Daytime napping associated with increased symptom severity in fibromyalgia syndrome

Alice Theadom, Mark Cropley, Thomas Kantermann

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Background: Previous qualitative research has revealed that people with fibromyalgia use daytime napping as a coping strategy for managing symptoms against clinical advice. Yet there is no evidence to suggest whether daytime napping is beneficial or detrimental for people with fibromyalgia. The purpose of this study was to explore how people use daytime naps and to determine the links between daytime napping and symptom severity in fibromyalgia syndrome. Methods: A community based sample of 1044 adults who had been diagnosed with fibromyalgia syndrome by a clinician completed an online questionnaire. Associations between napping behavior, sleep quality and fibromyalgia symptoms were explored using Spearman correlations, with possible predictors of napping behaviour entered into a logistic regression model. Differences between participants who napped on a daily basis and those who napped less regularly, as well as nap duration were explored. Results: Daytime napping was significantly associated with increased pain, depression, anxiety, fatigue, memory difficulties and sleep problems. Sleep problems and fatigue explained the greatest amount of variance in napping behaviour, p <0.010. Those who engaged in daytime naps for >30 minutes had higher memory difficulties (t = -3.45) and levels of depression (t = -2.50) than those who napped for shorter periods (
Original languageEnglish
Article number13
Number of pages9
JournalBmc Musculoskeletal Disorders
Issue number1
Publication statusPublished - 1-Jan-2015


  • Daytime napping
  • Fatigue
  • Fibromyalgia syndrome
  • Memory
  • Pain
  • Sleep
  • adult
  • anxiety
  • chronic pain
  • community
  • coping behavior
  • evidence based practice
  • fatigue
  • fibromyalgia
  • human
  • logistic regression analysis
  • memory
  • model
  • pain
  • qualitative research
  • questionnaire
  • sleep
  • sleep quality
  • PAIN

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