Abstract
The sleep and pain diathesis (SAPD) model predicts that sleep quality is related to Fibromylagia (FM) outcomes such as disability
and depression and that these relationships are mediated by both pain and impaired emotional dysregulation. The purpose of
this paper is to provide a preliminary test of this model using cross-sectional data. 35 adult women, who had been living
with FM for an average of 13 years, completed a battery of questionnaires that included reports of pain, sleep, affect, and
disability. Consistent with this model, FM patients who reported more disrupted sleep also reported higher levels of psychological
disability (i.e., beck depression inventory depression symptoms) and physical disability. Moreover, the trajectory of the
relationship between sleep and pain appears to be mediated by cognitive processes such as increased pain helplessness and,
thus, the relationship between sleep and disability appears to be mediated via pain. These data are consistent with the SAPD
model, and lend support for the need to include sleep related factors as a critical contributor to our understanding of FM.
and depression and that these relationships are mediated by both pain and impaired emotional dysregulation. The purpose of
this paper is to provide a preliminary test of this model using cross-sectional data. 35 adult women, who had been living
with FM for an average of 13 years, completed a battery of questionnaires that included reports of pain, sleep, affect, and
disability. Consistent with this model, FM patients who reported more disrupted sleep also reported higher levels of psychological
disability (i.e., beck depression inventory depression symptoms) and physical disability. Moreover, the trajectory of the
relationship between sleep and pain appears to be mediated by cognitive processes such as increased pain helplessness and,
thus, the relationship between sleep and disability appears to be mediated via pain. These data are consistent with the SAPD
model, and lend support for the need to include sleep related factors as a critical contributor to our understanding of FM.
- Content Type Journal Article
- Category Original Article
- Pages 1-9
- DOI 10.1007/s10608-011-9421-8
- Authors
- Nancy A. Hamilton, University of Kansas, 1415 Jayhawk Blvd, Lawrence, KS 66044, USA
- Mindy Pressman, University of Kansas, 1415 Jayhawk Blvd, Lawrence, KS 66044, USA
- Teresa Lillis, University of Kansas, 1415 Jayhawk Blvd, Lawrence, KS 66044, USA
- Ruthann Atchley, University of Kansas, 1415 Jayhawk Blvd, Lawrence, KS 66044, USA
- Cynthia Karlson, University of Mississippi Medical Center, Jackson, MS, USA
- Natalie Stevens, Rush University Medical Center, Chicago, IL, USA
- Journal Cognitive Therapy and Research
- Online ISSN 1573-2819
- Print ISSN 0147-5916