Associations between pain reactivity to worse sleep and health outcomes

Christina X Mu, Brent J Small, Christina S McCrae, Lindsay J Peterson, Ross Andel, Katie L Stone and Soomi Lee

The Journals of Gerontology: Series B, 2026, vol. 81, issue 1, gbaf210.

Abstract: ObjectivesSleep and pain are co-occurring issues in adulthood. “Pain reactivity to worse sleep” refers to person-specific changes in daily pain following nights of shorter-than-usual sleep duration or poorer-than-usual sleep quality. We examined the cross-sectional and longitudinal relationships between sleep-related pain reactivity with psychological distress and the number of chronic conditions.MethodsData were obtained from the Work, Family, and Health Study, which collected data from workers (n = 311; Mage = 41.38 years), who completed eight days of daily diary. We controlled for sociodemographic and health covariates in a series of multilevel structural equation models and growth curve models in Mplus. Sensitivity analyses adjusted for sleep and pain medications and stratified analyses by age.ResultsThose with higher pain severity reactivity to shorter sleep duration (B = 0.54, p

Keywords: Pain severity; Reactivity; Psychological distress; Chronic conditions; Person-centered analysis (search for similar items in EconPapers)
Date: 2026
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