Seattle Children's Research Institute, Seattle, Washington 98145, USA.
Health Psychol. 2012 Nov;31(6):830-3. doi: 10.1037/a0026485. Epub 2011 Dec 12.
The aims of the current study were to characterize daytime and nighttime sleep patterns of adolescents with chronic pain, and to compare their sleep patterns to a healthy age- and sex-matched cohort.
Sixty-one adolescents from a pain clinic and 60 age- and sex-matched youth from the community (mean age = 15.07; 69% female) participated. Participants underwent 10 days of actigraphic sleep monitoring to assess total sleep time (minutes of estimated sleep at night), wake minutes after initial sleep onset, sleep efficiency, and occurrence of sleep during the day.
Adolescents with chronic pain and healthy youth had similar nighttime sleep patterns (total sleep time, wake minutes after initial sleep onset, and sleep efficiency). However, adolescents with chronic pain spent more time sleeping during the day than their healthy peers. Longer daytime sleep was associated with more activity limitations in youth with chronic pain.
Although previous research using self-report methodology has indicated that adolescents with chronic pain commonly endorse poor sleep, findings from the current study suggest that these complaints may not be explained by differences in nighttime sleep patterns as measured by actigraphy. Use of multidimensional sleep assessment may help to understand the potential impact of sleep on chronic pain in adolescents.
本研究旨在描述慢性疼痛青少年的日间和夜间睡眠模式，并将其与健康年龄和性别匹配的队列进行比较。
疼痛诊所的 61 名青少年和社区中 60 名年龄和性别匹配的青少年（平均年龄=15.07；69%为女性）参与了研究。参与者进行了 10 天的活动记录仪睡眠监测，以评估总睡眠时间（夜间估计睡眠时间的分钟数）、初始睡眠后醒来的分钟数、睡眠效率以及白天的睡眠时间。
慢性疼痛青少年和健康青少年的夜间睡眠模式相似（总睡眠时间、初始睡眠后醒来的分钟数和睡眠效率）。然而，慢性疼痛青少年白天睡眠时间比健康同龄人多。白天睡眠时间延长与慢性疼痛青少年的活动受限程度增加有关。
尽管先前使用自我报告方法的研究表明，慢性疼痛青少年普遍存在睡眠不佳的情况，但本研究的结果表明，这些抱怨可能无法通过活动记录仪测量的夜间睡眠模式差异来解释。使用多维睡眠评估可能有助于了解睡眠对青少年慢性疼痛的潜在影响。
