Insomnia Disorder in People living with Chronic pain
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | Sleep disturbance/ISI-defined insomnia ~72.9%; older meta reported insomnia 72% among chronic-pain samples |
| Is it more common among people living with chronic pain? | Extremely high sleep/insomnia burden |
| Are people living with chronic pain at higher risk? | #N/A |
| How much higher is the risk? | ISI-defined sleep disturbance 72.9% in meta-analysis |
| How often can it be missed? | Very High |
| Does it show up differently among people living with chronic pain? | Strong Yes |
| How might it look different? | Pain interrupts sleep; poor sleep increases pain sensitivity → reinforcing cycle |
| What commonly occurs alongside it? | Depression; anxiety; PTSD; opioid use |
| What can it be confused with? | Pain-driven awakening; sleep apnea; RLS; medication effects |
| Common screening tool | ISI — Insomnia Severity Index |
| Separate screening tool for people living with chronic pain | None established |
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