Sleep Quality and Efficiency in Adolescents With Chronic Pain: Relationship With Activity Limitations and Health-Related Quality of Life
Sleep Quality and Efficiency in Adolescents With Chronic Pain: Relationship With Activity Limitations and Health-Related Quality of Life
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DOI：
10.1080/15402000802371353
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发表时间：
2008-01-01
影响因子：
3.1
通讯作者：
Janosy, Norah R.
中科院分区：
文献类型：
--
作者：
Palermo, Tonya M.;Fonareva, Irina;Janosy, Norah R.
这份报告的主要目的是测试患有和不患有慢性疼痛的青少年睡眠质量较差、活动限制增加和健康相关生活质量(HRQOL)下降之间的假设关系。40名青少年(20名患有慢性疼痛，20名健康)完成了HRQOL、活动受限、疼痛、抑郁和睡眠质量的测量。肌动描记术在7天内完成。相关分析表明，主观睡眠质量较差与较大的活动限制和较低的HRQOL之间存在显著的关系。较低的活动睡眠效率与较大的活动限制有关。在多元回归分析中，疼痛频率预测活动受限和HRQOL。控制疼痛和抑郁，较低的睡眠效率是更大的活动限制的重要预测因素，但不是HRQOL。患有慢性疼痛的青少年将受益于对睡眠障碍的彻底评估和治疗，因为缓解睡眠抱怨可能会提高这一人群的HRQOL和身体功能。
The primary purpose of this report was to test hypothesized relationships among poorer sleep quality, increased activity limitations, and reduced health-related quality of life (HRQOL) in adolescents with and without chronic pain. Forty adolescents (20 with chronic pain, 20 healthy) completed measures of HRQOL, activity limitations, pain, depression, and sleep quality. Actigraphy was completed over 7 days. Correlational analyses demonstrated significant relationships where poorer subjective sleep quality was associated with greater activity limitations and reduced HRQOL. Lower actigraphic sleep efficiency was associated with greater activity limitations. In multiple regression analyses, frequency of pain predicted activity limitations and HRQOL. Controlling for pain and depression, lower sleep efficiency was a significant predictor of greater activity limitations but not of HRQOL. Adolescents with chronic pain would benefit from thorough assessment and treatment of sleep disturbances, as alleviation of sleep complaints might enhance HRQOL and physical functioning in this population.