Sleep quality and presleep arousal in chronic pain

J Behav Med. 2000 Feb;23(1):1-13. doi: 10.1023/a:1005444719169.


This study was designed (1) to characterize the extent and nature of sleep complaints of chronic pain patients and (2) to examine the factors that predict sleep quality. A heterogeneous sample of 51 outpatients with benign, chronic pain was recruited from newspaper and pain clinic advertisements. Patients completed a variety of self-report instruments including the Multidimensional Pain Inventory, the Pittsburgh Sleep Quality Index, the Pre-Sleep Arousal Scale, and the Beck Depression Inventory. Sleep complaints were reported by 88% of the sample. Presleep cognitive arousal, rather than pain severity, was found to be the primary predictor of sleep quality.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arousal / physiology*
  • Chronic Disease
  • Depression / diagnosis
  • Depression / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain / complications*
  • Sleep Wake Disorders / etiology*