Oh Ann, Koehler Angelina, Yonker Marcy, Troester Matthew
Division of Neurology, UCSF Pediatric Headache Center, University of California, San Francisco, UCSF Benioff Children's Hospital, Mission Hall, 550 16th Street, 5th Floor, San Francisco, CA 94158, USA.
Division of Neurology, Pediatric Headache Program, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Semin Pediatr Neurol. 2023 Dec;48:101085. doi: 10.1016/j.spen.2023.101085. Epub 2023 Sep 19.
Sleep problems are widespread in children and adolescents suffering from chronic pain disorders. Sleep loss intensifies the experience of pain and is detrimental to the budding self-efficacy of a young individual with limitless horizons. Addressing sleep disorders may prevent the chronification of pain and prevent adverse health outcomes, such as functional impairment, psychiatric comorbidities and overall poor quality of life. This review will explore the cyclical nature between sleep, pain and mood, as well as the functional impact of this relationship on children and adolescents. There will be a discussion about sleep assessment and diagnostic testing, followed by a description of sleep disturbances found in specific pain conditions, ranging from headache, musculoskeletal/abdominal pain, to rheumatologic disorders. Finally, there will be a brief review of pharmacologic and behavioral interventions designed to improve sleep quality, and when possible, to alleviate pain.
睡眠问题在患有慢性疼痛疾病的儿童和青少年中普遍存在。睡眠不足会加剧疼痛体验，对一个有着无限前景的年轻人初露头角的自我效能感有害。解决睡眠障碍可能会防止疼痛慢性化，并预防不良健康后果，如功能障碍、精神共病和整体生活质量差。本综述将探讨睡眠、疼痛和情绪之间的循环性质，以及这种关系对儿童和青少年的功能影响。将讨论睡眠评估和诊断测试，随后描述在特定疼痛状况下发现的睡眠障碍，范围从头痛、肌肉骨骼/腹部疼痛到风湿性疾病。最后，将简要回顾旨在改善睡眠质量并在可能情况下减轻疼痛的药物和行为干预措施。
