The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia
Abstract. Introduction:. Patients with fibromyalgia show impaired cognitive performance compared with healthy, pain-free controls. Sleep disturbance, anxiety, and depression are highly prevalent among patients with fibromyalgia, and each is associated with impaired cognitive performance. Yet, limite...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-02-01
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| Series: | PAIN Reports |
| Online Access: | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001122 |
| _version_ | 1797292779701796864 |
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| author | Jenna M. Wilson Samantha M. Meints Robert R. Edwards Jolin B. Yamin David J. Moore |
| author_facet | Jenna M. Wilson Samantha M. Meints Robert R. Edwards Jolin B. Yamin David J. Moore |
| author_sort | Jenna M. Wilson |
| collection | DOAJ |
| description | Abstract. Introduction:. Patients with fibromyalgia show impaired cognitive performance compared with healthy, pain-free controls. Sleep disturbance, anxiety, and depression are highly prevalent among patients with fibromyalgia, and each is associated with impaired cognitive performance. Yet, limited work has explored whether psychosocial factors contribute to group differences in cognitive performance.
Objectives:. This secondary data analysis investigated differences in cognitive performance between patients with fibromyalgia and healthy controls, and whether psychosocial factors accounted for these differences.
Methods:. Adults with fibromyalgia (N = 24) and healthy, pain-free controls (N = 26) completed 2 cognitive tasks and the Patient-Reported Outcomes Measurement Information System sleep disturbance, anxiety, and depression short forms. Independent samples t tests were used to test for differences in cognitive performance between patients with fibromyalgia and healthy controls. Pearson correlations were conducted to examine associations between psychosocial factors and cognitive performance. Psychosocial factors significantly related to cognitive performance were explored as potential mediators of group differences in cognitive performance.
Results:. Patients with fibromyalgia demonstrated poorer accuracy for divided attention compared with healthy controls, and sleep disturbance mediated this group difference. On the attentional switching task, healthy controls showed a greater switch-cost for accuracy compared with patients with fibromyalgia, but there was no group difference in reaction time. Anxiety and depression were not related to cognitive performance.
Conclusion:. We found that patients with fibromyalgia reported greater sleep disturbance and, in turn, had poorer accuracy on the divided attention task. Sleep disturbance is modifiable with behavioral interventions, such as cognitive behavioral therapy, and may be a target for improving sleep quality and cognitive performance among patients with fibromyalgia. |
| first_indexed | 2024-03-07T20:01:31Z |
| format | Article |
| id | doaj.art-caf2482040ef496baa80702b3e7df885 |
| institution | Directory Open Access Journal |
| issn | 2471-2531 |
| language | English |
| last_indexed | 2024-03-07T20:01:31Z |
| publishDate | 2024-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | PAIN Reports |
| spelling | doaj.art-caf2482040ef496baa80702b3e7df8852024-02-28T06:49:12ZengWolters KluwerPAIN Reports2471-25312024-02-0191e112210.1097/PR9.0000000000001122PR90000000000001122The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgiaJenna M. Wilson0Samantha M. Meints1Robert R. Edwards2Jolin B. Yamin3David J. Moore4a Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USAa Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USAa Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USAa Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USAb School of Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, United KingdomAbstract. Introduction:. Patients with fibromyalgia show impaired cognitive performance compared with healthy, pain-free controls. Sleep disturbance, anxiety, and depression are highly prevalent among patients with fibromyalgia, and each is associated with impaired cognitive performance. Yet, limited work has explored whether psychosocial factors contribute to group differences in cognitive performance. Objectives:. This secondary data analysis investigated differences in cognitive performance between patients with fibromyalgia and healthy controls, and whether psychosocial factors accounted for these differences. Methods:. Adults with fibromyalgia (N = 24) and healthy, pain-free controls (N = 26) completed 2 cognitive tasks and the Patient-Reported Outcomes Measurement Information System sleep disturbance, anxiety, and depression short forms. Independent samples t tests were used to test for differences in cognitive performance between patients with fibromyalgia and healthy controls. Pearson correlations were conducted to examine associations between psychosocial factors and cognitive performance. Psychosocial factors significantly related to cognitive performance were explored as potential mediators of group differences in cognitive performance. Results:. Patients with fibromyalgia demonstrated poorer accuracy for divided attention compared with healthy controls, and sleep disturbance mediated this group difference. On the attentional switching task, healthy controls showed a greater switch-cost for accuracy compared with patients with fibromyalgia, but there was no group difference in reaction time. Anxiety and depression were not related to cognitive performance. Conclusion:. We found that patients with fibromyalgia reported greater sleep disturbance and, in turn, had poorer accuracy on the divided attention task. Sleep disturbance is modifiable with behavioral interventions, such as cognitive behavioral therapy, and may be a target for improving sleep quality and cognitive performance among patients with fibromyalgia.http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001122 |
| spellingShingle | Jenna M. Wilson Samantha M. Meints Robert R. Edwards Jolin B. Yamin David J. Moore The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia PAIN Reports |
| title | The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia |
| title_full | The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia |
| title_fullStr | The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia |
| title_full_unstemmed | The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia |
| title_short | The role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia |
| title_sort | role of sleep disturbance in reduced accuracy on a divided attention task among patients with fibromyalgia |
| url | http://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000001122 |
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