Sleep and quality of life in chronic pain

Dieuwke S. Veldhuijzen, Joel D. Greenspan, Michael T. Smith

Research output: Chapter in Book/Report/Conference proceedingChapter


Assessment of quality of life (QOL) is important in evaluating the well-being of patients suffering from chronically painful conditions. In addition to identifying the degree of psychosocial distress experienced by these patients, QOL assessments allow quantification of how pain specifically impacts daily functioning, and it serves as a treatment outcome in clinical research. The effect of pain on QOL depends on several characteristics of pain, such as the extent to which pain affects the anatomy, the duration of pain, the intensity of pain, the personal meaning of pain, and to some extent how pain may be a marker of, and directly impacts, an underlying disease state. However, pain is not a unique predictor of poor QOL. Sleep quality has been shown to be an important mediating factor in pain-related disability by influencing pain intensity and emotional distress. Chronic pain and sleep disturbances each independently and synergistically have profound detrimental effects on QOL, and psychosocial mediators have been identified.

Original languageEnglish (US)
Title of host publicationSleep and Quality of Life in Clinical Medicine
PublisherHumana Press
Number of pages11
ISBN (Print)9781603273404
StatePublished - 2008


  • Pain
  • disability
  • insomnia
  • quality of life
  • sleep
  • sleep deprivation
  • sleep disturbances

ASJC Scopus subject areas

  • Medicine(all)


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