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The Significance, Assessment, and Management of Nonrestorative Sleep in Fibromyalgia Syndrome

Published online by Cambridge University Press:  07 November 2014

Harvey Moldofsky*
Affiliation:
Dr. Moldofsky is professor emeritus of the Faculty of Medicine at the, University of Torontoand president of the Sleep Disorders Clinic of the Centre for Sleep and Chronobiology in Toronto, Ontario, Canada.
*
Toronto Psychiatric Research Foundation, 951 Wilson Ave, Unit 15, Toronto ON, CanadaM3K 2A7; E-mail: h.moldofsky@utoronto.ca

Abstract

People with fibromyalgia syndrome (FMS) experi-ence unrefreshing sleep, aches, hypersensitivity, and cognitive and emotional difficulties. Although no specific causative factor or biological agent is known to account for all of the features of FMS and these related diagnoses, the generalized hypersensitivity of the body is considered to be affected by disturbances in cen-tral nervous system (CNS) functions. Such CNS dis-turbances are intrinsic to the sleeping-waking brain, where the common symptom elements in all these illnesses are poor quality of sleep, nonspecific pain, fatigue, and psychological distress in the absence of known disease pathology.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2008

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