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Current Pain and Headache Reports

, Volume 15, Issue 5, pp 347–357 | Cite as

Sleep Disorders and Fibromyalgia

  • Suely RoizenblattEmail author
  • Nilton Salles Rosa Neto
  • Sergio Tufik
Article

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 

Notes

Disclosures

No potential conflicts of interest relevant to this article were reported.

References

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Suely Roizenblatt
    • 1
  • Nilton Salles Rosa Neto
    • 1
  • Sergio Tufik
    • 1
  1. 1.Departamento de PsicobiologiaUniversidade Federal de São PauloSão PauloBrazil

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