TY - JOUR
T1 - Associations of self-report and actigraphy sleep measures with experimental pain outcomes in patients with temporomandibular disorder and healthy controls
AU - Boggero, Ian A.
AU - Schneider, Victor J.
AU - Thomas, Priya L.
AU - Nahman-Averbuch, Hadas
AU - King, Christopher D.
N1 - Funding Information:
This work was supported by the National Institute of Dental and Craniofacial Research of the National Institute of Health ( R00DE022368 ).
Publisher Copyright:
© 2019
PY - 2019/8
Y1 - 2019/8
N2 - Objective: Discrepancies between self-reported and actigraphy sleep measures are common, producing ambiguity about which are better predictors of experimental pain outcomes. The current study tested if pain intensity during and situational pain catastrophizing following experimental pain were differentially predicted by self-reported or actigraphy sleep measures in patients with chronic temporomandibular disorder (TMJD)or healthy controls (HCs). Methods: Forty patients with TMJD and 20 HCs completed self-report sleep measures (Pittsburgh Sleep Quality Index, PSQI; Insomnia Severity Index, ISI; PROMIS Sleep-Related Impairment [SRI]and Sleep Disruption [SD]), underwent an experimental pain induction consisting of four consecutive cold-water hand immersions, and provided pain intensity and situational pain catastrophizing ratings. Participants also wore an actigraphy watch and completed sleep diaries for seven days, which were averaged for actigraphic indices of total sleep time, sleep efficiency, wake after sleep onset, and self-reported sleep quality and restfulness. Results: Individuals with TMJD reported higher pain intensity during experimental pain (M = 65.81 vs. 47.77, p =.007)and self-reported worse sleep compared to HCs (all p's < 0.02, Cohen's D = 0.73–1.25). No group differences emerged for actigraphy measures (all p's > 0.05, Cohen's D = 0.05–0.53). Sleep variables did not interact with group to predict responses to experimental pain (all p's > 0.05). Across groups, PROMIS-SRI predicted pain intensity (β = 0.36, p =.008)and catastrophizing (β = 0.36, p =.009)after controlling for multiple comparisons, smoking, medications, and age. Conclusion: Self-reported sleep (but not actigraphy)measures differentiate patients with TMJD from HCs. Sleep-related interference may place people at particular risk for higher pain intensity and catastrophizing following experimental pain.
AB - Objective: Discrepancies between self-reported and actigraphy sleep measures are common, producing ambiguity about which are better predictors of experimental pain outcomes. The current study tested if pain intensity during and situational pain catastrophizing following experimental pain were differentially predicted by self-reported or actigraphy sleep measures in patients with chronic temporomandibular disorder (TMJD)or healthy controls (HCs). Methods: Forty patients with TMJD and 20 HCs completed self-report sleep measures (Pittsburgh Sleep Quality Index, PSQI; Insomnia Severity Index, ISI; PROMIS Sleep-Related Impairment [SRI]and Sleep Disruption [SD]), underwent an experimental pain induction consisting of four consecutive cold-water hand immersions, and provided pain intensity and situational pain catastrophizing ratings. Participants also wore an actigraphy watch and completed sleep diaries for seven days, which were averaged for actigraphic indices of total sleep time, sleep efficiency, wake after sleep onset, and self-reported sleep quality and restfulness. Results: Individuals with TMJD reported higher pain intensity during experimental pain (M = 65.81 vs. 47.77, p =.007)and self-reported worse sleep compared to HCs (all p's < 0.02, Cohen's D = 0.73–1.25). No group differences emerged for actigraphy measures (all p's > 0.05, Cohen's D = 0.05–0.53). Sleep variables did not interact with group to predict responses to experimental pain (all p's > 0.05). Across groups, PROMIS-SRI predicted pain intensity (β = 0.36, p =.008)and catastrophizing (β = 0.36, p =.009)after controlling for multiple comparisons, smoking, medications, and age. Conclusion: Self-reported sleep (but not actigraphy)measures differentiate patients with TMJD from HCs. Sleep-related interference may place people at particular risk for higher pain intensity and catastrophizing following experimental pain.
UR - http://www.scopus.com/inward/record.url?scp=85066240489&partnerID=8YFLogxK
U2 - 10.1016/j.jpsychores.2019.05.008
DO - 10.1016/j.jpsychores.2019.05.008
M3 - Article
C2 - 31376882
AN - SCOPUS:85066240489
SN - 0022-3999
VL - 123
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
M1 - 109730
ER -