ArticlePain medicine (Malden, Mass.)2024
Relationship between insomnia and pain in patients with chronic orofacial pain.
Article in Pain medicine (Malden, Mass.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Feasibility of brief behavioral telehealth interventions for sleep and pain in adults with chronic musculoskeletal orofacial pain: An idiographic clinical trial.Cranio : the journal of craniomandibular practice · 2026Trial
- Temporomandibular disorders in children and adolescents: an underexplored condition in need of developmentally informed diagnostic guidance.Pain management · 2026Review
- Cross-cultural adaptation and psychometric validation of the Arabic version of the Orofacial Awakening Symptoms Questionnaire (OFASQ).Journal of oral & facial pain and headache · 2026Article
- Impact of Virtual Patient-Based Learning on Temporomandibular Disorder Knowledge Among Dental Students: A Pre-Post Study.Journal of dental education · 2026Article
- Effectiveness of acupressure at different ear acupoints on Insomnia: A secondary analysis of a randomized controlled trial.Sleep medicine: X · 2025Article
- The interplay of sleep disorders and orofacial pain: A systematic review.Journal of clinical and experimental dentistry · 2025Review
- The Association Between Insomnia and Temporomandibular Disorders in Orthodontic Patients.Journal of pain research · 2025Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveFew studies have investigated specific associations between insomnia and orofacial pain (OFP). The aim of this cross-sectional study was to examine relationships of insomnia with pain, mental health, and physical health variables among treatment-seeking patients with chronic OFP.
methodsOFP diagnosis, demographics, insomnia symptoms, pain intensity, interference, and duration, mental health measures, and number of medical comorbidities were extracted from the medical records of 450 patients receiving an initial appointment at a university-affiliated tertiary OFP clinic. T-tests compared differences between patients with and without insomnia symptomatology, and between patients with different insomnia subtypes (delayed onset/early wakening).
resultsCompared to patients without insomnia, those with elevated insomnia symptomatology (45.1%) reported higher pain intensity (60.70 ± 20.61 vs 44.15 ± 21.69; P < .001) and interference (43.81 ± 29.84 vs 18.40 ± 23.43; P < 0.001), depression/anxiety symptomatology (5.53 ± 3.32 vs 2.72 ± 2.66; P < 0.001), dissatisfaction with life (21.63 ± 6.95 vs 26.50 ± 6.21; P < .001), and number of medical comorbidities (6.72 ± 5.37 vs 4.37 ± 4.60; P < .001). Patients with Sleep Onset Latency insomnia (SOL-insomnia) (N = 76) reported higher pain intensity (t = 3.57; P < 0.001), and pain interference (t = 4.46; P < .001) compared to those without SOL-insomnia. Those with Early Morning Awakening insomnia (EMA-insomnia) (N = 71) did not significantly differ from those without EMA-insomnia on any of the variables. Differences remained significant after adjusting for age, sex, primary OFP diagnosis, and pain intensity.
conclusionsInsomnia is associated with pain outcomes and should be appropriately managed when treating patients with chronic OFP.
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