Actigraphic sleep and daytime naps in adolescent girls with chronic musculoskeletal pain

J Pediatr Psychol. 2008 Apr;33(3):307-11. doi: 10.1093/jpepsy/jsm117. Epub 2007 Dec 3.

Abstract

Objectives: A descriptive pilot study to examine sleep and daytime naps in adolescent girls with chronic musculoskeletal (MSK) pain.

Methods: Seventeen girls (14.9 +/- 2.0 years) completed questionnaires on anxiety and depressive symptoms during their clinic visit, and maintained a sleep diary and wore an actigraph for 7 days. Parents completed a daily diary of their teen's medications and approaches used to ease pain.

Results: Average nighttime sleep was 7.2 hr by actigraphy. All participants had mean sleep efficiency <90%. In diaries, 76.5% of the girls reported daytime naps; five girls reported more than three days with naps and more naps were associated with lower sleep efficiency and total nighttime sleep.

Conclusions: Adolescent girls with chronic MSK pain may sleep fewer hours at night than is recommended and nap in the daytime to compensate for insufficient nighttime sleep.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / etiology
  • Chronic Disease
  • Depressive Disorder / diagnosis
  • Depressive Disorder / epidemiology
  • Depressive Disorder / etiology
  • Female
  • Humans
  • Musculoskeletal Diseases / complications*
  • Musculoskeletal Diseases / physiopathology*
  • Pain / diagnosis
  • Pain / etiology*
  • Severity of Illness Index
  • Sleep Wake Disorders* / diagnosis
  • Sleep Wake Disorders* / epidemiology
  • Sleep Wake Disorders* / etiology
  • Surveys and Questionnaires
  • Time Factors