Behavioral and psychosocial factors associated with insomnia in adolescents with chronic pain
- 1 January 2011
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 152 (1), 89-94
- https://doi.org/10.1016/j.pain.2010.09.035
Abstract
Rousal as risk factors for insomnia symptoms. Participants included 115 adolescents, 12–18 years of age (73.0% female), 59 youth with chronic pain and 56 healthy youth. During a home-based assessment, adolescents completed validated measures of pain, sleep quality, sleep hygiene, pre-sleep arousal, depressive symptoms, and pubertal development. Findings revealed a significantly higher percentage of adolescents with chronic pain reporting symptoms of insomnia (54.2%) compared to healthy adolescents (19.6%), p < .001. Youth with chronic pain also reported higher cognitive and somatic arousal at bedtime, and lower sleep quality compared to the healthy cohort. In a logistic regression, two factors emerged as significant predictors of insomnia, having chronic pain (OR = 6.09) and higher levels of cognitive pre-sleep arousal (OR = 1.24). Level of pain intensity did not predict insomnia. While sleep disruption may initially relate to pain, these symptoms may persist into a separate primary sleep disorder over time due to other behavioral and psychosocial factors. Assessment of insomnia may be important for identifying behavioral targets for the delivery of sleep-specific interventions to youth with chronic pain....Keywords
Funding Information
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD053431)
This publication has 39 references indexed in Scilit:
- Catastrophizing and symptoms of sleep disturbances in childrenJournal of Sleep Research, 2010
- Expressive dimensions of pain catastrophizing: A comparative analysis of school children and children with clinical pain ☆Pain, 2008
- Objective and Subjective Assessment of Sleep in Adolescents With Chronic Pain Compared to Healthy AdolescentsThe Clinical Journal of Pain, 2007
- Brief Report: Sleep in Children with Sickle Cell Disease: An Analysis of Daily Diaries Utilizing Multilevel ModelsJournal of Pediatric Psychology, 2007
- Development and Evaluation of a Cognitive-Behavioral Intervention for Juvenile FibromyalgiaJournal of Pediatric Psychology, 2005
- Cognitive–behavioral treatment for childhood sleep disordersClinical Psychology Review, 2005
- The association between pubertal status and sleep duration and quality among a nationally representative sample of U. S. AdolescentsAmerican Journal of Human Biology, 2005
- Migraine Headaches and Sleep Disturbances in ChildrenHeadache: The Journal of Head and Face Pain, 2003
- Sleep Schedules and Daytime Functioning in AdolescentsChild Development, 1998
- The CES-D ScaleApplied Psychological Measurement, 1977