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Review
. 2025 Jul 14:e70100.
doi: 10.1111/jsr.70100. Online ahead of print.

Sleep Impairment and Chronic Pain in the Military: A Scoping Review

Eline Rozária Ferreira Barbosa  1   2 , Desiree Rodrigues da Veiga  1   3 , Mayra Gabriela Ayala  1   4 , Ivan Dunshee de A O Santos Filho  1   5 , Andrea Suarez Gomez  1   6 , Erika Bushatsky Andrade de Alencar  1   7 , Abrahan Salcedo Pérez  1   8 , Chukwuma Eze Okereke  1   9 , Danny Chris Vinas  1   8 , Rinna Segatto Siquieroli  1   10 , Hilario de Sousa Francelino  1   11 , Agustin N Posso  1   12 , Isabella Meneghetti Inácio Silva  1   13 , Pedro Henrique Martins da Cunha  1   14 , Víctor Barrientos Labra  1   15 , Daniel Gomez-Carrillo  1   16 , Sara Lanaia  1   8 , Lyna Kyria Rodrigues de Almeida  1   13 , Elmira Mustafayevna Lomashvili  1   17 , Laura Soledad Samudio Sanchez  1   18 , Sebastian Castañon Muñoz  1   15 , Priscila Fuentes  1   19 , Andrea De Góes Trindade Mello  1   20 , Nicolas Emiliozzi  1   21 , Amos Terseg  1   22 , Ramón Antonio Romano Peralta  1 , Takuro Nishizawa  1 , Enzo Billy Vera Chavez  1 , Clarissa Bueno  1   14
Affiliations
Review

Sleep Impairment and Chronic Pain in the Military: A Scoping Review

Eline Rozária Ferreira Barbosa et al. J Sleep Res. .

Abstract

This scoping review explores the bidirectional association between chronic pain and sleep disorders in military personnel. It aims to identify gaps in existing studies, offering tools for diagnosing and treating sleep disorders, chronic pain, and their comorbidities. Observational and interventional studies up to 2024 that approached the relationship between chronic pain and sleep disorders were included. Furthermore, PTSD, anxiety, depression, alcohol consumption, suicidal ideation and drug abuse were considered covariables. Cancer-related or acute pain and studies primarily addressing sleep apnoea or traumatic brain injury were excluded. A systematic search was conducted in ScienceDirect, PubMed, Scopus, Embase, Web of Science and Google Scholar until April 2024. Articles were screened using Covidence by two independent researchers, and bias was assessed using the Newcastle Ottawa Scale, ROBINS-I and ROB-2. Sixteen articles analysed data from 15,060 active military personnel or veterans. Overall, studies endorsed the association between sleep quality and chronic pain and their influence on mental health, physical functioning and quality of life. Additionally, behavioural, mind-body and circadian misalignment therapies, along with other nonpharmacologic interventions, positively impacted outcomes related to pain, sleep quality, and psychiatric comorbidities. However, there was heterogeneity in the use of diagnostic tools, non-standardised procedures, and a lack of guidelines in the treatment of these conditions. The construct of sleep disorders, chronic pain and associated comorbidities was shown to improve with nonpharmacologic and integrative interventions that addressed at least one of these conditions.

Keywords: chronic pain; military personnel; sleep disorders.

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References

    1. Ashrafioun, L., T. M. Bishop, and W. R. Pigeon. 2021. “The Relationship Between Pain Severity, Insomnia, and Suicide Attempts Among a National Veteran Sample Initiating Pain Care.” Psychosomatic Medicine 83, no. 7: 733–738.
    1. Benedict, T. M., P. G. Keenan, A. J. Nitz, and T. Moeller‐Bertram. 2020. “Post‐Traumatic Stress Disorder Symptoms Contribute to Worse Pain and Health Outcomes in Veterans With PTSD Compared to Those Without: A Systematic Review With Meta‐Analysis.” Military Medicine 185, no. 9–10: e1481–e1491. https://doi.org/10.1093/milmed/usaa052.
    1. Boehmer, T. K., V. L. Boothe, W. D. Flanders, and D. H. Barrett. 2003. “Health‐Related Quality of Life of U.S. Military Personnel: A Population‐Based Study.” Military Medicine 168, no. 11: 941–947. https://doi.org/10.1093/milmed/168.11.941.
    1. Bonvanie, I. J., A. J. Oldehinkel, J. G. Rosmalen, and K. A. Janssens. 2016. “Sleep Problems and Pain: A Longitudinal Cohort Study in Emerging Adults.” Pain 157, no. 4: 957–963. https://doi.org/10.1097/j.pain.0000000000000466.
    1. Brownlow, J. A., E. A. Klingaman, E. M. Boland, G. S. Brewster, and P. R. Gehrman. 2017. “Psychiatric Disorders Moderate the Relationship Between Insomnia and Cognitive Problems in Military Soldiers.” Journal of Affective Disorders 221: 25–30. https://doi.org/10.1016/j.jad.2017.06.023.

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