Sleep disorders in acute and chronic pain

Pain is one of the leading causes decline in quality life. When pain syndromes occur, a person may experience unpleasant sensory sensations and concomitant disorders, which can lead to aggravation sleep disturbances. According experimental studies, increased sensation with reduced duration occurs due opioid, serotonergic, noradrenergic, dopaminergic antinociceptive systems dysfunction. In clinical practice, reduction usually associated insomnia, most common disorder. syndromes, insomnia 53–90% patients (for comparison: general population – 7.4%). Non-pharmacological (cognitive-behavioral therapy) pharmacological approaches are used treatment. Some medications (amitriptyline, mirtazapine, trazodone, gabapentin, pregabalin) have both hypnotic analgesic effects, allows use them for It has been shown that correction disorders reduce severity frequency pain.