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Journal of Pediatric Psychology Advance Access published online on March 30, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm016
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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

Brief Report: Sleep in Children with Sickle Cell Disease: An Analysis of Daily Diaries Utilizing Multilevel Models

Cecelia R. Valrie, PhD1, Karen M. Gil, PhD1, Rupa Redding-Lallinger, MD1 and Charles Daeschner, MD2

1The University of North Carolina at Chapel Hill and 2East Carolina University

All correspondence concerning this article should be addressed to Cecelia R. Valrie, PhD, East Carolina University, Department of Psychology, 320 Rawl Building, Greenville, NC 27858, valriec{at}ecu.edu.


  Abstract

Objective To investigate the pain-sleep relationship in children with sickle cell disease (SCD) and the influence of stress and pain medication use on this relationship. Method Children with SCD (n = 20; aged 8–12 years) completed daily diaries assessing sleep, pain, stress, and pain medication use for up to 2 months. Data analyzed using multilevel modeling. Results High daily pain was related to poor sleep quality that night and poor sleep quality was related to high pain the following day. High stress was related to less sleep. High same-day pain and pain medication attenuated the impact of pain on sleep quality.Conclusion Results highlight the importance of sleep in addressing functioning in children with chronic pain, knowledge which may help patients and their families better manage the child's pain. Behavioral pain interventions may be improved by the inclusion of strategies to encourage proper sleep hygiene and address sleep issues.

Key words: children; diary; pain; sickle cell disease; sleep.

Received August 12, 2006; revision received January 25, 2007; accepted February 9, 2007


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