Goossens Z, Van Stallen A, Vermuyten J, De Deyne M, Rice D, Runge N, Huysmans E, Vantilborgh T, Nijs J, Mairesse O, De Baets L
Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussel, 1050, Belgium; Brain, Body and Cognition (BBCO), Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussel, 1050, Belgium.
Sleep Med Rev. 2025 Feb;79:102013. doi: 10.1016/j.smrv.2024.102013. Epub 2024 Oct 12.
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.
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.
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.
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.
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.
在慢性肌肉骨骼疼痛患者中，短期和长期评估均显示睡眠与疼痛之间存在相互关系。睡眠会影响疼痛程度，而疼痛程度也会损害睡眠。然而，鉴于睡眠和疼痛强度的日常变化，应考虑在每日时间框架内评估这种关系。
系统回顾关于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双向日常关系的文献。
在四个数据库（PubMed、科学网、Embase、PsycInfo）中进行系统检索（2023年10月12日进行最终检索），根据预先定义的标准确定符合条件的文章。三名独立评审员使用“预后研究质量”工具进行数据提取和偏倚风险评估。对研究结果进行叙述性综合。
纳入11篇文章（1014名研究参与者；83个关联）。发现疼痛强度与睡眠之间存在双向关系。九篇文章表明，夜间睡眠质量比日间疼痛强度更能一致地预测次日的疼痛强度。
尽管慢性肌肉骨骼疼痛患者存在睡眠与疼痛的双向日常关系，但结果表明，自我报告的睡眠质量对疼痛强度的预测价值更强，反之则不然。
