Fibromyalgia pp 101-114 | Cite as

Sleep Disturbance

  • Dawn A. Marcus
  • Atul Deodhar

Key Chapter Points

  • Sleep disturbance is a frequent co-morbidity in fibromyalgia, with substantial loss of time spent in deeper, restorative stages of sleep.

  • Sleep disturbance lowers the pain threshold and deficiencies in deeper, restorative stages of sleep have been linked to the development of musculoskeletal discomfort and mood disturbances typical of fibromyalgia.

  • Poor sleep also predicts poorer general health.

  • Sleep quality can be reliably measured using an 11-point scale from best (0) to worst possible sleep (10).

  • Sleep improves acutely with benzodiazepine receptor agonists or behavioral interventions, although long-term benefits are superior with behavioral interventions.

  • Several categories of fibromyalgia treatments, including antidepressants and neuromodulating antiepileptics, result in improvements in both pain and sleep.


Cardiovascular risk Diabetes Insomnia Obesity Pain threshold Sleep assessment 


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of PittsburghPittsburghUSA
  2. 2.Division of Arthritis & Rheumatic Diseases (OP09)Oregon Health & Science UniversityPortlandUSA

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