Poor sleep quality, pain and fatigue are commonly experienced by older adults with osteoarthritis (OA).1,40,48,65,66 Cross-sectional studies have demonstrated significant associations between poor sleep quality and higher OA-related pain intensity and/or fatigue24,46 and sleep improvements following Cognitive Behavioral Therapy for Insomnia (CBT-I) have been associated with downstream and sustained reductions in pain and fatigue.61,62 In older age adults with hip or knee OA, weekly fluctuations in sleep interference and OA-related pain have been shown to track with each other.
from The Journal of Pain http://bit.ly/2EeCiez
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