Insomnia Increases Symptom Severity and Health Care Utilization in Patients With Fibromyalgia

Huang, Chun Jen; Huang, Chin Liang; Fan, Yen‐Chun; Chen, Ting Yu; Tsai, Pei Shan

doi:10.1097/ajp.0000000000000738

Cited by 11 publications

(7 citation statements)

References 37 publications

(49 reference statements)

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“…Furthermore, most pain management programmes either omit sleep education or have limited coverage of the topic (Tang, Goodchild, & Webster, 2015). Considering the impact of poor sleep quality on the severity of FM symptoms (Choy, 2015; Huang et al, 2019), inclusion of symptom management strategies intended to improve sleep quality could be vital for improving the general health status of women with FM.…”

Section: Discussionmentioning

confidence: 99%

“…Along with chronic widespread musculoskeletal pain and fatigue, poor sleep quality is considered a central symptom of FM (Arnold et al, 2019; Rudin, 2019), with an estimated prevalence of 65–99%; only 11.2% of people with FM do not demonstrate sleep problems (Andrade et al, 2018; Theadom, Cropley, & Humphrey, 2007). Poor sleep quality is also one of the principal causes behind exacerbation of FM symptoms (Andrade et al, 2018; Choy, 2015; Huang, Huang, Fan, Chen, & Tsai, 2019). Evidence demonstrates that poor sleep quality aggravates pain (Certal & Domingues, 2018; Choy, 2015), fatigue and cognitive problems (Choy, 2015) and has a negative impact on quality of life and social functionality in people with FM (Börsbo, Liedberg, & Björk, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Evidence demonstrates that poor sleep quality aggravates pain (Certal & Domingues, 2018; Choy, 2015), fatigue and cognitive problems (Choy, 2015) and has a negative impact on quality of life and social functionality in people with FM (Börsbo, Liedberg, & Björk, 2015). Likewise, people diagnosed with FM who suffer from comorbid insomnia show an augmented risk of future use of anti‐epileptic drugs, antidepressants, opioids and muscle relaxants, compared with their non‐insomniac counterparts (Huang et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

Climent‐Sanz

Gea‐Sánchez

Moreno‐Casbas

et al. 2020

Journal of Advanced Nursing

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Aims:To evaluate cognitive and behavioural factors related to pain and poor sleep quality in women diagnosed with fibromyalgia and to develop and test the effects of a web-based therapeutic education intervention on pain intensity, pain catastrophizing, chronic pain self-efficacy, sleep quality, dysfunctional beliefs and attitudes about sleep and quality of life and health status related to fibromyalgia. Design:The project will employ a sequential exploratory mixed methods research design.Methods: For the qualitative phase, a theoretical sample living in the community will be recruited to participate in personal, semi-structured interviews. For the quantitative phase, a sample of adult women with fibromyalgia will be recruited from secondary care centres and randomly allocated an intervention or a control group. The study protocol was approved in 2019. Discussion: Fibromyalgia is the most common central sensitivity syndrome and one of the principal worldwide causes of chronic widespread pain among the adult population. Poor sleep quality is a highly prevalent and troublesome symptom for people with fibromyalgia. Psychosocial and behavioural factors have been shown to relate intimately with the symptom experiences of people with fibromyalgia; pain catastrophizing and dysfunctional beliefs and attitudes about sleep can perpetuate those and other fibromyalgia symptoms. Conclusion: It is imperative to reflect people's actual symptom experiences to develop effective symptom management strategies. In the Internet era, this project's proposed web-based therapeutic education intervention could offer women with fibromyalgia a new avenue for treatment as part of standard fibromyalgia management programs in primary and secondary healthcare services.Impact: Pain and poor sleep quality are highly prevalent and troublesome symptoms for people with fibromyalgia. The web-based therapeutic education intervention

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

Climent‐Sanz

Gea‐Sánchez

Moreno‐Casbas

et al. 2020

Journal of Advanced Nursing

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show abstract

“…Other psychological factors with potential associations to increased pain perception, musculoskeletal pain and more widespread pain syndromes are distressed (i.e. type D) personality and insomnia [ 6 – 9 ]. Together, these results suggest that various psychological factors may influence self-perception of pain and contribute to a self-report of SAMS.…”

Section: Introductionmentioning

confidence: 99%

Clinical and psychological factors in coronary heart disease patients with statin associated muscle side-effects

Peersen

Munkhaugen

Sverre

et al. 2021

BMC Cardiovasc Disord

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Background To compare clinical and psychological factors among patients with self-perceived statin-associated muscle symptoms (SAMS), confirmed SAMS, and refuted SAMS in coronary heart disease patients (CHD). Methods Data were obtained from a cross-sectional study of 1100 CHD outpatients and a study of 71 CHD outpatients attending a randomized, double-blinded, placebo-controlled, crossover study to test effects of atorvastatin 40 mg/day on muscle symptom intensity. Clinical and psychosocial factors were compared between patients with and without SAMS in the cross-sectional study, and between patients with confirmed SAMS and refuted SAMS in the randomized study. Results Bilateral, symmetric muscle symptoms in the lower extremities during statin treatment were more prevalent in patients with confirmed SAMS compared to patients with refuted SAMS (75% vs. 41%, p = 0.01) in the randomized study. No significant differences in psychological factors (anxiety, depression, worry, insomnia, type D personality characteristics) were detected between patients with and without self-perceived SAMS in the cross-sectional study, or between patients with confirmed SAMS and refuted SAMS, in the randomized study. Conclusions Patients with confirmed SAMS more often present with bilateral lower muscle symptoms compared to those with refuted SAMS. Psychological factors were not associated with self-perceived SAMS or confirmed SAMS. A careful pain history and a search for alternative causes of muscle symptoms are likely to promote communication in patients with SAMS, and may reduce the risk for statin discontinuation.

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Telehealth-delivered cognitive behavioral therapy - a potential solution to improve sleep quality and normalize the salience network in fibromyalgia: a pilot randomized trial

Nhu,

Wong,

Chen

et al. 2024

Brain Imaging and Behavior

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Insomnia Increases Symptom Severity and Health Care Utilization in Patients With Fibromyalgia

Abstract: Supplemental Digital Content is available in the text.

Cited by 11 publications

References 37 publications

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

Clinical and psychological factors in coronary heart disease patients with statin associated muscle side-effects

Telehealth-delivered cognitive behavioral therapy - a potential solution to improve sleep quality and normalize the salience network in fibromyalgia: a pilot randomized trial

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