Sleep Disorders and Fibromyalgia

Sleep Disorders and Fibromyalgia

Author Roizenblatt, Suely Autor UNIFESP Google Scholar
Rosa Neto, Nilton Salles Autor UNIFESP Google Scholar
Tufik, Sergio Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Disordered sleep is such a prominent symptom in fibromyalgia that the American College of Rheumatology included symptoms such as waking unrefreshed, fatigue, tiredness, and insomnia in the 2010 diagnostic criteria for fibromyalgia. Even though sleep recording is not part of the routine evaluation, polysomnography may disclose primary sleep disorders in patients with fibromyalgia, including obstructive sleep apnea and restless leg syndrome. in addition, genetic background and environmental susceptibility link fibromyalgia and further sleep disorders. Among nonpharmacological treatment proposed for sleep disturbance in fibromyalgia, positive results have been obtained with sleep hygiene and cognitive-behavioral therapy. the effect of exercise is contradictory, but overweight or obese patients with fibromyalgia should be encouraged to lose weight. Regarding the approved antidepressants, amitriptyline proved to be superior to duloxetine and milnacipran for sleep disturbances. New perspectives remain on the narcolepsy drug sodium oxybate, which recently was approved for sleep management in fibromyalgia.
Keywords Sleep
Fibromyalgia pathophysiology
Treatment
Sleep disorders
Fibromyalgia
Fibromyalgia criteria
Amitriptyline
Cognitive-behavioral therapy
Pain
Nonrestorative sleep
Genetics
Polysomnography
Inventory
Sleep quality
Medical Outcomes Study Sleep Scale
Fibromyalgia Impact Questionnaire
Sleep Assessment Questionnaire
Patient-Reported Outcome Measurement Information System
Language English
Date 2011-10-01
Published in Current Pain and Headache Reports. Philadelphia: Current Medicine Group, v. 15, n. 5, p. 347-357, 2011.
ISSN 1531-3433 (Sherpa/Romeo, impact factor)
Publisher Current Medicine Group
Extent 347-357
Origin http://dx.doi.org/10.1007/s11916-011-0213-3
Access rights Closed access
Type Review
Web of Science ID WOS:000294470000006
URI http://repositorio.unifesp.br/handle/11600/34097

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