Morin C M, Gibson D, Wade J
Université Laval, Ste-Foy, Québec, Canada.
Clin J Pain. 1998 Dec;14(4):311-4. doi: 10.1097/00002508-199812000-00007.
To evaluate the prevalence of self-reported sleep disturbance and its relationship to mood disturbance in chronic pain patients.
Survey of patients referred to a multidisciplinary outpatient pain clinic.
The sample consisted of 105 consecutive patients (59 men and 46 women), with an average age of 41.5 (SD +/-13.4) years.
Self-report measures of sleep disturbance and visual analog scales of mood disturbance (anxiety and depression) and pain experience (intensity and unpleasantness).
Patients were grouped according to whether they considered themselves "poor" (n = 68) or "good" (n = 37) sleepers. Poor sleepers reported more difficulties initiating and maintaining sleep and greater pain intensity and pain unpleasantness than did good sleepers. The two groups did not differ on measures of depressive or anxious mood.
The results suggest that sleep disturbance is a prevalent complaint in chronic pain patients, but it is not always associated with an underlying mood disturbance.
评估慢性疼痛患者自我报告的睡眠障碍患病率及其与情绪障碍的关系。
对多学科门诊疼痛诊所转诊患者的调查。
样本包括105例连续患者（59名男性和46名女性），平均年龄41.5（标准差±13.4）岁。
睡眠障碍的自我报告测量以及情绪障碍（焦虑和抑郁）和疼痛体验（强度和不愉快程度）的视觉模拟量表。
患者根据自我认定为“睡眠差”（n = 68）或“睡眠好”（n = 37）进行分组。与睡眠好的患者相比，睡眠差的患者报告在入睡和维持睡眠方面存在更多困难，且疼痛强度和疼痛不愉快程度更高。两组在抑郁或焦虑情绪测量方面无差异。
结果表明，睡眠障碍是慢性疼痛患者中普遍存在的问题，但并不总是与潜在的情绪障碍相关。
