Applying Sleep Hygiene Questionnaire to Chronic Pain Subjects Comes Out With Two Factors

Irregular Sleep -Wake Schedule and Sleep Disturbing Behaviour and Environment factor out as two main sleep issues in chronic pain.

Health Qual Life Outcomes. 2013 Dec 22;11(1):213. [Epub ahead of print]Psychometric evaluation of the sleep hygiene index: a sample of patients with
chronic pain.
Cho S, Kim GS, Lee JH.
http://www.hqlo.com/content/pdf/1477-7525-11-213.pdf

Hygiene questionnaire:

1. I take daytime naps lasting two or more hours
2. I go to bed at different times from day to day
3. I get out of bed at different times from day to day.
4. I exercise to the point of sweating within 1 hour of going to bed.
5. I stay in bed longer than I should two or three times a week.
6. I use alcohol, tobacco, or caffeine within 4 hours of going to bed or after going to bed.
7. I do something that may wake me up before bedtime (for example: play video games, use the internet, or clean)
8. I go to bed feeling stressed, angry, upset, or nervous.
9. I use my bed for things other than sleeping or sex (for example, watch television, read, eat, or study)
10. I sleep on an uncomfortable bed (for example: poor mattress or pillow, too much or not enough blankets).
11. I sleep in an uncomfortable bedroom (for example: too bright, too stuffy, too hot, too cold, or too noisy).
12. I do important work before bedtime (for example: pay bills, schedule, or study).
13. I think, plan, or worry when I am in bed.

Irregular sleep questions include:
3. I get out of bed at different times from day to day.
2. I go to bed at different times from day to day
5. I stay in bed longer than I should two or three times a week.
1. I take daytime naps lasting two or more hours.

Sleep Disturbing Behaviour and Environment factors include:
10. I sleep on an uncomfortable bed (for example: poor mattress or pillow, too much or not enough blankets).
11. I sleep in an uncomfortable bedroom (for example: too bright, too stuffy, too hot, too cold, or too noisy).
12. I do important work before bedtime (for example: pay bills, schedule, or study). .65 -.12 .43
7. I do something that may wake me up before bedtime (for example: play video games, use the internet, or clean).
6. I use alcohol, tobacco, or caffeine within 4 hours of going to bed or after going to bed.
13. I think, plan, or worry when I am in bed.
9. I use my bed for things other than sleeping or sex (for example, watch television, read, eat, or study)

One issue that factors for both is very big:

8. I go to bed feeling stressed, angry, upset, or nervous.    –  this is the one factor I suspect is most helped by cognitive behavioural treatment

Comment – people with chronic pain need regualr hours and need to get up at the same time everyday. Dealing with and uncomfortable and noisy bedplace and winding down at end of day are also important. Also very big is having something for the pain at night,,,