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Emotion

Does bad sleep and mood make pain feel worse?

Rosseland R, Pallesen S, Nordhus IH, et al. · Frontiers in psychology · 2018

Open access · cc by · source: Europe PMC

Interrupted sleep slightly increases how intensely people feel pain, but induced positive or negative moods do not change this effect.

Key findings

Interrupting sleep led to a small but statistically significant increase in how intensely participants felt cold pain, though it did not change how long they could tolerate the cold. Additionally, the experimental changes in mood did not alter pain ratings or influence the connection between sleep loss and pain sensitivity.

Methodology

The researchers tested a group of 35 healthy young adults. Participants underwent a session of undisturbed sleep and another session where their sleep was interrupted by phone calls every 80 minutes, forcing them to remain awake for at least 10 minutes during each awakening. The morning after, researchers induced positive or negative emotions using videos and facial posturing, then measured the participants' responses to painful pressure and cold water.

Limitations

The study was limited by its small sample of 35 healthy young adults, which makes it difficult to apply these findings directly to clinical populations suffering from long-term chronic pain. Because the researchers disrupted sleep for only one night, the study does not capture the cumulative, long-term effects of sleep loss that build up over weeks. Furthermore, repeating the pain tests multiple times might have allowed participants to develop coping mechanisms, potentially masking the full impact of sleep loss on pain threshold.

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