Sequential daily relations of sleep, pain intensity, and attention to pain among women with fibromyalgia
Sequential daily relations of sleep, pain intensity, and attention to pain among women with fibromyalgia
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DOI：
10.1016/s0304-3959(96)03226-5
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发表时间：
1996-12-01
期刊：
影响因子：
7.4
通讯作者：
Abeles, M
中科院分区：
文献类型：
--
作者：
Affleck, G;Urrows, S;Abeles, M
50名患有纤维肌痛综合征（FS）的女性记录了她们的睡眠质量、疼痛强度和对疼痛的关注度，持续30天，使用掌上电脑编程作为电子访谈器。他们在每天醒来后半小时内，在早上，下午，在过去的30分钟内，我们分析了30天的聚合物在跨人群水平上的横截面和1500人-天的汇总数据集，人之间的变化和自相关调整后的人的水平。长期睡眠的人倾向于报告更多的疼痛。一个晚上睡眠不好之后是一个明显更痛苦的一天，一个更痛苦的一天之后是一个晚上睡眠不好。疼痛、注意力和睡眠在跨人群水平的分析中是不相关的。但是，疼痛注意力和睡眠质量之间存在显著的双向关联，这不能用疼痛强度的变化来解释。
Fifty women with fibromyalgia syndrome (FS) recorded their sleep quality, pain intensity, and attention to pain for 30 days, using palm-top computers programmed as electronic interviewers. They described their previous night's sleep quality within one-half hour of awakening each day, and at randomly selected times in the morning, afternoon, and evening rated their present pain in 14 regions and attention to pain during the last 30 min. We analysed the 30-day aggregates cross-sectionally at the across-persons level and the pooled data set of 1500 person-days at the within-persons level after adjusting for between-persons variation and autocorrelation. Poorer sleepers tended to report significantly more pain. A night of poorer sleep was followed by a significantly more painful day, and a more painful day was followed by a night of poorer sleep. Pain attention and sleep were unrelated at the across-persons level of analysis. But there was a significant bi-directional within-person association between pain attention and sleep quality that was not explained by changes in pain intensity.