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Journal of Pediatric Psychology Advance Access published online on December 3, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm117
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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: Actigraphic Sleep and Daytime Naps in Adolescent Girls with Chronic Musculoskeletal Pain

Shao-Yu Tsai, PhC, MS, RN1, Susan E. Labyak, PhD, RN1, Laura P. Richardson, MD, MPH2, Martha J. Lentz, PhD, RN3, Patricia A. Brandt, PhD, ARNP1, Teresa M. Ward, PhD, RN3 and Carol A. Landis, DNSc, RN, FAAN3

1Family & Child Nursing, 2Department of Pediatrics, and 3Biobehavioral Nursing & Health Systems, University of Washington

All correspondence concerning this article should be addressed to Carol A. Landis, DNSc, RN, FAAN, Department of Biobehavioral Nursing & Health Systems, University of Washington, Box 357266, Seattle, WA 98195-7266, USA. E-mail: calandis{at}u.washington.edu


  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.

Key words: adolescents; actigraphy; anxiety; depression; naps; pain; sleep.

Received April 29, 2007; revision received November 3, 2007; accepted November 5, 2007


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