Long Anna C, Krishnamurthy Vidhya, Palermo Tonya M
Oregon Health & Science University, USA.
J Pediatr Psychol. 2008 Apr;33(3):258-68. doi: 10.1093/jpepsy/jsm129. Epub 2007 Dec 13.
To examine associations between pain, functional outcomes, and sleep disturbances in children with chronic pain, specifically juvenile idiopathic arthritis (JIA), sickle cell disease (SCD), and headache (HA). Sleep disturbances were tested as a risk factor for increased functional disability and decreased health-related quality of life (HRQOL).
One hundred children (JIA n = 30, SCD n = 26, HA n = 44; 8-12 years; 56% female) and their caregivers participated. Children completed questionnaires regarding pain, depression, and functional disability. Caregivers completed questionnaires regarding sociodemographics, child sleep habits, functional disability, and HRQOL.
Levels of overall sleep disturbances were above the clinical cutoff for 53% of children with chronic pain. Sleep disturbances predicted lower physical HRQOL and higher functional disability, according to parent report.
Sleep disturbances are common and associated with daytime functioning in school-age children with chronic pain, suggesting that assessment and treatment of sleep problems is clinically relevant.
研究慢性疼痛儿童，特别是幼年特发性关节炎（JIA）、镰状细胞病（SCD）和头痛（HA）患儿的疼痛、功能结局与睡眠障碍之间的关联。将睡眠障碍作为功能残疾增加和健康相关生活质量（HRQOL）下降的风险因素进行测试。
100名儿童（JIA患儿30名，SCD患儿26名，HA患儿44名；年龄8至12岁；56%为女性）及其照料者参与研究。儿童完成有关疼痛、抑郁和功能残疾的问卷。照料者完成有关社会人口统计学、儿童睡眠习惯、功能残疾和HRQOL的问卷。
53%的慢性疼痛儿童的总体睡眠障碍水平高于临床临界值。根据家长报告，睡眠障碍预示着较低的身体HRQOL和较高的功能残疾。
睡眠障碍在患有慢性疼痛的学龄儿童中很常见，且与日间功能相关，这表明睡眠问题的评估和治疗具有临床意义。
