Journal of Behavioral Medicine

, Volume 23, Issue 1, pp 1–13 | Cite as

Sleep Quality and Presleep Arousal in Chronic Pain

  • M. T. Smith
  • M. L. Perlis
  • M. S. Smith
  • D. E. Giles
  • T. P. Carmody


This study was designed (1) to characterize the extent and nature of sleep complaints of chronic pain patients and (2) to examine the factors that predict sleep quality. A heterogeneous sample of 51 outpatients with benign, chronic pain was recruited from newspaper and pain clinic advertisements. Patients completed a variety of self-report instruments including the Multidimensional Pain Inventory, the Pittsburgh Sleep Quality Index, the Pre-Sleep Arousal Scale, and the Beck Depression Inventory. Sleep complaints were reported by 88% of the sample. Presleep cognitive arousal, rather than pain severity, was found to be the primary predictor of sleep quality.

chronic pain sleep quality presleep arousal insomnia 


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Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • M. T. Smith
    • 1
  • M. L. Perlis
    • 1
  • M. S. Smith
    • 1
  • D. E. Giles
    • 1
    • 2
  • T. P. Carmody
    • 3
    • 4
  1. 1.Departments of Psychiatry and PsychologyUniversity of Rochester Medical CenterUSA
  2. 2.Departments of Psychiatry and NeurologyUniversity of RochesterUSA
  3. 3.Department of PsychiatryUniversity of CaliforniaSan Francisco
  4. 4.Department of Veterans Affairs Medical CenterSan Francisco

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