Sleep disturbance in orofacial pain patients: Pain-related or emotional distress?

Citation
Jl. Riley et al., Sleep disturbance in orofacial pain patients: Pain-related or emotional distress?, CRANIO, 19(2), 2001, pp. 106-113
Citations number
33
Categorie Soggetti
Dentistry/Oral Surgery & Medicine
Journal title
CRANIO-THE JOURNAL OF CRANIOMANDIBULAR PRACTICE
ISSN journal
08869634 → ACNP
Volume
19
Issue
2
Year of publication
2001
Pages
106 - 113
Database
ISI
SICI code
0886-9634(200104)19:2<106:SDIOPP>2.0.ZU;2-7
Abstract
Associations between pain, depression, and sleep disturbance have been docu mented in several chronic pain patient samples. The current study assessed the prevalence and magnitude of sleep disturbance in a sample of 128 orofac ial pain patients referred for clinical evaluation and tested linkages betw een sleep, depression, anxiety. and pain using cross-sectional and longitud inal data. Seventy-seven percent of the patients reported reduced sleep qua ntity since pain onset. In cross-sectional analyses, reduced sleep quantity was associated with depression and pain. Reduced sleep quality was associa ted with negative affect. Longitudinally, initial depression and pain predi cted sleep at time two and initial pain predicted negative affect. Sleep di d not predict pain. Results support the hypothesis that pain, rather than s leep disturbance, increases negative affect across time, whereas negative a ffect is more a cause of concurrent reduced sleep quality than is pain. The results highlight the importance of assessing for sleep disturbance in oro facial pain patients.