Sleep physiology and psychological aspects of the fibrositis (fibromyalgia) syndrome

Can J Psychol. 1991 Jun;45(2):179-84. doi: 10.1037/h0084280.

Abstract

Fibrositis (fibromyalgia) patients were compared with normal controls in terms of electrophysiology (EEG), self-report indicants of awakening, quality of sleep, behaviourally signalled awakenings, and Symptom Check List 90R (SCL-90R) scores. The results differentiated fibrositis patients from normal controls in terms of SCL-90R scores, with fibrositis patients showing significantly more psychopathology. Fibrositis patients had more alpha EEG sleep and less REM and Stage 1 sleep. They were better able to recall their behaviourally signalled awakenings the following morning and reported qualitatively less satisfying sleep than the normal controls. The alpha EEG sleep anomaly may reflect a vigilant arousal state during nocturnal sleep and result in the daytime experience of unrefreshing sleep, psychologic distress, that re-enforces the perpetuation of the sleep-related symptoms.

MeSH terms

  • Adult
  • Analysis of Variance
  • Female
  • Fibromyalgia / physiopathology*
  • Fibromyalgia / psychology
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Reaction Time
  • Sleep / physiology*
  • Syndrome
  • Wakefulness / physiology