RT Journal Article
T1 The role of sleep quality and fatigue on the benefits of an interdisciplinary treatment for adults with chronic pain.
A1 De la Vega, Rocío
A1 Racine, Mélanie
A1 Castarlenas, Elena
A1 Solé, Ester
A1 Roy, Rubén
A1 Jensen, Mark P.
A1 Miró, Jordi
A1 Cane, Douglas
K1 Dolor crónico
K1 Terapia cognitiva
K1 Fatiga
K1 Sueño
K1 Depresión mental
AB Background: Interdisciplinary chronic pain treatment is effective for reducing pain intensity and pain-related disability, and for improving psychological function. However, the mechanisms that underlie these treatment-related benefits are not yet well understood. Sleep problems and fatigue are modifiable factors often comorbid with chronic pain. The goal of this study was to evaluate the role that changes in sleep quality and fatigue might have on the benefits of an interdisciplinary chronic pain treatment.Methods: A total of 125 adults with chronic pain participated in a 4-week interdisciplinary pain management program. Measures of depression, sleep disturbance, fatigue, pain intensity, and physical function were administered at pre- and post-treatment. Three regression analyses were conducted to evaluate the contribution of pre- to post-treatment improvements in fatigue and sleepdisturbance to the pre- to post-treatment improvements in pain intensity, disability, and depression, while controlling for demographic characteristics (age and sex) and pain intensity.Results: Changes in fatigue and sleep disturbance made independent and significant contributions to the prediction of treatment-related benefits in pain intensity; improvements in depressive symptoms were predicted by improvements in fatigue, and improvements in disability were only predicted by pre-treatment and pre- to post-treatment decreases in pain intensity (one of the control variables).Conclusions: In addition to sleep, fatigue emerged as a key potential mechanism of multidisciplinary chronic pain treatment- related improvements, suggesting that interventions including elements that effectively target sleep and fatigue may enhance the efficacy of interdisciplinary chronic pain programs. This possibility should be evaluated in future research.
PB Wiley
YR 2018
FD 2018-11-17
LK https://hdl.handle.net/10630/36775
UL https://hdl.handle.net/10630/36775
LA eng
NO De la Vega, R., Racine, M., Castarlenas, E., Solé, E., Roy, R., Jensen, M.P., Miró, J., Cane, D. (2019). The role of sleep quality and fatigue on the benefits of an interdisciplinary treatment for adults with chronic pain. Pain Practice, 19(4), 354-362. PMID: 30447174. doi: 10.1111/papr.12746
NO Es una versión preprint.https://openpolicyfinder.jisc.ac.uk/id/publication/2564
NO This work was partly funded by grants from the Spanish Ministry of Science and Competitiveness (MINECO; PSI2014-60180-JIN; PSI2015-70966-P; PSI2016- 82004-REDT), Universitat Rovira i Virgili (PFR Program), and Obra Social de CaixaBank. J.M. is supported by the Institucio Catalana de Recerca i Estudis Avanc ats (ICREA-Academia) and Fundaci on Gr€unenthal. R.V. is supported by a Beatriu de Pin os Postdoctoral Fellowship (2014 BP-A 00009) granted by the Agency for Administration of University and Research Grants (AGAUR). M.R. is supported by The Earl Russell Chair in Pain Research, Western University, London, Ontario, and by a bequest from the estate of Mrs. Beryl Ivey to Dr. Warren R. Nielson.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026