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Article: Relationship between insomnia and pain in major depressive disorder: A sleep diary and actigraphy study

TitleRelationship between insomnia and pain in major depressive disorder: A sleep diary and actigraphy study
Authors
KeywordsActigraphy
Depression
Insomnia
Major depressive disorder
Pain
Sleep
Issue Date2010
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleep
Citation
Sleep Medicine, 2010, v. 11 n. 8, p. 752-758 How to Cite?
AbstractObjectives: Insomnia and pain are frequent complaints during the course of a major depressive episode. We analyzed the association between insomnia and pain symptoms using subjective and objective sleep measures. Methods: This is a prospective, naturalistic follow-up study in a university-based psychiatric unit. Ninety-one Chinese patients were enrolled during an acute episode of major depressive disorder (mean age = 48 years, 73 women); 82 of them were reassessed 3. months later using the same assessment on sleep, pain, depressive, and anxiety symptoms. Clinician-rated insomnia symptoms were obtained using the insomnia items of the Hamilton Rating Scale for Depression. Subjective sleep disturbances were assessed using the Insomnia Severity Index (ISI). Detailed sleep pattern was acquired using sleep diary and actigraphy. Pain intensity was evaluated using a verbal rating scale, a visual analog scale, and a multidimensional pain scale. Results: Cross-sectional analyses found that insomnia symptoms and quantitative sleep parameters were related to pain symptoms. The correlations between sleep and pain scores were more significant after 3 months of pharmacotherapy as compared to baseline. After controlling for the severity of anxiety and depression, the ISI total score and actigraphy-derived wake after sleep onset and total sleep time remained significant in predicting pain. Conclusion: This study supports specific role of subjective sleep disturbances and actigraphic measures in predicting pain symptoms in major depressive disorder. Further studies using a micro-longitudinal design are necessary to find out the causal relationship between sleep and pain in depressed patients. © 2010 Elsevier B.V.
Persistent Identifierhttp://hdl.handle.net/10722/125321
ISSN
2015 Impact Factor: 3.339
2015 SCImago Journal Rankings: 1.363
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChung, KFen_HK
dc.contributor.authorTso, KCen_HK
dc.date.accessioned2010-10-31T11:24:31Z-
dc.date.available2010-10-31T11:24:31Z-
dc.date.issued2010en_HK
dc.identifier.citationSleep Medicine, 2010, v. 11 n. 8, p. 752-758en_HK
dc.identifier.issn1389-9457en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125321-
dc.description.abstractObjectives: Insomnia and pain are frequent complaints during the course of a major depressive episode. We analyzed the association between insomnia and pain symptoms using subjective and objective sleep measures. Methods: This is a prospective, naturalistic follow-up study in a university-based psychiatric unit. Ninety-one Chinese patients were enrolled during an acute episode of major depressive disorder (mean age = 48 years, 73 women); 82 of them were reassessed 3. months later using the same assessment on sleep, pain, depressive, and anxiety symptoms. Clinician-rated insomnia symptoms were obtained using the insomnia items of the Hamilton Rating Scale for Depression. Subjective sleep disturbances were assessed using the Insomnia Severity Index (ISI). Detailed sleep pattern was acquired using sleep diary and actigraphy. Pain intensity was evaluated using a verbal rating scale, a visual analog scale, and a multidimensional pain scale. Results: Cross-sectional analyses found that insomnia symptoms and quantitative sleep parameters were related to pain symptoms. The correlations between sleep and pain scores were more significant after 3 months of pharmacotherapy as compared to baseline. After controlling for the severity of anxiety and depression, the ISI total score and actigraphy-derived wake after sleep onset and total sleep time remained significant in predicting pain. Conclusion: This study supports specific role of subjective sleep disturbances and actigraphic measures in predicting pain symptoms in major depressive disorder. Further studies using a micro-longitudinal design are necessary to find out the causal relationship between sleep and pain in depressed patients. © 2010 Elsevier B.V.en_HK
dc.languageengen_HK
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/sleepen_HK
dc.relation.ispartofSleep Medicineen_HK
dc.subjectActigraphyen_HK
dc.subjectDepressionen_HK
dc.subjectInsomniaen_HK
dc.subjectMajor depressive disorderen_HK
dc.subjectPainen_HK
dc.subjectSleepen_HK
dc.subject.meshActigraphy-
dc.subject.meshAdolescent-
dc.subject.meshDepressive Disorder, Major - diagnosis - epidemiology-
dc.subject.meshPain - diagnosis - epidemiology-
dc.subject.meshSleep Initiation and Maintenance Disorders - diagnosis - epidemiology-
dc.titleRelationship between insomnia and pain in major depressive disorder: A sleep diary and actigraphy studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1389-9457&volume=11&issue=8&spage=752&epage=758&date=2010&atitle=Relationship+between+insomnia+and+pain+in+major+depressive+disorder:+a+sleep+diary+and+actigraphy+studyen_HK
dc.identifier.emailChung, KF: kfchung@hkucc.hku.hken_HK
dc.identifier.authorityChung, KF=rp00377en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.sleep.2009.09.005en_HK
dc.identifier.pmid20133187-
dc.identifier.scopuseid_2-s2.0-77955578545en_HK
dc.identifier.hkuros182495en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955578545&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume11en_HK
dc.identifier.issue8en_HK
dc.identifier.spage752en_HK
dc.identifier.epage758en_HK
dc.identifier.isiWOS:000281499700005-
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridChung, KF=7404086681en_HK
dc.identifier.scopusauthoridTso, KC=7003571935en_HK
dc.identifier.citeulike6861550-

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