Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review

Chronic pain (CP) is a prevalent problem, and more than half of patients with CP have sleep disorders. CP comorbidity with sleep disorders imposes immense suffering and seriously affects the patient’s quality of life, which is a challenging issue encountered by clinicians. Although the reciprocal in...

Full description

Bibliographic Details
Main Authors: Lan Duo, Xintong Yu, Ruihan Hu, Xiping Duan, Jia Zhou, Ke Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1157790/full
_version_ 1827936214780477440
author Lan Duo
Xintong Yu
Ruihan Hu
Xiping Duan
Jia Zhou
Ke Wang
author_facet Lan Duo
Xintong Yu
Ruihan Hu
Xiping Duan
Jia Zhou
Ke Wang
author_sort Lan Duo
collection DOAJ
description Chronic pain (CP) is a prevalent problem, and more than half of patients with CP have sleep disorders. CP comorbidity with sleep disorders imposes immense suffering and seriously affects the patient’s quality of life, which is a challenging issue encountered by clinicians. Although the reciprocal interactions between pain and sleep have been studied to some degree, there is still a lack of awareness and comprehensive description of CP comorbidity with sleep disorders. In this narrative review article, we summarize the current knowledge about the present estimates of the prevalence of comorbid sleep disorders in CP patients, sleep detection methods, sleep characterization in CP, and the effect of sleep disorders on CP and current therapies. We also summarize current knowledge of the neurochemical mechanisms of CP comorbidity with sleep disorders. In conclusion, insufficient attention has been paid to the role of sleep disorders in CP patients, and CP patients should be screened for sleep disorders in the clinic. Special attention should be given to a possible risk of drug–drug interaction when using two types of drugs targeting pain and sleep simultaneously. The current insight into the neurobiological mechanisms underlying CP comorbidity with sleep disorders is still rather limited.
first_indexed 2024-03-13T08:06:54Z
format Article
id doaj.art-02bde895e5ae4b9ea51acfbbe490d41b
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-03-13T08:06:54Z
publishDate 2023-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-02bde895e5ae4b9ea51acfbbe490d41b2023-06-01T04:33:04ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-06-011410.3389/fpsyt.2023.11577901157790Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative reviewLan DuoXintong YuRuihan HuXiping DuanJia ZhouKe WangChronic pain (CP) is a prevalent problem, and more than half of patients with CP have sleep disorders. CP comorbidity with sleep disorders imposes immense suffering and seriously affects the patient’s quality of life, which is a challenging issue encountered by clinicians. Although the reciprocal interactions between pain and sleep have been studied to some degree, there is still a lack of awareness and comprehensive description of CP comorbidity with sleep disorders. In this narrative review article, we summarize the current knowledge about the present estimates of the prevalence of comorbid sleep disorders in CP patients, sleep detection methods, sleep characterization in CP, and the effect of sleep disorders on CP and current therapies. We also summarize current knowledge of the neurochemical mechanisms of CP comorbidity with sleep disorders. In conclusion, insufficient attention has been paid to the role of sleep disorders in CP patients, and CP patients should be screened for sleep disorders in the clinic. Special attention should be given to a possible risk of drug–drug interaction when using two types of drugs targeting pain and sleep simultaneously. The current insight into the neurobiological mechanisms underlying CP comorbidity with sleep disorders is still rather limited.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1157790/fullchronic painsleep disorderspain and sleep comorbiditypain treatmentsleep disorder treatment
spellingShingle Lan Duo
Xintong Yu
Ruihan Hu
Xiping Duan
Jia Zhou
Ke Wang
Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review
Frontiers in Psychiatry
chronic pain
sleep disorders
pain and sleep comorbidity
pain treatment
sleep disorder treatment
title Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review
title_full Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review
title_fullStr Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review
title_full_unstemmed Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review
title_short Sleep disorders in chronic pain and its neurochemical mechanisms: a narrative review
title_sort sleep disorders in chronic pain and its neurochemical mechanisms a narrative review
topic chronic pain
sleep disorders
pain and sleep comorbidity
pain treatment
sleep disorder treatment
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1157790/full
work_keys_str_mv AT landuo sleepdisordersinchronicpainanditsneurochemicalmechanismsanarrativereview
AT xintongyu sleepdisordersinchronicpainanditsneurochemicalmechanismsanarrativereview
AT ruihanhu sleepdisordersinchronicpainanditsneurochemicalmechanismsanarrativereview
AT xipingduan sleepdisordersinchronicpainanditsneurochemicalmechanismsanarrativereview
AT jiazhou sleepdisordersinchronicpainanditsneurochemicalmechanismsanarrativereview
AT kewang sleepdisordersinchronicpainanditsneurochemicalmechanismsanarrativereview