Sleep quality and presleep arousal in chronic pain

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

Research output: Contribution to journalArticlepeer-review

203 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalJournal of Behavioral Medicine
Issue number1
StatePublished - 2000
Externally publishedYes


  • Chronic pain
  • Insomnia
  • Presleep arousal
  • Sleep quality

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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