Sleep architecture in patients with fibromyalgia

  1. Besteiro González, José Luis 2
  2. Suárez Fernández, Tomás Vicente
  3. Arboleya Rodríguez, Luis 1
  4. Muñiz Fernández, José 2
  5. Lemos Giráldez, Serafín 2
  6. Álvarez Fernández, Ángel
  1. 1 Hospital Universitario Central de Asturias
    info

    Hospital Universitario Central de Asturias

    Oviedo, España

    ROR https://ror.org/03v85ar63

  2. 2 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2011

Volumen: 23

Número: 3

Páginas: 368-373

Tipo: Artículo

Otras publicaciones en: Psicothema

Resumen

Arquitectura del sueño en pacientes con fi bromialgia. El objetivo central del trabajo fue evaluar las características del sueño en pacientes con fi bromialgia. Se evaluó la arquitectura del sueño en 32 pacientes con fi bromialgia, utilizando como controles 20 personas sanas. Tanto a las pacientes fi bromiálgicas como a los controles se les realizó una polisomnografía de acuerdo con las recomendaciones de la Federación Internacional de Neurofi siología Clínica. Las pacientes con fi bromialgia mostraron alteraciones en la organización cíclica del sueño, así como mayor número de movimientos periódicos de las piernas asociados a despertares corticales. No se han obtenido diferencias signifi cativas en las variables respiratorias ni oximétricas, tampoco en el sueño alfa-delta. Los resultados obtenidos indican que las pacientes con fi bromialgia presentan incremento del sueño superfi cial en detrimento del sueño profundo, así como un incremento de los movimientos periódicos de las piernas, que podrían actuar de forma patogénica, favoreciendo la aparición de la enfermedad. Finalmente, se discuten los resultados y se proponen futuras líneas de investigación

Referencias bibliográficas

  • Ablin, J.N., Buskila, D., & Clauw, D.J. (2009). Biomarkers in fibromyalgia. Current Pain and Headache Reports, 13, 343-349.
  • Aldrich, M. (1996). Periodic limb movements and restless legs syndrome. Sleep Disorders, 14, 629-650.
  • Arnold, L.M. (2010). The pathophysiology, diagnosis and treatment of fibromyalgia. Psychiatric Clinics of North America, 33, 375-408.
  • Arnold, L., Hudson, J., Hess, E., Ware, A., Fritz, D., & Auchenbach, M. (2004). Family study of fibromyalgia. Arthritis and Rheumatism, 50, 944-952.
  • Arnold, L., Hudson, J., Keck, P., Auchenbach, M., Javaras, K., & Hess, E. (2006). Comorbidity of fibromyalgia and psychiatric disorders. Journal of Clinical Psychiatry, 67, 1219-1225.
  • Ballina, J. (2004). Fibromialgia [Fibromyalgia]. Manual SER [Sociedad Española de Reumatología] de las Enfermedades Reumáticas. Madrid: Editorial Médica Panamericana.
  • Bennett, R., Clark S., & Campbell S. (1991). Symptoms of Raynaud syndrome in patients with fibromyalgia. A study utilizing the Nielsen test, digital photoplethysmography and measurements of platelet alpha 2-adrenergic receptors. Arthritis and Rheumatism, 34, 264-269.
  • Branco, J., Atalia, A., & Paiva, T. (1994). Sleep cycles and alpha-delta sleep in fibromyalgia syndrome. Journal of Rheumatology, 21, 1113-1117.
  • Carette, S., Oakson, G., Guimont, C., & Steriade, M. (1995). Sleep electroencephalography and the clinical response to amitriptyline in patients with fibromyalgia. Arthritis and Rheumatism, 38, 1211-1217.
  • Casanueva, B. (2007). Tratado de fibromyalgia [Treatise of Fibromyalgia]. Santander (Spain): Cantabria Imagen.
  • Coleman, R., Pollack, C., & Weitzman, E. (1980). Periodic movements in sleep (nocturnal myoclonus): Relation to sleep disorders. Annals of Neurology, 8, 416-421.
  • Cote, K.A., & Moldofsky, H. (1997). Sleep, daytime symptoms and cognitive performance in patients with fibromyalgia. Journal of Rheumatology, 24, 2014-2023.
  • Dailey, P., Bishop, G., Russell, I., & Fletcher, E. (1990). Psychological stress and fibrositis/fibromyalgia syndrome. Journal of Rheumatology, 17, 1380-1385.
  • Deuschl, G., & Eisen, A., (1999). Recommendations for the practice of clinical neurophysiology: Guidelines of the International Federation of Clinical Neurophysiology. Electroencephalography and Clinical Neurophysiology, Supl., 52, 1-304.
  • Donald, F., Esdaile, J., Kimoff, J., & Fitzcharles, M.A. (1996). Musculoskeletal complaints and fibromyalgia in patients attending a respiratory sleep disorders clinic. Journal of Rheumatology, 23, 1612-1616.
  • Goldenberg, D.L. (2010). Pain/Depression dyad: A key to a better understanding and treatment of functional somatic syndromes. American Journal of Medicine, 123(8), 675-682.
  • Horne, J., & Shackell, B. (1991). Alpha-like EEG activity in non-REM sleep and the fibromyalgia syndrome. Electroencephalography and Clinical Neurophysiology, 79, 271-276.
  • Hyyppä, M., & Kronholm, E. (1995). Nocturnal motor activity in fibromyalgia patients with poor sleep quality. Journal of Psychosomatic Research, 39, 85-91.
  • Jacobsen, S., Petersen, I., & Danneskioldsamsoe, B. (1993). Clinical features in patients with chronic muscle pain with special reference to fibromyalgia. Scandinavian Journal of Rheumatology, 22, 69-76.
  • Jennum, P., Drewers, A.M., Andreasen, A., & Nielsen, K.D. (1993). Sleep and other symptoms in primary fibromyalgia and in healthy controls. Journal of Rheumatology, 20, 1756-1759.
  • MacFarlane, J.G., Shahal, B., Mously, C., & Moldofsky, H., (1996). Periodic K-sleep EEG activity and periodic limb movements during sleep: Comparisons of clinical features and sleep parameters. Sleep, 19, 200-204.
  • MacLean, A., Lue, F., & Moldofksy, H. (1995). The reliability of visual scoring of alpha EEG activity during sleep. Sleep, 18, 565-569.
  • Mahowald, M.L, & Mahowald, M.W. (2000). Nighttime sleep and daytime functioning (sleepiness and fatigue) in less well-defined chronic rheumatic diseases with particular reference to the alpha-delta NREM sleep anomaly. Sleep Medicine, 1(1) 79-193.
  • Malleson, P., Al-Matar, M., & Petty, R. (1992). Idiopathic musculoskeletal pain syndromes in children. Journal of Rheumatology, 19, 1786-1789.
  • May, K., West, S., Baker, M., & Everett, D. (1993). Sleep apnea in male patients with the fibromyalgia syndrome. American Journal of Medicine, 94, 505-508.
  • Moldofsky, H. (1986). Sleep and musculoskeletal pain. American Journal of Medicine, 81, 85-89.
  • Moldofsky, H. (1997). Sleep, daytime symptoms and cognitive performance in patients with fibromyalgia. Journal of Rheumatology, 24, 2014-2023.
  • Moldofsky, H., Lue, F., & Smythe, H. (1983). Alpha EEG sleep and morning symptoms in rheumatoid arthritis. Journal of Rheumatology, 10, 373-379.
  • Moldofsky, H., & Scarrisbrick, P. (1976). Induction of neurasthenic musculoskeletal pain syndrome by selective sleep stage deprivation. Psychosomatic Medicine, 38, 35-44.
  • Moldofsky, H., Scarrisbrick, P., England, R., & Smythe, H. (1975). Musculoskeletal symptoms and non-REM sleep disturbance in patients with "fibrositis" syndrome and healthy subjects. Psychosomatic Medicine, 37, 341-351.
  • Moldofsky, H., Tullis, C., Lue, F., Quance, G., & Davidson, J. (1984). Sleeprelated myoclonus in rheumatic pain modulation disorder (fibrositis syndrome) and in excessive daytime somnolence. Psychosomatic Medicine, 46, 145-151.
  • Molony, R., McPeek, D., Shiffman, P., Frank, M., Neubauer, J., Schwartzberg, M., & Seibold, J. (1986). Sleep, sleep apnea and the fibromyalgia syndrome. Journal of Rheumatology, 13, 797-800.
  • Okifuji, A., Turk, D., & Sherman, J. (2000). Evaluation of the relationship between depression and fibromyalgia syndrome: Why aren't all patients depressed? Journal of Rheumatology, 27, 212-219.
  • Pastor, A., Lledó, A., López-Roig, S., Pons, N., & Martín-Aragón, M. (2010). Predictores de la utilización de recursos sanitarios en la fibromialgia [Predictors of the use of health resources in fibromyalgia]. Psicothema, 22, 549-555.
  • Pöyhaiä, R., Da Costa, D., & Fitzcharles, M.A. (2001). Previous pain experience in women with fibromyalgia and inflammatory arthritis and nonpainful controls. Journal of Rheumatology, 28, 1888-1891.
  • Rechtschaffen, A., & Kales, A. (1968). A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects. U.S. Government Printing Office, National Institute of Health Publication: Washington, D.C.
  • Roizenblant, S., Moldofsky, H., Benedito-Silva, A., & Tufik, S. (2001). Alpha sleep characteristics in fibromyalgia. Arthritis and Rheumatism, 44, 222-230.
  • Sarzi-Puttini, P., Rizzi, M., Andreoli, A., Panni, B., Pecis, M., Colombo, S., Turiel, M., Carrabba, M., & Sergi, M. (2002). Hypersomnolence in fibromyalgia syndrome. Clinical and Experimental Rheumatology, 20, 69-72.
  • Shaver, J., Lentz, M., Landis, C., Heitkemper, M., Buchwald, D., & Woods, N. (1997). Sleep, psychological distress and stress arousal in women with fibromyalgia. Research in Nursing & Health, 20, 247-257.
  • Sergi, M., Rizzi, M., Braghiroli, A., Sarzi-Putini, P., Greco, M., Cazzola, M., & Andreoli, A. (1999). Periodic breathing during sleep in patients affected by fibromyalgia syndrome. The European Respiratory Journal, 14, 203-208.
  • Smythe, H., & Moldofsky, H. (1977). Two contributions to understanding of the "fibrositis" syndrome. Bulletin on the Rheumatic Diseases, 28, 928-931.
  • Tayag-Kier, C., Keenan, G., Scalzi, L., Schultz, B., Elliot, J., Zhao, R., & Arens, R. (2000). Sleep and periodic limb movement in sleep in juvenile fibromyalgia. Pediatrics, 106(5), e70.
  • Thorpy, M. (1990). Restless syndrome/Periodic movements in sleep. In M.J. Thorpy (Ed.), Handbook of sleep disorders (pp. 457-478). New York: Marcel Dekker.
  • Uveges, J., Parker, J., & Smarr, K. (1990). Psychological symptoms in primary fibromyalgia syndrome: Relationship to pain, life stress and sleep disturbance. Arthritis and Rheumatism, 33, 1279-1283.
  • Villagrán, J., Páez, M., Campo, F., Pérez, J., & Salaberri, J. (2000). Aspectos psicopatológicos de la fibromialgia [Psychopathological aspects of fibromyalgia]. Archivos de Psiquiatría, 63, 159-182.
  • Williams, D.A., & Clauw, D.J. (2009). Understanding fibromyalgia: Lessons from the broader pain research community. Journal of Pain, 10(8), 777-791.
  • Wolfe, F., Smythe, H., & Yunus, M. (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia: Report of the Multicenter Criteria Committee. Arthritis and Rheumatism, 33, 160-172.
  • Yunus, M.B., & Kalyan-Raman, U.P. (1989). Muscle biopsy findings in primary fibromyalgia and other forms of nonarticular rheumatism. Rheumatic Disease Clinics of North America, 15, 115-134.