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Journal of Pediatric Psychology Advance Access originally published online on July 12, 2007
Journal of Pediatric Psychology 2007 32(8):938-949; doi:10.1093/jpepsy/jsm032
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© The Author 2007. 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

Sleep Characteristics of Youth with Functional Abdominal Pain and a Healthy Comparison Group

Edward D. Huntley, MA1,2, John V. Campo, MD3, Ronald E. Dahl, MD4 and Daniel S. Lewin, PhD1

1Children's National Medical Center, Washington, DC, 2American University, Washington, DC, 3The Ohio State University and Columbus Children's Hospital, Columbus, OH, and 4Western Psychiatric Institute and Clinic, University of Pittsburgh Medical School, Pittsburgh, PA

Correspondence concerning this article should be addressed to Daniel Lewin, Department of Psychiatry, Children's National Medical Center, 111 Michigan Avenue, N.W., Washington, DC 20010-2970. E-mail: dlewin{at}cnmc.org.


  Abstract

Objective To describe sleep problems among youth with and without functional abdominal pain (FAP). Methods Participants were 8–15 years of age diagnosed with FAP (n = 67) or healthy pain-free comparisons (n = 80). Parents and participants completed instruments assessing sleep, psychiatric status, and FAP symptoms. Parent and child reports of sleep problems were compared across groups and the association of FAP to behavioral sleep problems was assessed controlling for psychopathology. Results Children with FAP were reported to have more symptoms of behavioral sleep disorders (BSD), as well as increased nightmares and daytime tiredness than the comparison group. There were no group differences in total sleep time. Logistic regression analysis indicated that FAP was associated with a significantly increased risk of BSD symptoms [Odds ratio (OR): 4.17] after controlling for psychopathology. Conclusion Sleep problems in youth with FAP warrant clinical attention and future research should continue to explore sleep problems that co-occur with and independent of psychopathology.

Key words: abdominal pain; adolescents; children; depression; sleep problems.

Received June 2, 2006; revision received April 1, 2007; accepted April 11, 2007


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