The association of sleep-related issues with chronic pain and high-impact chronic pain incidence in U.S. adults: A 1-year representative cohort study

IF 4 2区医学 Q1 CLINICAL NEUROLOGY

Journal of Pain Pub Date : 2025-09-05 DOI:10.1016/j.jpain.2025.105541

Alberto Herrero Babiloni , Barbara Fonseca Alonso , Marc O. Martel , Ian A. Boggero , Gilles J. Lavigne , Adam P. Goode , Flavia P. Kapos

{"title":"The association of sleep-related issues with chronic pain and high-impact chronic pain incidence in U.S. adults: A 1-year representative cohort study","authors":"Alberto Herrero Babiloni , Barbara Fonseca Alonso , Marc O. Martel , Ian A. Boggero , Gilles J. Lavigne , Adam P. Goode , Flavia P. Kapos","doi":"10.1016/j.jpain.2025.105541","DOIUrl":null,"url":null,"abstract":"<div><div>In this longitudinal cohort study, we used nationally representative data from the U.S. National Health Interview Survey (n = 7826 for chronic pain; n = 9195 for high-impact chronic pain [HICP]) to examine the association of trouble sleeping and tiredness with 1-year incidence of chronic pain and HICP in U.S. adults. We also evaluated group-specific estimates by age, sex, and race/ethnicity. The 1-year cumulative incidence of chronic pain was 10.6% (95% CI: 9.8–11.5%) and of HICP was 4.2% (95% CI: 3.7–4.8%). In adjusted models, individuals reporting trouble sleeping “more than half the days” had a 63% higher risk of chronic pain (RR = 1.63, 95% CI: 1.16–2.28) and a 101% higher risk of HICP (RR = 2.01, 95% CI: 1.29–3.13). Those reporting tiredness “nearly every day” had an 89% higher risk of chronic pain (RR = 1.89, 95% CI: 1.32–2.69) and 166% higher risk of HICP (RR = 2.66, 95% CI: 1.76–4.02). Stratified models revealed greater pain incidence in non-Hispanic/Latino (NH) Asian and NH Black or African American individuals with tiredness symptoms. Findings support addressing sleep and daily tiredness to prevent chronic pain, particularly in racially and ethnically minoritized populations.</div></div><div><h3>Perspective</h3><div>Sleep disturbances and tiredness predict the development of both chronic pain and high-impact chronic pain one year later, even after stratifying by sociodemographic characteristics. Stratified analyses revealed important racial/ethnic disparities, highlighting the potential of addressing sleep-related mechanisms to prevent pain-related disability and reduce inequities in chronic pain outcomes<strong>.</strong></div></div>","PeriodicalId":51095,"journal":{"name":"Journal of Pain","volume":"36 ","pages":"Article 105541"},"PeriodicalIF":4.0000,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1526590025007680","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

In this longitudinal cohort study, we used nationally representative data from the U.S. National Health Interview Survey (n = 7826 for chronic pain; n = 9195 for high-impact chronic pain [HICP]) to examine the association of trouble sleeping and tiredness with 1-year incidence of chronic pain and HICP in U.S. adults. We also evaluated group-specific estimates by age, sex, and race/ethnicity. The 1-year cumulative incidence of chronic pain was 10.6% (95% CI: 9.8–11.5%) and of HICP was 4.2% (95% CI: 3.7–4.8%). In adjusted models, individuals reporting trouble sleeping “more than half the days” had a 63% higher risk of chronic pain (RR = 1.63, 95% CI: 1.16–2.28) and a 101% higher risk of HICP (RR = 2.01, 95% CI: 1.29–3.13). Those reporting tiredness “nearly every day” had an 89% higher risk of chronic pain (RR = 1.89, 95% CI: 1.32–2.69) and 166% higher risk of HICP (RR = 2.66, 95% CI: 1.76–4.02). Stratified models revealed greater pain incidence in non-Hispanic/Latino (NH) Asian and NH Black or African American individuals with tiredness symptoms. Findings support addressing sleep and daily tiredness to prevent chronic pain, particularly in racially and ethnically minoritized populations.

Perspective

Sleep disturbances and tiredness predict the development of both chronic pain and high-impact chronic pain one year later, even after stratifying by sociodemographic characteristics. Stratified analyses revealed important racial/ethnic disparities, highlighting the potential of addressing sleep-related mechanisms to prevent pain-related disability and reduce inequities in chronic pain outcomes.

查看原文本刊更多论文

美国成年人睡眠相关问题与慢性疼痛和高影响慢性疼痛发生率的关联：一项为期1年的代表性队列研究。

在这项纵向队列研究中，我们使用了来自美国国家健康访谈调查（n = 7826例慢性疼痛，n = 9195例高影响慢性疼痛[HICP]）的具有全国代表性的数据来研究睡眠困难和疲劳与美国成年人1年慢性疼痛和HICP发病率的关系。我们还根据年龄、性别和种族/民族评估了特定群体的估计。慢性疼痛的1年累积发病率为10.6% (95% CI: 9.8-11.5%)， HICP的1年累积发病率为4.2% （95% CI: 3.7-4.8%）。在调整后的模型中，报告“超过半天”睡眠困难的个体患慢性疼痛的风险高出63% (RR = 1.63, 95% CI: 1.16-2.28)，患HICP的风险高出101% （RR = 2.01, 95% CI: 1.29-3.13）。那些报告“几乎每天”都感到疲劳的人患慢性疼痛的风险高出89% (RR = 1.89, 95% CI: 1.32-2.69)，患HICP的风险高出166% （RR = 2.66, 95% CI: 1.76-4.02）。分层模型显示，有疲劳症状的非西班牙裔/拉丁裔（NH）亚洲人和NH黑人或非洲裔美国人的疼痛发生率更高。研究结果支持解决睡眠和日常疲劳问题，以预防慢性疼痛，特别是在种族和少数民族人群中。观点：睡眠障碍和疲劳预测一年后慢性疼痛和高影响性慢性疼痛的发展，甚至在社会人口统计学特征分层之后。分层分析揭示了重要的种族/民族差异，强调了解决睡眠相关机制以预防疼痛相关残疾和减少慢性疼痛结果不平等的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Pain 医学-临床神经学

CiteScore

6.30

自引率

7.50%

发文量

441

审稿时长

42 days

期刊介绍： The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.