One way to increase the effects of multimodal rehabilitation programs may be to also include interventions directed directly to insomnia. While most people with acute insomnia are able to get help from their primary care doctor, those with chronic insomnia may need more extensive intervention. Pain intensity, anxiety and depression were more important for perceived health aspects than insomnia. Relatively low correlations existed between insomnia and pain intensity, depression, anxiety and other psychological aspects. Those with chronic pain experience an estimated 42 minute sleep debt. Nearly 25 of people with chronic pain suffer from a sleep disorder. Between 20, the number of people committing suicide due to chronic pain rose from 7.4 to 10.2. The prevalence of insomnia is high in patients with complex chronic pain conditions. More than 8 in 10 patients with chronic pain are affected by severe depression. One way to increase the effects of multimodal rehabilitation programs may be to provide interventions directed specifically at insomnia rather than focusing only on interventions that address pain, depression and anxiety. This can help relieve pain and induce a state of relaxation that encourages sleep. Conclusions: The prevalence of insomnia is high in patients with chronic pain conditions, but the level of importance in relation to other symptoms for health aspects is low, and the associations with other important symptoms are relatively weak. Steps to follow include: Avoid drinking coffee, tea, sugar, and other stimulants in the late afternoon. Pain intensity, depression and anxiety correlated stronger than ISI with respect to the two investigated aspects of health. Chronic pain linked with poor sleep Exploration of causes and treatment. Insomnia correlated significantly but weakly with pain, depression, anxiety and coping the strongest multivariate correlations were found with depression and anxiety followed by pain interference and pain severity. Pain severity was found to be positively associated with Wake After Sleep.

Results: The majority of patients (65.3%) had clinical insomnia according to the insomnia severity index (ISI). The SQRP collects data on socio-demographics, health status, symptoms of pain, mood and insomnia and life satisfaction. Results: On the ISI before treatment, 20 patients (14.3) reported no insomnia, 36 (25.7) had a mild or subthreshold problem, and 84 (60) had moderate (31.4) or severe (28.6) clinical insomnia.

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Methods: Patients with chronic pain conditions ( n = 845) referred to a multidisciplinary pain centre completed surveys provided by the Swedish quality registry for pain rehabilitation (SQRP). The Insomnia Severity Index (ISI) was included as an outcome, along with measures of pain, mood, and function. These drugs can help regulate your circadian rhythm and lull you into slumber. Purpose: This study investigates the prevalence of insomnia and its relationship to other symptoms and health aspects in patients with chronic pain.

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