Sleep Quality, Affect, Pain And Disability In Children With Chronic Pain: Is Affect A Mediator Or Moderator?

Title

Sleep Quality, Affect, Pain And Disability In Children With Chronic Pain: Is Affect A Mediator Or Moderator?

Creator

Evans S; Djilas V; Seidman LC; Zeltzer LK; Tsao JCI

Identifier

10.1016/j.jpain.2017.04.007

Publisher

Journal Of Pain

Date

2017

Subject

Affect; Chronic Pain; Child; Sleep

Description

Sleep problems have been identified as a potential antecedent of chronic pain and pain-related disability in pediatric populations. In adult studies, affect has been implicated in these relationships. This study sought to better understand the relationships between sleep quality, negative and positive affect and pain and functioning in children with chronic pain. Participants included 213 children and adolescents (aged 7-17) presenting to a tertiary pain clinic with chronic pain. Children completed questionnaires measuring sleep quality, positive and negative affect, pain intensity, and functional disability. Results indicated that 74% of children reported disordered sleeping and that poor sleep quality was significantly associated with increased pain, disability, negative affect, and decreased positive affect. Our hypotheses were partially supported, with negative affect (but not positive affect) mediating the relationship between poor sleep and increased pain; and both positive and negative affect mediating the relationship between poor sleep and increased functional disability. There was no evidence for affect as a moderator. This study adds to the growing literature demonstrating the impact of poor sleep quality on children's pain and functioning, highlighting the need to develop further longitudinal research to confirm the causal roles of these variables.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

July 2017 List

Notes

1528-8447
Evans, Subhadra
Djilas, Vesna
Seidman, Laura C
Zeltzer, Lonnie K
Tsao, Jennie C I
R01 DE012754/DE/NIDCR NIH HHS/United States
Journal Article
United States
J Pain. 2017 May 4. pii: S1526-5900(17)30568-0. doi: 10.1016/j.jpain.2017.04.007.

Citation

Evans S; Djilas V; Seidman LC; Zeltzer LK; Tsao JCI, “Sleep Quality, Affect, Pain And Disability In Children With Chronic Pain: Is Affect A Mediator Or Moderator?,” Pediatric Palliative Care Library, accessed October 28, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10950.

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