The influence of sleep disturbances and sleep disorders on pain outcomes among veterans: A systematic scoping review

The influence of sleep disturbances and sleep disorders on pain outcomes among veterans: A systematic scoping review

Chronic nonmalignant pain, sleep disturbances and sleep disorders are highly prevalent conditions among U.S. military veterans. Evidence summaries highlight the influence of sleep on pain outcomes in the general adult population but not for the military veteran population. This is a significant gap...

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Bibliographic Details
Published in:Sleep medicine reviews Vol. 56; p. 101411
Main Authors: Saconi, Bruno, Polomano, Rosemary C., Compton, Peggy C., McPhillips, Miranda V., Kuna, Samuel T., Sawyer, Amy M.
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01-04-2021
Subjects:
Chronic pain
Sleep
Sleep disorder
Sleep disturbance
Veteran
Sleep disturbance
Sleep disorder
Sleep
Veteran
Chronic pain
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Summary:Chronic nonmalignant pain, sleep disturbances and sleep disorders are highly prevalent conditions among U.S. military veterans. Evidence summaries highlight the influence of sleep on pain outcomes in the general adult population but not for the military veteran population. This is a significant gap as U.S. military veterans are an exceedingly high-risk population for both chronic pain and sleep disturbances and/or disorders. We aimed to review the influence of sleep disturbances and sleep disorders on pain outcomes among veterans with chronic nonmalignant pain. A systematic scoping review was conducted using PubMed/Medline, EMBASE, Scopus, CINAHL, and PsycINFO. Twenty-six out of 1450 studies from initial search were included in this review resulting in a combined sample size of N = 923,434 participants. Sleep disturbances and sleep disorders were associated with worse pain outcomes among veterans with chronic pain. Treatment-induced sleep improvements ameliorated pain outcomes in veterans with sleep disorders and sleep disturbances. Research is indicated to address an overlooked pain treatment opportunity – that of sleep disturbance and sleep disorder management.
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Peggy C. Compton, PhD, RN, FAAN, Associate Professor, van Ameringen Endowed Chair, Department of Family and Community Health, 418 Curie Blvd, Claire Fagin Hall, Rm 402, Philadelphia, PA 19104. 215-898-6679.
Miranda V. McPhillips, PhD, RN, Lecturer, Simulation Education Specialist, University of Pennsylvania School of Nursing, Department of Biobehavioral Health Science, 418 Curie Blvd, Claire Fagin Hall, Rm 307 B, Philadelphia, PA 19104.
Samuel T. Kuna, MD, Professor of Medicine, University of Pennsylvania Perelman School of Medicine, Chief, Sleep Medicine, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Sleep Medicine Section (111P), 3900 Woodland Avenue, Philadelphia, PA 19104. 215-823-4400.
Rosemary C. Polomano, PhD, RN, FAAN, Associate Dean for Practice, Professor of Pain Practice, University of Pennsylvania School of Nursing, Professor of Anesthesiology and Critical Care (Secondary), University of Pennsylvania Perelman School of Medicine, 418 Curie Blvd, Claire Fagin Hall, Rm 448, Philadelphia, PA 19104.
Amy M. Sawyer, PhD, RN, Associate Professor of Sleep and Health Behavior, University of Pennsylvania School of Nursing, Department of Biobehavioral Health Science, 418 Curie Blvd, Claire Fagin Hall, Rm 349, Philadelphia, PA 19104. 215-573-2381.
ISSN:1087-0792
1532-2955
DOI:10.1016/j.smrv.2020.101411