anxiety and depression and lower levels of perceived social support than students without pain. There were no significant differences between students with acute and chronic pain, and between students with acute pain and those without pain. In the pain sample (containing both acute and chronic pain group), greater interference with academic functioning was predicted by higher levels of pain and disability, and disability also predicted higher levels of depression. After controlling for effects of pain and disability, lower levels of perceived social support predicted higher levels of both anxiety and depression.ConclusionsThese results highlight the role of pain and disability in academic functioning and the role of perceived social support in psychological functioning of students with pain.

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Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain

Frontiers in Psychology ◽

10.3389/fpsyg.2021.668930 ◽

2021 ◽

Vol 12 ◽

Author(s):

Zoe Zambelli ◽

Elizabeth J. Halstead ◽

Antonio R. Fidalgo ◽

Dagmara Dimitriou

Keyword(s):

Chronic Pain ◽

Sleep Quality ◽

Sleep Problems ◽

Pain Severity ◽

Pain Interference ◽

Poor Sleep ◽

Regression Analyses ◽

Cross Sectional Survey ◽

The Relationship ◽

Good Sleep

Individuals with chronic pain often experience co-existing sleep problems and depression-related states. Chronic pain, sleep problems, and depression interrelate, and have been shown to exacerbate one another, which negatively impacts quality of life. This study explored the relationships between pain severity, pain interference, sleep quality, and depression among individuals with chronic pain. Secondly, we tested whether sleep quality may moderate the relationship between pain and depression. A cross-sectional survey was completed by 1,059 adults with non-malignant chronic pain conditions (Mage 43 years, 88% identified as women) and collected measures related to pain severity, pain interference, sleep quality, and depression. Multiple regression analyses found that pain severity, pain interference, and sleep quality are all significantly associated with depression. Secondly, moderated regression analyses revealed that sleep quality moderates the relationship between pain interference and depression among individuals with chronic pain such that good sleep quality attenuates the effect of pain interference on depression, and poor sleep quality amplifies the effect of pain interference on depression. These findings suggest that sleep quality may be a relevant therapeutic target for individuals with chronic pain and co-existing depression.

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The Pittsburgh Sleep Quality Index: Reliability, Factor Structure, and Related Clinical Factors among Children, Adolescents, and Young Adults with Chronic Pain

Sleep Disorders ◽

10.1155/2021/5546484 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Cynthia L. Larche ◽

Isabelle Plante ◽

Mathieu Roy ◽

Pablo M. Ingelmo ◽

Catherine E. Ferland

Keyword(s):

Chronic Pain ◽

Young Adults ◽

Sleep Quality ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Clinical Sample ◽

Adolescents And Young Adults ◽

Specific Population ◽

Reliability Factor ◽

Clinical Measures

This study is aimed at assessing the psychometric properties and the factorial structure of the Pittsburgh Sleep Quality Index (PSQI) in a clinical sample of children, adolescents, and young adults with chronic pain. Data of 482 participants (aged 8-21 years) from two crosssectional studies and a chronic pain services outpatient clinic were analyzed. Exploratory and confirmatory factor analysis and reliability analysis of PSQI component scores were performed. Relationships between the PSQI global score and various clinical measures were investigated to assess external validity. The findings exhibit the reliability and validity of a single-factor model of the PSQI in a clinical sample of youth with chronic pain and support the relationship in this specific population between poor sleep quality and important clinical measures of well-being. These results support an informed decision regarding its use with this specific population and underscore the clinical relevance of assessing sleep quality.

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