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Insomnia Really Hurts

Effect of a Bad Night's Sleep on Pain Increases With Insomnia Severity

Bibliographic Data

ID15518449
AuthorsYishul Wei (0000-0002-6223-6102, Royal Netherlands Academy of Arts and Sciences), Tessa Blanken (0000-0003-1731-0251, Royal Netherlands Academy of Arts and Sciences), Tessa F Blanken, Eus J W Van Someren (0000-0002-9970-8791, Netherlands Institute for Neuroscience, corresponding author)
Year2018
Volume9
Pages377-377
Publication date2018-08-28
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2018.00377
PMID30210367
OpenAlexW2888892625
LanguageEN
Citations received3
References cited63

Insomnia and chronic pain are highly prevalent conditions and are often comorbid. Somatic complaints other than pain are also often observed in insomnia. Poor sleep and pain are known to mutually reinforce each other. However, it is unknown whether the habitual severity of insomnia modulates the acute effect of a particularly bad night's sleep on the next day's pain severity, and whether it modulates the acute effect of pain on the following night's sleep quality. Using data from 3,508 volunteers (2,684 female, mean age 50.09 y), we addressed these questions in addition to the associations between the habitual severity of insomnia, somatic complaints, and pain. Results indicated that people suffering from more severe habitual insomnia showed stronger mutual acute within-day reactivity of pain and poor sleep quality. The same increased reactivity was found in people with more severe habitual pain. Interestingly, the acute within-day mutual reactivity of pain and sleep quality showed consistent asymmetry. Pain worsened more after a particularly bad night's sleep than it improved after a particularly good night's sleep. Likewise, sleep worsened more after a day with more-than-usual pain than it improved after a day with less-than-usual pain. Future interventions may profit from addressing this asymmetric mutual reactivity especially in people with severe comorbid insomnia and chronic pain

Chronic pain · Insomnia · Physical therapy · Psychiatry · Psychological intervention · Sleep (system call · Medicine · Psychology · Sleep and related disorders · Sleep and Wakefulness Research · Sleep and Work-Related Fatigue

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Citations per year0.38
Citation span2018 - 2021 (4)
Highly citedNo

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