The bidirectional relationship between sleep complaints and pain: Analysis of data from a randomized trial

Erin Koffel, Kurt Kroenke, Matthew Bair, David Leverty, Melissa A. Polusny, Erin E. Krebs

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Objective: The goal of this study was to examine the bidirectional relationship of sleep and pain to determine whether changes in sleep complaints over the course of a chronic pain treatment trial predict pain outcomes and vice versa, controlling for changes in depression and anxiety. Methods: Data were analyzed from a 12-month randomized, controlled trial that tested the effectiveness of a collaborative care intervention for veterans with chronic musculoskeletal pain. Participants were 250 veterans from 5 primary care clinics in a Veteran Affairs (VA) medical center. Measures of pain, sleep, and depression/anxiety symptoms were collected at baseline, 3 months, and 12 months. Factor analysis was used to clarify the boundaries of these domains, and structural equation modeling was used to examine whether changes in sleep complaints and depression/anxiety during the trial predicted pain at the end of the trial, controlling for covariates. An alternative model was also tested in which changes in pain predicted sleep complaints. Results: Changes in sleep complaints at 3 months significantly predicted changes in pain at 12 months (standardized path coefficient =.29, p

Original languageEnglish (US)
Pages (from-to)41-49
Number of pages9
JournalHealth Psychology
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • Anxiety
  • Chronic pain
  • Depression
  • Sleep

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology

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