期刊
JOURNAL OF PAIN
卷 19, 期 1, 页码 67-75出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.jpain.2017.09.002
关键词
Chronic pain; post-traumatic stress disorder symptoms; trauma; child/adolescent; sleep
资金
- Hearst Grant from the Center for Child Health Behavior and Development, Seattle Children's Research Institute
- National Institutes of Health [2K24HD060068]
- Canadian Institutes of Health Research
- Alberta Children's Hospital Research Institute (Vi Riddell Pediatric Pain Initiative)
- Eunice Kennedy Shriver National Institute on Child Health and Human Development [K23 HD071946]
Symptoms of post-traumatic stress disorder (PTSS) and chronic pain have been shown to co-occur at high rates in adolescents and this co-occurrence is linked to worse pain and quality of life. Sleep disturbance has been posited as a mechanism underlying this co-occurrence in conceptual models of mutual maintenance. This study examined the mediating role of sleep in the relationship between PTSS and pain in youth (aged 10-17 years) with chronic pain. Ninety-seven participants completed measures of PTSS, pain (intensity and interference), anxiety symptoms, and sleep quality, in addition to demographic characteristics. Mediation models were conducted. Findings revealed that, over and above the influence of associated demographic characteristics (age, race) and anxiety symptoms, sleep quality partially mediated the relationships between PTSS and pain intensity and interference for youth with chronic pain. Specifically, higher levels of PTSS was linked to higher levels of pain intensity and pain interference, and these relationships were partially explained by poor sleep quality. Findings highlight the potential mechanistic role of sleep in explaining the co-occurrence of chronic pain and PTSS and suggest sleep might be an important target in future interventions. Perspective: Consistent with the pediatric model of mutual maintenance in PTSS and chronic pain, poor sleep quality was found to underlie this co-occurrence in youth. (C) 2017 by the American Pain Society
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