Sleep disturbance in individuals with physical disabilities and chronic pain: The role of physical, emotional and cognitive factors

OBJECTIVE:To investigate the role of disturbed sleep in the daily functioning of persons with chronic pain.SUBJECTS AND METHODS:Participants comprised 287 patients seeking treatment for chronic pain at a university pain clinic. All patients completed the measures employed in the present study as part of a comprehensive initial evaluation.RESULTS:Descriptive analyses showed that 88.9% of patients reported as least one problem with disturbed sleep. Correlation analyses showed that greater sleep disturbance was associated with greater pain, disability, depression and physical symptoms, and less daily uptime. Hierarchical regression analyses showed that sleep disturbance predicted disability, daily uptime and physical symptoms independent of pain or depression.CONCLUSIONS:Sleep disruption is usually considered to be a consequence of the pain experience. However, the results of the present study reinforce the view that sleep disturbance may have a bidirectional relation with other features of chronic pain. Future studies should confirm that repairing disrupted sleep leads to an improvement in patients' daily activity and a reduction in their suffering.

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Pain Disorders

Management of Sleep Disorders in Psychiatry ◽

10.1093/med/9780190929671.003.0027 ◽

2020 ◽

pp. 468-481

Author(s):

Timothy Roehrs ◽

Thomas Roth

Keyword(s):

Chronic Pain ◽

Daytime Sleepiness ◽

Cognitive Factors ◽

Insufficient Sleep ◽

Behavioral Treatments

Information and appreciation regarding the role of insufficient sleep in chronic pain is now emerging. This chapter reviews the sleep, daytime sleepiness, and fatigue of people with various chronic pain disorders. The bidirectional relation of sleep and pain is described in this chapter, and the modulating effects of mood and cognitive factors on the sleep-pain nexus are discussed. Central and peripheral mechanisms underlying the sleep–pain nexus are explored. Finally, pharmacological and behavioral treatments for sleep and pain are reviewed with a focus on the association of improved sleep leading to improved pain. It is concluded that further research is necessary to better understand the interrelation of sleep and pain, which may lead to better therapies for sleep and pain.

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A hypothetical model of pain perception in patients with chronic pain: The predictive role of unconscious, emotional, behavioral and meta-cognitive factors

Annales Médico-psychologiques revue psychiatrique ◽

10.1016/j.amp.2019.08.015 ◽

2019 ◽

Vol 177 (9) ◽

pp. 875-883 ◽

Cited By ~ 1

Author(s):

Marzieh Pahlevan ◽

Mohammad Ali Besharat ◽

Ahmad Borjali ◽

Hojjatollah Farahani

Keyword(s):

Chronic Pain ◽

Pain Perception ◽

Cognitive Factors ◽

Hypothetical Model ◽

Predictive Role

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A hypothetical model of pain perception in patients with chronic pain: The predictive role of unconscious, emotional, behavioral and meta-cognitive factors

Annales Médico-psychologiques revue psychiatrique ◽

10.1016/j.amp.2019.12.016 ◽

2020 ◽

Vol 178 (8) ◽

pp. 843-851

Author(s):

Marzieh Pahlevan ◽

Mohammad Ali Besharat ◽

Ahmad Borjali ◽

Hojjatollah Farahani

Keyword(s):

Chronic Pain ◽

Pain Perception ◽

Cognitive Factors ◽

Hypothetical Model ◽

Predictive Role

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Prospective Memory Development Across the Lifespan

European Psychologist ◽

10.1027/1016-9040/a000380 ◽

2020 ◽

Vol 25 (3) ◽

pp. 162-173 ◽

Cited By ~ 1

Author(s):

Sascha Zuber ◽

Matthias Kliegel

Keyword(s):

Prospective Memory ◽

Healthy Aging ◽

Present Model ◽

Current Knowledge ◽

Well Being ◽

The Elderly ◽

Cognitive Factors ◽

Everyday Functioning ◽

Integrative Framework

Abstract. Prospective Memory (PM; i.e., the ability to remember to perform planned tasks) represents a key proxy of healthy aging, as it relates to older adults’ everyday functioning, autonomy, and personal well-being. The current review illustrates how PM performance develops across the lifespan and how multiple cognitive and non-cognitive factors influence this trajectory. Further, a new, integrative framework is presented, detailing how those processes interplay in retrieving and executing delayed intentions. Specifically, while most previous models have focused on memory processes, the present model focuses on the role of executive functioning in PM and its development across the lifespan. Finally, a practical outlook is presented, suggesting how the current knowledge can be applied in geriatrics and geropsychology to promote healthy aging by maintaining prospective abilities in the elderly.

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