The association between pain and sleep in fibromyalgia

Objective: To clarify the association between pain and sleep in fibromyalgia. Methods: Electronic databases, including PsycINFO, the Cochrane database for systematic reviews, PubMed, EMBASE, and Ovid were searched to identify eligible articles. Databases independently screened and the quality of evidence using a reliable and valid quality assessment tool was assessed. Results: In total, 16 quantitative studies fulfilled the inclusion criteria. According to the results, increased pain in fibromyalgia was associated with reduced sleep quality, efficiency, and duration and increased sleep disturbance and onset latency and total wake time. Remarkably, depressive symptoms were also related to both pain and sleep in patients with fibromyalgia. Conclusion: Management strategies should be developed to decrease pain while increasing sleep quality in patients with fibromyalgia. Future studies should also consider mood disorders and emotional dysfunction, as comorbid conditions could occur with both pain and sleep disorder in fibromyalgia.

• Publication year

  2017

• Venue

  Saudi Medical Journal

• Publication date

  2017-05-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.15537/smj.2017.5.17864PMID 28439595PMCID 5447206
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Exploring the associations shared by mood, pain-related attention and pain outcomes related to sleep disturbance in a chronic pain sample

  2016cited by this paper
• Chronic fatigue syndrome and fibromyalgia in diagnosed sleep disorders: a further test of the ‘unitary’ hypothesis

  2015cited by this paper
• Sleep disturbances in fibromyalgia syndrome: the role of clinical and polysomnographic variables explaining poor sleep quality in patients.

  2015cited by this paper
• Positive affect and pain: mediators of the within-day relation linking sleep quality to activity interference in fibromyalgia

  2015cited by this paper
• Sleep fragmentation and arousal in the pain patient

  2015cited by this paper
• The Impact of Pain on Anxiety and Depression is Mediated by Objective and Subjective Sleep Characteristics in Fibromyalgia Patients

  2014cited by this paper
• Confirmatory Factor Analysis of the Pittsburgh Sleep Quality Index in Rheumatoid Arthritis Patients

  2014cited by this paper
• Branding water

  2014cited by this paper
• The association of sleep and pain: an update and a path forward.

  2013cited by this paper
• Impact of Sleep Quality on Amygdala Reactivity, Negative Affect, and Perceived Stress

  2013cited by this paper
• The impact of mood, anxiety, and sleep disorders on fibromyalgia.

  2012cited by this paper
• Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis

  2012cited by this paper
• Predictors of clinical pain in fibromyalgia: examining the role of sleep.

  2012cited by this paper
• Deciphering the temporal link between pain and sleep in a heterogeneous chronic pain patient sample: a multilevel daily process study.

  2012cited by this paper
• Evaluating Evidence for the Role of Sleep in Fibromyalgia: A Test of the Sleep and Pain Diathesis Model

  2012cited by this paper
• The association of sleep difficulties with health-related quality of life among patients with fibromyalgia

  2012cited by this paper
• The comparative burden of mild, moderate and severe Fibromyalgia: results from a cross-sectional survey in the United States

  2011cited by this paper
• The Association Between Chronic Low Back Pain and Sleep: A Systematic Review

  2011cited by this paper
• Validity of four pain intensity rating scales

  2011cited by this paper
• When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality.

  2011cited by this paper
• Rheumatic manifestations of sleep disorders

  2010cited by this paper
• Daily Variations in Objective Nighttime Sleep and Subjective Morning Pain in Older Adults with Insomnia: Evidence of Covariation over Time

  2010cited by this paper
• Negative Mood Mediates the Effect of Poor Sleep on Pain Among Chronic Pain Patients

  2010cited by this paper
• Cognitive vulnerability in the development of concomitant pain and sleep disturbances.

  2010cited by this paper
• Obligate symbiosis: sleep and affect.

  2010cited by this paper
• New American College of Rheumatology Criteria for Fibromyalgia: A Twenty‐Year Journey

  2010cited by this paper
• Objective and subjective assessment of sleep in chronic low back pain patients compared with healthy age and gender matched controls: a pilot study

  2009cited by this paper
• Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement

  2009cited by this paper
• Fibromyalgia Syndrome Module at OMERACT 9: Domain Construct

  2009cited by this paper
• The complex interplay between pain intensity, depression, anxiety and catastrophising with respect to quality of life and disability

  2009cited by this paper
• Patient perspectives on the impact of fibromyalgia.

  2008cited by this paper
• Dysfunctional beliefs, stress and sleep disturbance in fibromyalgia.

  2008cited by this paper
• Duration of sleep contributes to next‐day pain report in the general population☆

  2008cited by this paper
• Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression.

  2008cited by this paper
• Quality of sleep in patients with chronic low back pain: a case-control study

  2008cited by this paper
• Sleep and the affective response to stress and pain.

  2007cited by this paper
• Pain After Spinal Cord Injury: An Evidence-based Review for Clinical Practice and Research*

  2007cited by this paper
• Exploring the role of sleep and coping in quality of life in fibromyalgia.

  2007cited by this paper
• Predicting high physical function in people with fibromyalgia.

  2007cited by this paper
• Sleep deprivation and pain perception.

  2006cited by this paper
• Comorbidity of fibromyalgia and psychiatric disorders.

  2006cited by this paper
• Actigraphy validation with insomnia.

  2006cited by this paper
• Validation of a 3-factor scoring model for the Pittsburgh sleep quality index in older adults.

  2006cited by this paper
• Preoperative Predictors for Postoperative Clinical Outcome in Lumbar Spinal Stenosis: Systematic Review

  2006cited by this paper
• Ecological momentary assessment: what it is and why it is a method of the future in clinical psychopharmacology.

  2006cited by this paper
• Positive affect as a source of resilience for women in chronic pain.

  2005cited by this paper
• Poor sleep and depression are independently associated with a reduced pain threshold. Results of a population based study

  2005cited by this paper
• Relationship between chronic painful physical condition and insomnia.

  2005cited by this paper
• How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature.

  2004cited by this paper
• The epidemiology of pain in depression

  2004cited by this paper
• Decreased sleep spindles and spindle activity in midlife women with fibromyalgia and pain.

  2004cited by this paper
• Sleep Deprivation Affects Thermal Pain Thresholds but Not Somatosensory Thresholds in Healthy Volunteers

  2004cited by this paper
• Evaluating non-randomised intervention studies.

  2003cited by this paper
• A Review of Sleep in Selected Immune and Autoimmune Disorders

  2003cited by this paper
• The role of actigraphy in the study of sleep and circadian rhythms.

  2003cited by this paper
• Five Steps to Conducting a Systematic Review

  2003cited by this paper
• Management of sleep disorders in fibromyalgia.

  2002cited by this paper
• Major Depression and Insomnia in Chronic Pain

  2002cited by this paper
• The contribution of pain, reported sleep quality, and depressive symptoms to fatigue in fibromyalgia

  2002cited by this paper
• Bonica's Management of Pain.

  2002cited by this paper
• The effects of total sleep deprivation, selective sleep interruption and sleep recovery on pain tolerance thresholds in healthy subjects

  2001cited by this paper
• Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis davis et al. stress vulnerability

  2001cited by this paper
• Psychometric comparisons of the standard and abbreviated DBAS-10 versions of the dysfunctional beliefs and attitudes about sleep questionnaire.

  2001cited by this paper
• Sleep in chronic pain: problems and treatments

  2000cited by this paper
• Evaluation of the relationship between depression and fibromyalgia syndrome: why aren't all patients depressed?

  2000cited by this paper
• Symptoms of Stress and Depression as Correlates of Sleep in Primary Insomnia

  2000cited by this paper
• A Prospective Study of Psychological Predictors of Lumbar Surgery Outcome

  2000cited by this paper
• The London Fibromyalgia Epidemiology Study: comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls.

  1999cited by this paper
• Assessment of the SF-36 version 2 in the United Kingdom.

  1999cited by this paper
• Sleep quality and pain threshold in patients with fibromyalgia.

  1999cited by this paper
• American College of Rheumatology

  1999cited by this paper
• Helplessness as a Mediator of Health Status in Fibromyalgia

  1999cited by this paper
• Effects of selective slow wave sleep disruption on musculoskeletal pain and fatigue in middle aged women.

  1999cited by this paper
• The effects of delta wave sleep interruption on pain thresholds and fibromyalgia-like symptoms in healthy subjects; correlations with insulin-like growth factor I.

  1998cited by this paper
• Self-reported sleep and mood disturbance in chronic pain patients.

  1998cited by this paper
• Daily diary and ambulatory activity monitoring of sleep in patients with insomnia associated with chronic musculoskeletal pain

  1998cited by this paper
• Fibromyalgia and women's pursuit of personal goals: a daily process analysis.

  1998cited by this paper
• Hypnotizability, pain threshold, and dissociative experiences.

  1998cited by this paper
• Sleep, psychological distress, and stress arousal in women with fibromyalgia.

  1997cited by this paper
• Sleep, daytime symptoms, and cognitive performance in patients with fibromyalgia.

  1997cited by this paper
• Alpha sleep and information processing, perception of sleep, pain, and arousability in fibromyalgia.

  1997cited by this paper
• The experience of rheumatoid arthritis pain and fatigue: examining momentary reports and correlates over one week.

  1997cited by this paper
• Daily processes in coping with chronic pain: Methods and analytic strategies.

  1996cited by this paper
• Back pain in primary care: predictors of high health‐care costs

  1996cited by this paper
• Sequential daily relations of sleep, pain intensity, and attention to pain among women with fibromyalgia

  1996cited by this paper
• Pain thresholds in obese binge-eating disorder subjects.

  1995cited by this paper
• Fibromyalgia 20 years later: what have we really accomplished?

  1995cited by this paper
• Pain coping mechanisms in fibromyalgia: relationship to pain and functional outcomes.

  1995cited by this paper
• Pain thresholds in obese binge-eating disorder subjects

  1995cited by this paper
• The contribution of family cohesion and the pain-coping process to depressive symptoms in fibromyalgia

  1995cited by this paper
• Ecological Momentary Assessment (Ema) in Behavioral Medicine

  1994cited by this paper
• Reliability and factor analysis of the Epworth Sleepiness Scale.

  1992cited by this paper
• Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis.

  1992cited by this paper
• Ambulatory Polysomnography: Technical Aspects and Normative Values

  1992cited by this paper
• The fibromyalgia impact questionnaire: development and validation.

  1991cited by this paper
• The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee.

  1990cited by this paper
• An experimental investigation of the construct validity of the McGill Pain Questionnaire

  1989cited by this paper
• Chiropractic chronic low back pain sufferers and self-report assessment methods. Part I. A reliability study of the Visual Analogue Scale, the Pain Drawing and the McGill Pain Questionnaire.

  1989cited by this paper
• The measurement of pain.

  1988cited by this paper
• Sleep disturbance in pain clinic patients

  1985cited by this paper

• Screening and Management of Sleep Disorders in Patients with Fibromyalgia Syndrome: A French Multicenter, Prospective, Observational Study.

  2026cites this paper
• Association Between Sleep and Depression in Patients with Fibromyalgia: A Systematic Review and Meta-Analysis of Observational Studies

  2025cites this paper
• Serum magnesium levels and their association with sleep quality and disease severity in fibromyalgia syndrome: An observational cross-sectional study

  2025cites this paper
• Relación entre el nivel de actividad física, calidad de sueño y ansiedad con la catastrofización en personas con fibromialgia

  2025cites this paper
• Body Mass Index, Waist Circumference and Fasting Blood Glucose in Patients undergoing Hemodialysis

  2024cites this paper
• Gender differences in symptomatology, socio-demographic information and quality of life in Spanish population with long COVID condition: a cross-sectional study

  2024cites this paper
• Impact of fibromyalgia severity on patients mood, sleep quality, and quality of life

  2024cites this paper
• The Effects of Sleep Hygiene Education on Sleep Quality, Pain, and Depression in Individuals With Fibromyalgia.

  2024cites this paper
• Skeletal muscle relaxant for the treatment of fibromyalgia: a systematic review and meta-analysis of randomized controlled trials

  2024cites this paper
• Psychological Pain, Hopelessness and Suicide Ideation in Female Patients with Fibromyalgia

  2024cites this paper
• Sleep duration and inflammatory mediator levels associated with long-term prognosis in temporomandibular disorders.

  2023cites this paper
• FIBROMYALGIA AMONG MEDICAL STUDENTS, A CROSS-SECTIONAL SURVEY USING THE 2016 ACR FIBROMYALGIA CRITERIA

  2023cites this paper
• Physical Conditioning, Obesity and Fibromyalgia: Causal Relationship or Confounding?

  2023cites this paper
• VirtualPain. Preliminary findings from a group-based digital therapeutics intervention for fibromyalgia

  2023cites this paper
• Sleep profile and its correlation with clinical variables in fibromyalgia syndrome: A cross-sectional study

  2023cites this paper
• The efficacy of telephone-delivered cognitive behavioral therapy in people with chronic illnesses and mental diseases: A meta-analysis.

  2023cites this paper
• Effects of resistance training on sleep of patients with fibromyalgia: A systematic review

  2023cites this paper
• Gender, Mental Health and Socioeconomic Differences in Fibromyalgia: A Retrospective Cohort Study Using Real-World Data from Catalonia

  2023cites this paper
• Quality of life in patients with fibromyalgia: Contributions of disease symptoms, lifestyle and multi-medication

  2022cites this paper
• Health-Related Quality of Life and Related Factors in Patients with Fibromyalgia: A Cross-sectional Study

  2022cites this paper
• Somatic Symptom Disorder and Sleep

  2022cites this paper
• Differences and Correlations of Anxiety, Sleep Quality, and Pressure-Pain Threshold between Patients with Chronic Low Back Pain and Asymptomatic People

  2022cites this paper
• Differences and Correlations of Anxiety, Sleep Quality, and Pressure-Pain Threshold between Patients with Chronic Low Back Pain and Asymptomatic People

  2022cites this paper
• Actigraphic Physical Activity, Pain Intensity, and Polysomnographic Sleep in Fibromyalgia

  2022cites this paper
• The role of pain intensity and depressive symptoms in the relationship between sleep quality and postural control among middle-aged and older adults with Fibromyalgia

  2022cites this paper
• Effectiveness of aquatic therapy on sleep in persons with fibromyalgia. A meta-analysis.

  2022cites this paper
• Fibromialgia: Manifestaciones neuropsiquiátricas y abordaje terapéutico en la atención primaria

  2022cites this paper
• Correlating cognition and cortical excitability with pain in fibromyalgia: a case control study

  2021cites this paper
• Behavior-analytic intervention for women with fibromyalgia and insomnia: a single subject design

  2021cites this paper
• Effectiveness of Positive Mindfulness Therapy and Emotion-Focused Cognitive-Behavioral Therapy in Improving Pain Perception and Sleep Quality in Fibromyalgia Patients

  2021cites this paper
• Evaluate the impact of maternal smoking during pregnancy on sleep duration in female offspring

  2021cites this paper
• Impact of Fibromyalgia on Female Infertility

  2021cites this paper
• Daily variation in sleep quality is associated with health-related quality of life in people with spinal cord injury.

  2021cites this paper
• Sleeping is a nightmare: A qualitative study on the experience and management of poor sleep quality in women with fibromyalgia.

  2021cites this paper
• Test–Retest Reliability and Responsiveness of PROMIS Sleep Short Forms Within an RCT in Women With Fibromyalgia

  2021cites this paper
• Pain in Women: A Perspective Review on a Relevant Clinical Issue that Deserves Prioritization

  2021cites this paper
• Mapping of predictors of the disengagement of the descending inhibitory pain modulation system in fibromyalgia: an exploratory study

  2020cites this paper
• Patient Reported Outcome Measures of Sleep Quality in Fibromyalgia: A COSMIN Systematic Review

  2020cites this paper
• Poor Sleep Quality Experience and Self-Management Strategies in Fibromyalgia: A Qualitative Metasynthesis

  2020cites this paper
• Le haut potentiel intellectuel est-il surreprésenté dans une population de patients douloureux chroniques ?

  2020cites this paper
• Assessment of sleep quality in fibromyalgia syndrome and its effect on postural balance and functional status

  2020cites this paper
• Neuropsychiatric comorbidity in patients with fibromyalgia

  2020cites this paper
• The impact of glucocorticoids and statins on sleep quality.

  2020cites this paper
• Dietary Interventions in the Management of Fibromyalgia: A Systematic Review and Best-Evidence Synthesis

  2020cites this paper
• Prevalence of Poor Sleep Quality in Patients With Hypertension in China: A Meta-analysis of Comparative Studies and Epidemiological Surveys

  2020cites this paper
• 273 Ozsoy Eksi Hilal.vp

  2020cites this paper
• Comorbilidad neuropsiquiátrica en pacientes con fibromialgia

  2020cites this paper
• Association of ferritin levels with depression, anxiety, sleep quality, and physical functioning in patients with fibromyalgia syndrome: a cross-sectional study

  2019cites this paper
• Utilization of Overnight Pulse Oximetry in Fibromyalgia Patients

  2019cites this paper
• Possible Molecular Mediators Involved and Mechanistic Insight into Fibromyalgia and Associated Co-morbidities

  2019cites this paper
• Subjective sleep quality as a mediator in the relationship between pain severity and sustained attention performance in patients with fibromyalgia

  2019cites this paper
• The association between osteoarthritis and sleep duration in Koreans: a nationwide cross-sectional observational study

  2018cites this paper
• GABA agonists truly helping sleep or is it just a dream

  2017cites this paper
• DO CANNABINOIDS hAVE A ROLE IN ThE TREATMENT Of RhEUMATIC and autOimmune diSeaSeS?

  year unknowncites this paper