Department of Psychology, University of Massachusetts Lowell, 850 Broadway Street, Lowell, MA, 01854-3059, USA.
Department of Psychology, Arizona State University, Tempe, AZ, USA.
J Behav Med. 2021 Aug;44(4):551-562. doi: 10.1007/s10865-021-00209-x. Epub 2021 Mar 15.
Associations between poor sleep and pain may be amplified for children who also have depressive or anxious symptoms. This study examined associations between child sleep at eight years and recurrent pain at nine years along with the moderating role of internalizing symptoms. Families were from a community-based, ongoing longitudinal study (N = 632 children). At eight and nine years, twins (49.2% female, 56.7% non-Latinx European American, 28.8% Latinx) and caregivers participated in assessments focused on child sleep and pain, respectively. Approximately 53% of children had pain in at least one location at least monthly. Internalizing symptoms at age eight were positively associated with number of pain sites at age nine. Lower sleep efficiencies were associated with more pain sites for children with higher levels of internalizing symptoms. Later midpoint times were associated with more pain sites for children with lower levels of internalizing symptoms. Interventions focused on improving children's pain outcomes may consider targeting sleep behaviors and mental health.
睡眠质量差和疼痛之间的关联在同时存在抑郁或焦虑症状的儿童中可能会被放大。本研究调查了儿童在八岁时的睡眠与九岁时反复发作的疼痛之间的关联，以及内在症状的调节作用。这些家庭来自一个基于社区的、正在进行的纵向研究（N=632 名儿童）。在八岁和九岁时，双胞胎（49.2%为女性，56.7%为非拉丁裔欧洲裔美国人，28.8%为拉丁裔）和照顾者分别参加了专注于儿童睡眠和疼痛的评估。大约 53%的儿童至少每月在至少一个部位有疼痛。八岁时的内在症状与九岁时的疼痛部位数量呈正相关。对于内在症状水平较高的儿童，较低的睡眠效率与更多的疼痛部位相关。对于内在症状水平较低的儿童，中间时间较晚与更多的疼痛部位相关。针对改善儿童疼痛结果的干预措施可能需要考虑针对睡眠行为和心理健康。
