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Rheumatology 1999; 38: 1035-1038
© 1999 British Society for Rheumatology

Editorials

Pain and sleep disturbances with special reference to fibromyalgia and rheumatoid arthritis

A. M. Drewes

Department of Medicine M, Aalborg Hospital, DK-9000 Aalborg, Denmark

Pain has been reported to be a leading cause of insomnia in medical illness, where >70% of the patients complain of sleep problems [1, 2]. Most studies of pain and sleep, however, have focused on rheumatic diseases where the prevalence of sleep disturbances has been reported to be very high [3], and many of the daytime symptoms in these patients, such as pain, stiffness and fatigue, may have a close link to the non-restorative sleep pattern associated with the disease [4]. Knowledge of the abnormalities in the sleep process may, therefore, improve our understanding of the disease and lead to a better treatment of the patients.

Especially in fibromyalgia (FM) and rheumatoid arthritis (RA), reports based on objective studies have documented pathological findings during sleep. Pain provoked by injury or disease is the net effect of peripheral nociceptive activation and different biochemical, physiological . . . [Full Text of this Article]

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