Day-to-day associations between pain intensity and sleep outcomes in an adult chronic musculoskeletal pain population: A systematic review

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Z. Goossens , A. Van Stallen , J. Vermuyten , M. De deyne , D. Rice , N. Runge , E. Huysmans , T. Vantilborgh , J. Nijs , O. Mairesse , L. De Baets
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Abstract

Background

In individuals with chronic musculoskeletal pain, a reciprocal relationship between sleep and pain across short and long-term evaluations exists. Sleep influences pain levels, while the level of pain also impairs sleep. However, given the day-to-day variability of both sleep and pain intensity, assessing this relationship within a daily time frame should be considered.

Objectives

To systematically review the literature concerning the bidirectional day-to-day relationship between night-time sleep variables and day-time pain intensity in individuals with chronic musculoskeletal pain.

Methods

A systematic search (final search on October 12, 2023) in four databases (PubMed, Web of Science, Embase, PsycInfo) identified eligible articles based on pre-defined criteria. Three independent reviewers executed data extraction and risk of bias assessment using the “Quality In Prognosis Studies” tool. The study findings were synthesized narratively.

Results

Eleven articles (1014 study participants; 83 associations) were included. A bidirectional relationship between pain intensity and sleep was found. Nine articles indicated night-time sleep quality to be a more consistent predictor for next day pain intensity than vice versa.

Conclusion

Nonetheless the bidirectional day-to-day sleep-pain relationship in individuals with chronic musculoskeletal pain, results suggest that self-reported sleep quality has a stronger predictive value on pain intensity then vice versa.
成人慢性肌肉骨骼疼痛人群中疼痛强度与睡眠结果之间的日常关联:系统综述。
背景:在慢性肌肉骨骼疼痛患者中,睡眠与疼痛之间存在着短期和长期评估的相互关系。睡眠影响疼痛程度,而疼痛程度也会影响睡眠。然而,鉴于睡眠和疼痛强度每天都有变化,因此应考虑在每天的时间范围内评估这种关系:系统回顾有关慢性肌肉骨骼疼痛患者夜间睡眠变量与日间疼痛强度之间的双向日常关系的文献:方法:在四个数据库(PubMed、Web of Science、Embase、PsycInfo)中进行系统检索(最终检索日期为 2023 年 10 月 12 日),根据预先定义的标准确定符合条件的文章。三位独立审稿人使用 "预后研究质量 "工具进行了数据提取和偏倚风险评估。对研究结果进行了综合叙述:结果:共纳入 11 篇文章(1014 名研究参与者;83 个协会)。研究发现,疼痛强度与睡眠之间存在双向关系。九篇文章指出,夜间睡眠质量对第二天疼痛强度的预测作用比反之更为一致:尽管慢性肌肉骨骼疼痛患者的日常睡眠与疼痛之间存在双向关系,但研究结果表明,自我报告的睡眠质量对疼痛强度的预测价值更高,反之亦然。
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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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