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日常情绪作为镰状细胞病患儿疼痛与睡眠关系的中介或调节因素。

Daily mood as a mediator or moderator of the pain-sleep relationship in children with sickle cell disease.

作者信息

Valrie Cecelia R, Gil Karen M, Redding-Lallinger Rupa, Daeschner Charles

机构信息

Department of Psychology, University of North Carolina at Chapel Hill, Greenville, NC 27858, USA.

出版信息

J Pediatr Psychol. 2008 Apr;33(3):317-22. doi: 10.1093/jpepsy/jsm058. Epub 2007 Aug 8.

Abstract

OBJECTIVE

To investigate mood as a mediator or moderator of the pain-sleep relationship in children with sickle cell disease (SCD).

METHOD

Children with SCD (n = 20; aged 8-12 years) completed daily diaries assessing mood, sleep, and pain for up to 2 months. Data was analyzed using multilevel modeling. Results Results indicate that negative mood partially mediates the relationship between high daily pain and poor sleep that night as well the relationship between poor sleep and high daily pain the following day. The impact of poor sleep on high pain the following day was weakened at increasing levels of positive mood.

CONCLUSION

Research is needed to fully explore the ways positive and negative mood may relate to pain and sleep characteristics. This information may be beneficial for developing more effective pain management and sleep interventions.

摘要

目的

探讨情绪在镰状细胞病(SCD)患儿疼痛与睡眠关系中作为中介变量或调节变量的作用。

方法

20名8至12岁的SCD患儿连续2个月每天完成日记,评估情绪、睡眠和疼痛情况。采用多水平模型对数据进行分析。结果表明,消极情绪部分介导了当日高疼痛与当晚睡眠不佳之间的关系,以及睡眠不佳与次日高疼痛之间的关系。随着积极情绪水平的提高,睡眠不佳对次日高疼痛的影响减弱。

结论

需要开展研究以全面探究积极和消极情绪与疼痛及睡眠特征之间的关联方式。这些信息可能有助于制定更有效的疼痛管理和睡眠干预措施。

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