Sleep quality and the role of sleep medications for veterans with chronic pain

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Judith B ChapmanJ David Clark

Abstract

The purpose of this study was to investigate the nature of sleep problems in veterans presenting to a pain clinic, factors that predict likelihood of being prescribed a sleep medication, types of medications prescribed, and the relationships between sleep medication use and sleep quality, pain, and depression. Participants were 201 consecutive patients referred to a Veterans Affairs outpatient pain clinic. They were administered the Pittsburgh Sleep Quality Index, Multidimensional Pain Inventory, and Beck Depression Inventory at intake and 2-month follow-up. Sleep and opioid medication prescriptions were also monitored. Pain severity did not predict global sleep quality; global sleep quality was not predictive of pain severity. Greater depression predicted both more severe pain and more sleep impairment. Having previously been prescribed such medications was the only significant predictor of being prescribed a sleep medication at the time of the 2-month assessment. For the 45% of participants on sleep medications, these medications were not associated with any significant change in pain factors or depression. However, sleep medication use was associated with worse global sleep quality, sleep duration, and sleep efficiency. Opio...Continue Reading

Associated Clinical Trials

Oct 4, 2017·Brennan Spiegel

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Citations

Sep 1, 2006·Photomedicine and Laser Surgery
Nov 20, 2009·Current Rheumatology Reports·Nicole K Y Tang
Sep 9, 2008·European Journal of Pain : EJP·Ola EkholmPer Sjøgren
Sep 4, 2015·Journal of Occupational Rehabilitation·Cindy A McGearyDonald D McGeary
Nov 16, 2010·Journal of the International Association of Physicians in AIDS Care : JIAPAC·Roberto SandovalToni Roddey
Sep 19, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Erin KoffelErin E Krebs
May 26, 2009·Journal of Prosthodontic Research·Takahiro MizumoriHirofumi Yatani
Jan 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Aubrey J Husak, Matthew J Bair
Nov 24, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Mary Beth MillerChristina S McCrae

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