Abstract:
:A considerable proportion of chronic non-organic pain patients suffer from insomnia, and alpha sleep has been suggested to be specifically associated with fibromyalgia. However, the clinical significance of those symptoms is not clear. This study was carried out to investigate this question. Twenty-six middle-aged, non-organic pain patients complaining of persistent insomnia were compared with 25 chronic primary insomniacs in a polysomnographic investigation. Alpha sleep was measured by automatic EEG analysis. A postsleep inventory allowed a separation of those pain patients with actual pain in the recording night to examine its possible influence on sleep. Both groups of patients displayed severe disturbance of sleep maintenance. The pain group did not differ in any of the insomnia variables or in sleep stages from chronic primary insomniacs. The occurrence of alpha sleep was high in either group which suggests that this is not a phenomenon specifically related to pain syndromes. A comparison of the pain subgroups revealed no difference between those with or without actual pain in the recording night. It is concluded that insomnia in chronic pain is of the same type and degree as primary insomnia. Apparently, the chronic process made insomnia so persistent that there was no response to actual night-time pain. Our study suggests that the interpretation of insomnia as secondary to pain, as it is usually made by the pain patients themselves, is a misattribution. It is suggested that insomnia in chronic pain patients should be taken seriously and treated by its specific methods.
journal_name
Neuropsychobiologyjournal_title
Neuropsychobiologyauthors
Schneider-Helmert D,Whitehouse I,Kumar A,Lijzenga Cdoi
10.1159/000054866keywords:
subject
Has Abstractpub_date
2001-01-01 00:00:00pages
54-8issue
1eissn
0302-282Xissn
1423-0224pii
54866journal_volume
43pub_type
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journal_title:Neuropsychobiology
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journal_title:Neuropsychobiology
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journal_title:Neuropsychobiology
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doi:10.1159/000118568
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journal_title:Neuropsychobiology
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journal_title:Neuropsychobiology
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doi:10.1159/000119058
更新日期:1994-01-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1159/000118618
更新日期:1989-01-01 00:00:00
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journal_title:Neuropsychobiology
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Neuropsychobiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1994-01-01 00:00:00
abstract::Platelet 5-HT and plasma cortisol concentrations were determined in 59 schizophrenic patients with different time course of illness before and after dexamethasone suppression test (DST). An abnormal DST (nonsuppression) was observed in 51% of patients. In these patients basal cortisol and platelet 5-HT concentrations ...
journal_title:Neuropsychobiology
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doi:10.1159/000026493
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doi:10.1159/000071212
更新日期:2003-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章
doi:10.1159/000117963
更新日期:1983-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 临床试验,杂志文章
doi:10.1159/000026514
更新日期:1998-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章
doi:10.1159/000117753
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journal_title:Neuropsychobiology
pub_type: 杂志文章
doi:10.1159/000118824
更新日期:1992-01-01 00:00:00
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journal_title:Neuropsychobiology
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doi:10.1159/000118982
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更新日期:1984-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 临床试验,杂志文章
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更新日期:2000-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章,评审
doi:10.1159/000119310
更新日期:1996-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章
doi:10.1159/000119274
更新日期:1996-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章
doi:10.1159/000119243
更新日期:1996-01-01 00:00:00
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journal_title:Neuropsychobiology
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更新日期:2009-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:Neuropsychobiology
pub_type: 临床试验,杂志文章
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更新日期:2017-01-01 00:00:00