Pilowsky I, Crettenden I, Townley M
University of Adelaide, Department of Psychiatry, Royal Adelaide Hospital, Adelaide, SA 5000 Australia.
Pain. 1985 Sep;23(1):27-33. doi: 10.1016/0304-3959(85)90227-1.
One hundred out-patients, referred to a multidisciplinary pain clinic for the management of chronic pain, were questioned regarding their sleeping habits and were grouped according to whether they reported 'good,' 'fair' or 'poor' sleep. All patients were administered questionnaires to measure illness behaviour, depression and anxiety. Information was also obtained regarding the site, intensity and quality of pain as well as amount of general activity. 'Good' and 'poor' sleepers were found to differ on most measures, particularly depression, pain intensity, activity levels and hypochondriasis. These findings suggest that reported sleep disturbance may provide an index of impairment and act as an indicator of psychological disturbance in chronic pain patients.
100名因慢性疼痛而被转至多学科疼痛诊所治疗的门诊患者，就其睡眠习惯接受了询问，并根据他们报告的睡眠情况分为“良好”、“一般”或“较差”三组。所有患者都接受了问卷调查，以测量疾病行为、抑郁和焦虑程度。还获取了有关疼痛部位、强度和性质以及总体活动量的信息。结果发现，“睡眠良好”和“睡眠较差”的患者在大多数指标上存在差异，尤其是在抑郁、疼痛强度、活动水平和疑病症方面。这些发现表明，报告的睡眠障碍可能是慢性疼痛患者功能受损的一个指标，也是心理障碍的一个指示物。
