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Journal of Pediatric Psychology Advance Access originally published online on December 13, 2007
Journal of Pediatric Psychology 2008 33(3):258-268; doi:10.1093/jpepsy/jsm129
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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 Disturbances in School-age Children with Chronic Pain

Anna C. Long, PhD, Vidhya Krishnamurthy, PhD and Tonya M. Palermo, PhD

Oregon Health & Science University

All correspondence concerning this article should be addressed Dr Anna Long. E-mail: longann{at}ohsu.edu


  Abstract

Objectives To examine associations between pain, functional outcomes, and sleep disturbances in children with chronic pain, specifically juvenile idiopathic arthritis (JIA), sickle cell disease (SCD), and headache (HA). Sleep disturbances were tested as a risk factor for increased functional disability and decreased health-related quality of life (HRQOL). Methods One hundred children (JIA n = 30, SCD n = 26, HA n = 44; 8–12 years; 56% female) and their caregivers participated. Children completed questionnaires regarding pain, depression, and functional disability. Caregivers completed questionnaires regarding sociodemographics, child sleep habits, functional disability, and HRQOL. Results Levels of overall sleep disturbances were above the clinical cutoff for 53% of children with chronic pain. Sleep disturbances predicted lower physical HRQOL and higher functional disability, according to parent report. Conclusions Sleep disturbances are common and associated with daytime functioning in school-age children with chronic pain, suggesting that assessment and treatment of sleep problems is clinically relevant.

Key words: children; chronic pain; quality of life; sleep; sleep problems.

Received April 26, 2007; revision received November 19, 2007; accepted November 23, 2007


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