All Fatigue is Not Created Equal

Boggero, Ian A.; Rojas-Ramirez, Marcia V; Carlson, Charles R.

doi:10.1097/ajp.0000000000000391

Cited by 12 publications

(2 citation statements)

References 40 publications

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“…Pain may affect satisfaction with social activities through several mechanisms. For example, chronic pain may exacerbate depression, 65 negative affect, 22 and fatigue 9 , 10 , 12 —each of which may limit one's willingness to participate in social leisure activities or alter perceptions of how enjoyable those activities are. If young women are avoiding participating in social activities because of their chronic pain or are dissatisfied with those activities, this may serve to perpetuate depression, anxiety, and loneliness that contribute to long-term pain disability in later adulthood.…”

Section: Discussionmentioning

confidence: 99%

Social health in young women with chronic pain

Boggero,

Sangalli,

Brasch

et al. 2024

PR9

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Introduction: Chronic pain may negatively affect social functioning, but no study to date has examined the specific social impact of different chronic pain conditions in young women, and whether living with multiple chronic overlapping pain conditions (COPCs) differently influences social domains. Objectives: This study aimed to assess social functioning (social isolation, hostility, informational support satisfaction, social roles, emotional support, friendships, and family relationships) among young women with chronic pain compared with pain-free controls and to test whether the number of COPCs influenced the extent of social burden. Methods: Participants aged 18 to 30 years with a physician-confirmed diagnoses of migraine, fibromyalgia, or temporomandibular disorder (TMD) and pain-free controls were invited to participate from across the United States. After confirming eligibility, participants completed a 1-hour REDCap online questionnaire assessing social functioning. Results: One hundred four participants (mean age 24.54 ± 3.35 years) were included (n = 26 with TMD, n = 25 with fibromyalgia, n = 25 with migraine, and n = 28 controls). All 3 chronic pain groups combined reported worse functioning than controls on friendship (P = 0.038), social isolation (P = 0.002), and social roles (P < 0.001). There were no differences on social variables between the 3 chronic pain groups (all P's > 0.05). Compared with those with 3 COPCs, participants with 1 condition reported better family relationships (P = 0.024). Conclusions: Experience of chronic pain—regardless of the specific pain condition—may negatively affect some areas of social functioning in young women.

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Section: Discussionmentioning

confidence: 99%

Social health in young women with chronic pain

Boggero,

Sangalli,

Brasch

et al. 2024

PR9

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“…The mechanisms underlying these relationships remain an important area for future research. Sleep could enhance program success by increasing emotion regulation ability,42 improving encoding and rehearsal of information,43 reducing fatigue,44 reducing the perceived intensity of pain,45 or via numerous other mechanisms. Improvements in sleep may also change physiology in ways that promote health, for example, it may decrease inflammation and improve immunity among other benefits 46.…”

Section: Discussionmentioning

confidence: 99%

Improvements in Sleep Correlate With Improvements in Clinical Outcomes Among Adolescents Undergoing Intensive Interdisciplinary Pain Treatment

Boggero

Krietsch

Pickerill³

et al. 2021

The Clinical Journal of Pain

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Objectives: Intensive interdisciplinary pain treatment (IIPT) programs have been shown to restore function, improve coping, and reduce pain in adolescents with chronic pain. Yet, little is known about patients' sleep during IIPT and whether or not improvements in pain treatment outcomes are associated with changes in sleep preto-post IIPT treatment. The objectives of the current study were to describe sleep among adolescents entering IIPT and examine associations between sleep parameters and IIPT treatment effects.Materials and Methods: Self-reported sleep measures and clinical outcomes (eg, functional disability, coping, average pain), were collected from 44 adolescents (mean age = 14.57, 68.2% female) at admission and discharge from an inpatient IIPT program. Wristworn actigraphy data and sleep diaries from participants' first week and last week in the program were analyzed to characterize sleep parameters.Results: Participants self-reported poor sleep/wake patterns, high levels of insomnia symptoms, and subclinical problems with daytime sleepiness upon admission into IIPT, although actigraphic indices of sleep from the first week of IIPT admission were only just under clinical guidelines for healthy adolescent sleep. Better self-reported sleep quality assessed via aggregated sleep diaries from the first week was associated with improvement in average pain and disability over the course of the program. Furthermore, improvements in insomnia symptoms and daytime sleepiness throughout the program were positively correlated with concurrent improvements in functional disability and coping.Discussion: Taken together, results suggest that sleep may be associated with IIPT treatment effects and pave the way for future research to continue examining these relationships.

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