Evidence map›Paper›PMID 41708400›Full record

ReviewEBioMedicine2026

Why sleep matters in chronic pain: evidence across the lifespan.

Eoin Maurice Kelleher, Amanda Wall, Ben Seymour, Anushka Irani

Abstract readReview
In one paragraph

Review in EBioMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eoin Maurice KelleherNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA. Electronic address: ekelleher11@mgh.harvard.edu.
Amanda WallNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.
Ben SeymourNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK.
Anushka IraniNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 9DU, UK; Department of Rheumatology, Mayo Clinic, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep problems commonly coexist with chronic pain conditions, with growing evidence that they may precede and contribute to pain persistence. Meanwhile, pain itself can disturb sleep, creating a bidirectional relationship. In this narrative review we explore how the sleep-pain relationship changes across the lifespan. In childhood and adolescence, poor sleep may predict the emergence of pain, possibly through neurodevelopmental impacts on pain modulation and affective regulation. In adulthood, sleep interacts with lifestyle, psychological state and occupational stressors to shape pain risk. In older adults, chronic pain and comorbidities such as sleep apnoea and depression may further impair sleep quality, reinforcing a vicious cycle. Across all stages, shared mechanisms, such as hypothalamic-pituitary-adrenal axis dysregulation, neuroinflammation, and impaired glymphatic clearance may contribute to this interplay. Recognising early sleep disturbance as a modifiable risk factor for later pain offers opportunities for prevention, while improving sleep may reduce the impact of established chronic pain.

Indexed as

Chronic PainSleepSleep Wake DisordersAnimalsHumansRisk FactorsChronic painLifespanNeuroinflammationNociplastic painSleep disturbance

Identifiers

PMID41708400
PMCPMC12988550

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.