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Journal of Pediatric Psychology Advance Access originally published online on January 7, 2008
Journal of Pediatric Psychology 2008 33(6):660-665; doi:10.1093/jpepsy/jsm136
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Using Actigraphy to Compare Physical Activity Levels in Adolescents with Chronic Pain and Healthy Adolescents

Anna C. Long, PhD1, Tonya M. Palermo, PhD1 and Anne M. Manees, MA2

1Oregon Health & Science University and 2George Fox University

All correspondence concerning this article should be addressed to Dr Anna Long, PhD, Oregon Health & Science University, Department of Anesthesiology, 3181 SW Sam Jackson Park Rd, UHS-2, Portland, OR 97239. E-mail: longann{at}ohsu.edu


  Abstract

Objectives This study compared activity levels of adolescents with chronic pain and healthy adolescents, and investigated relations between actigraphy and subjective measures of activity limitations and depression. Methods Forty adolescents (n = 20 with chronic pain, n = 20 otherwise healthy; 12–17 years; 72.5% females) participated. Adolescents completed questionnaires regarding pain, activity limitations, and depression. Activity levels were assessed for 7 days using the Actiwatch 64® device, yielding mean and peak activity levels, and time spent in moderate and sedentary activity. Results Physical activity was lower in adolescents with chronic pain than in healthy peers. Adolescents with chronic pain reported significantly higher levels of activity limitations and depression. Age and gender were related to activity. Higher activity was inversely correlated with pain frequency and depression. Peak activity was also significantly inversely related to self-reported pain intensity and activity limitations. Conclusions Actigraphy may be useful for examining physical activity outcomes in adolescents with chronic pain.

Key words: actigraphy; activity limitations; chronic pain; pediatric; physical activity.

Received April 17, 2007; revision received December 12, 2007; accepted December 1, 2007


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