Temporal daily associations among sleep and pain in treatment-seeking youth with acute musculoskeletal pain
Temporal daily associations among sleep and pain in treatment-seeking youth with acute musculoskeletal pain
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DOI：
10.1007/s10865-017-9847-x
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发表时间：
2017-08-01
影响因子：
3.1
通讯作者：
Palermo, Tonya M.
中科院分区：
文献类型：
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作者：
Holley, Amy Lewandowski;Rabbitts, Jennifer;Palermo, Tonya M.
睡眠是重要的健康风险因素。在儿科慢性疼痛的背景下，睡眠通常受损，并且时间每日关联将睡眠不足与随后的疼痛增加联系起来。目前尚不清楚是否存在类似的时间关系的青年急性疼痛。因此，我们的特点是睡眠与急性肌肉骨骼（MSK）疼痛的青年检查日常睡眠疼痛协会。参与者为67名患有急性MSK疼痛（持续时间< 1个月）的青年（10-17岁）。青少年接受了8个晚上的活动记录睡眠监测，并完成了每天两次的疼痛日记。广义线性模型测试夜间睡眠作为早晨疼痛的预测因子，晚上疼痛作为夜间睡眠的预测因子。睡眠时间越短，睡眠质量越差，晨起疼痛强度越高。然而，夜间疼痛并不能预测夜间睡眠，这表明最强的时间关联是睡眠不足影响第二天疼痛的方向，正如先前在慢性疼痛青年中的研究所发现的那样。
Sleep is an important health risk factor. In the context of pediatric chronic pain, sleep is often impaired and temporal daily associations link sleep deficiency to subsequent increased pain. It is unknown whether similar temporal relationships exist for youth with acute pain. Thus, we characterized sleep in youth with acute musculoskeletal (MSK) pain to examine daily sleep-pain associations. Participants were 67 youth (10-17 years) with acute MSK pain (< 1 month duration). Youth underwent eight nights of actigraphic sleep monitoring and completed twice daily pain diaries. Generalized linear models tested nighttime sleep as a predictor of morning pain, and evening pain as a predictor of nighttime sleep. Shorter sleep duration and poorer sleep quality predicted higher morning pain intensity. However, evening pain did not predict nighttime sleep, suggesting the strongest temporal association is in the direction of sleep deficiency impacting next-day pain, as has been found in prior research in youth with chronic pain.