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Sequential daily relations of sleep, pain intensity, & attention to pain among women with fibromyalgia (FM)

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By Affleck G, Urrows S, Tennen H, Higgins P, Abeles M • www.ProHealth.com • December 20, 1996


Fifty women with fibromyalgia syndrome (FS) recorded their sleep
quality, pain intensity, and attention to pain for 30 days,
using palm-top computers programmed as electronic
interviewers. They described their previous night's sleep
quality within one-half hour of awakening each day, and at
randomly selected times in the morning, afternoon, and evening
rated their present pain in 14 regions and attention to pain
during the last 30 min. We analyzed the 30-day aggregates
cross-sectionally at the across-persons level and the pooled
data set of 1500 person-days at the within-persons level after
adjusting for between-persons variation and autocorrelation.
Poorer sleepers tended to report significantly more pain. A
night of poorer sleep was followed by a significantly more
painful day, and a more painful day was followed by a night of
poorer sleep. Pain attention and sleep were unrelated at the
across-persons level of analysis. But there was a significant
bi-directional within-person association between pain
attention and sleep quality that was not explained by changes
in pain intensity.




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