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The interplay between symptoms of insomnia and pain in people with osteoarthritis: A narrative review of the current evidence
- De Baets, L. (author)
- Runge, N. (author)
- Labie, C. (author)
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- Mairesse, O. (author)
- Malfliet, A. (author)
- Verschueren, S. (author)
- Van Assche, D. (author)
- de Vlam, K. (author)
- Luyten, F. P. (author)
- Coppieters, I. (author)
- Babiloni, A. H. (author)
- Martel, M. O. (author)
- Lavigne, G. J. (author)
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- (creator_code:org_t)
- 2023
- 2023
- English.
- In: Sleep Medicine Reviews. - 1087-0792. ; 70
- Research review (peer-reviewed)
Abstract
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- Osteoarthritis (OA) is a leading cause of disability worldwide and clinical pain is the major symptom of OA. This clinical OA-related pain is firmly associated with symptoms of insomnia, which are reported in up to 81% of people with OA. Since understanding the association between both symptoms is critical for their appropriate management, this narrative review synthesizes the existing evidence in people with OA on i) the mechanisms underlying the association between insomnia symptoms and clinical OA-related pain, and ii) the effectiveness of conservative non-pharmacological treatments on insomnia symptoms and clinical OA-related pain. The evidence available identifies depressive symptoms, pain catastrophizing and pain self-efficacy as mechanisms partially explaining the cross-sectional association between insomnia symptoms and pain in people with OA. Furthermore, in comparison to treatments without a specific insomnia intervention, the ones including an insomnia intervention appear more effective for improving insomnia symptoms, but not for reducing clinical OA-related pain. However, at a withinperson level, treatment-related positive effects on insomnia symptoms are associated with a longterm pain reduction. Future longitudinal prospective studies offering fundamental insights into neurobiological and psychosocial mechanisms explaining the association between insomnia symptoms and clinical OA-related pain will enable the development of effective treatments targeting both symptoms.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
Keyword
- CBT-I
- Central sensitization
- Chronic pain
- Inflammation
- Insomnia
- Osteoarthritis
- Sleep
- Sleep disturbance
- Cognitive behavioural therapy for insomnia
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- By the author/editor
- De Baets, L.
- Runge, N.
- Labie, C.
- Mairesse, O.
- Malfliet, A.
- Verschueren, S.
- show more...
- Van Assche, D.
- de Vlam, K.
- Luyten, F. P.
- Coppieters, I.
- Babiloni, A. H.
- Martel, M. O.
- Lavigne, G. J.
- Nijs, Jo
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
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- and Neurosciences
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- University of Gothenburg
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