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Somatic Symptom Disorder and Sleep

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Sleep and Neuropsychiatric Disorders

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Abstract

Patients diagnosed with somatic symptom disorders often report local as well as generalized pain, fatigue, and sleep disturbance along with other symptoms. Sleep disorders like insomnia and OSA have been found to be associated with pain that runs a chronic course along with episodic exacerbations during the course of illness. Localized pain in orofacial and limbs have been reported by patients diagnosed with Obstructive Sleep Apnoea and Restless Leg Syndrome, respectively. On the other hand, generalized pain has been reported by cases of insomnia and circadian rhythm disorders. Although the literature has reported coexistence of somatic symptoms, pain and sleep disorders, the direction of causality can not be reliably established due to paucity of literature. Narrowing down on objective parameters of assessment relating to sleep disturbances in pain syndromes like Fibromyalgia and Chronic Fatigue Syndrome, specific signatures were noted in polysomnography. These findings have significantly been observed across a wide range of sleep parameters as well as in the micro-architecture of sleep. The management of sleep disorders through pharmacological as well as nonpharmacological methods has been found to improve pain symptoms in these populations. This highlights the need to consider sleep disorders as a part of differential diagnosis of somatic symptom disorder. This chapter discusses the relationship of pain among patients with sleep disorders followed by examination and management of sleep quality and sleep architecture among patients with fibromyalgia and chronic fatigue syndrome.

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Authors and Affiliations

  1. Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Kaustav Kundu, Tanmay Joshi & Ravi Gupta

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  1. Kaustav Kundu
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  2. Tanmay Joshi
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  3. Ravi Gupta
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Editors and Affiliations

  1. Department of Psychiatry and Division of Sleep Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

    Ravi Gupta

  2. Department of Psychiatry, Johns Hopkins Medical School, Baltimore, MD, USA

    David N. Neubauer

  3. Somnogen Canada Inc., Toronto, ON, Canada

    S. R. Pandi-Perumal

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Kundu, K., Joshi, T., Gupta, R. (2022). Somatic Symptom Disorder and Sleep. In: Gupta, R., Neubauer, D.N., Pandi-Perumal, S.R. (eds) Sleep and Neuropsychiatric Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-16-0123-1_23

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