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A patient with persistent pain reports poor sleep. The relationship between the two is BEST described as:

• 1 Unrelated, since sleep quality does not influence pain perception
• 2 Relevant only when an identifiable sleep disorder has already been diagnosed
• 3 Bidirectional, with poor sleep amplifying pain and pain disrupting sleep ✓ 정답
• 4 One directional, with pain causing poor sleep but not the reverse

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