Comorbidity pp 179-219 | Cite as

Arousal States, Symptoms, Behaviour, Sleep and Body Temperature

  • Rhonda BrownEmail author
  • Einar Thorsteinsson


Autonomic arousal (or affective states, e.g. stress, anxiety), symptoms (e.g. fatigue, pain), sleep-disrupting behaviour (e.g. physical inactivity, electronic device use, TV watching, shift work) and medications are linked to impaired sleep and, in many cases, overweight/obesity. Further, in many cases, the phenomena are linked to an elevated BT, and in some cases, a high nocturnal BT, although there is a lack of specific research pertaining to nocturnal BT and the relationship between BT and chronic pain. A relative hyperthermia at night is known to interfere with sleep onset, possible via a phase-shift in the sleep-wake cycle. However, an elevated BT can additionally lead to activation of the inflammatory response system (e.g. cytokine secretion), which may represent another possible mechanism by which the aforementioned states, symptoms, disorders and behaviour can develop.


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© The Author(s) 2020

Authors and Affiliations

  1. 1.Australian National UniversityCanberraAustralia
  2. 2.University of New EnglandArmidaleAustralia

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