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Title: Sleep Disorders and Fibromyalgia
Authors: Roizenblatt, Suely [UNIFESP]
Rosa Neto, Nilton Salles [UNIFESP]
Tufik, Sergio [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Keywords: Sleep
Fibromyalgia pathophysiology
Sleep disorders
Fibromyalgia criteria
Cognitive-behavioral therapy
Nonrestorative sleep
Sleep quality
Medical Outcomes Study Sleep Scale
Fibromyalgia Impact Questionnaire
Sleep Assessment Questionnaire
Patient-Reported Outcome Measurement Information System
Issue Date: 1-Oct-2011
Publisher: Current Medicine Group
Citation: Current Pain and Headache Reports. Philadelphia: Current Medicine Group, v. 15, n. 5, p. 347-357, 2011.
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.
ISSN: 1531-3433
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