Daily Sleep Quality and Mood as Predictors of Pain in Children With Juvenile Polyarticular Arthritis
Daily Sleep Quality and Mood as Predictors of Pain in Children With Juvenile Polyarticular Arthritis
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DOI：
10.1037/a0025075
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发表时间：
2012-03-01
影响因子：
4.2
通讯作者：
Schanberg, Laura E.
中科院分区：
文献类型：
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作者：
Bromberg, Maggie H.;Gil, Karen M.;Schanberg, Laura E.
目的：患有关节炎的儿童经常经历疼痛，但日常疼痛变化的预测因素在很大程度上是未知的。这项研究的目的是研究睡眠质量作为关节炎儿童疼痛的预测因素，并确定情绪是否会缓和这种关系。方法：在这项前瞻性的纵向研究中，51名多关节关节炎儿童（年龄8-16岁）在2个月的时间里追踪其日常症状，包括睡眠质量。自我报告的每日疼痛强度，如视觉模拟量表所示，被用作多水平模型的主要结果测量。结果：较差的睡眠质量与较高的第二天疼痛评分相关（p < 0.01）。情绪调节了这种关系，当积极情绪增加时，睡眠质量差和高疼痛之间的关系减弱（p < 0.01）。每日疼痛不能预测夜间睡眠质量（p < 0.05）。结论：睡眠质量是关节炎患儿疼痛的重要预测因素。这些发现增加了越来越多的文献，这些文献利用日常日记来分析患有慢性疼痛的儿童的疼痛、睡眠和情绪模式。
Objective: Children with arthritis experience frequent pain, but the predictors of daily pain variations are largely unidentified. The goal of this study was to examine sleep quality as a predictor of pain in children with arthritis and to determine whether mood moderates this relationship. Method: In this prospective, longitudinal study children with polyarticular arthritis (n = 51, ages 8-16 years) tracked daily symptoms, including sleep quality over 2 months. Self-reported daily pain intensity, as indicated on a visual analog scale, was used as the primary outcome measure in multilevel models. Results: Poorer sleep quality was associated with higher next-day pain ratings (p < .01). Mood moderated this relationship such that as positive mood increased, the relationship between poor sleep quality and high pain weakened (p < .01). Daily pain did not predict nightly sleep quality (p > .05). Conclusions: Sleep quality is an important predictor of pain in children with arthritis. These findings add to the growing body of literature on the use of daily diaries for analyzing patterns of pain, sleep, and mood in children with chronic painful conditions.