Skip Navigation



Journal of Pediatric Psychology Advance Access published online on December 11, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm121
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
33/3/232    most recent
jsm121v3
jsm121v2
jsm121v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Ward, T. M.
Right arrow Articles by Landis, C. A.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ward, T. M.
Right arrow Articles by Landis, C. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 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

Introductin to the Special Issue: Polysomnography and Self-reported Sleep, Pain, Fatigue, and Anxiety in Children with Active and Inactive Juvenile Rheumatoid Arthritis

Teresa M. Ward, PhD RN1, Patricia Brandt, PhD RN2, Kristen Archbold, PhD RN1, Martha Lentz, PhD RN1, Sarah Ringold, MD3, Carol A. Wallace, MD3 and Carol A. Landis, DNSc RN FAAN1

1Biobehavioral Nursing and Health Systems, 2Department of Family and Child Nursing, School of Nursing, and 3Department of Pediatrics, Immunology, Rheumatology & Infect Disease, School of Medicine, University of Washington

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


  Abstract

Objective To compare polysomnography (PSG) and self-reported sleep, symptoms (pain and fatigue), and anxiety between children with active and inactive juvenile rheumatoid arthritis (JRA) and examine relations among sleep, symptoms, and anxiety. Methods Two consecutive nights of PSG, self-reported sleep, and symptoms were obtained in 70 children 6–11 years of age with active (n = 35) or inactive (n = 35) JRA. Results On the second (study) night, PSG and self-reported sleep variables were not different, but pain and fatigue were significantly higher (both p <.02) in children with active compared to inactive disease. In a stepwise regression, age, medications, disease status, anxiety, evening pain, total sleep time, and arousals explained 36% of the variance in fatigue and age, disease status, and evening pain were significant (all p <.04) predictors of fatigue. All children showed longer sleep latency and reduced sleep efficiency on the first night in the laboratory. Conclusions Sleep was not altered in children with active JRA, however, the "first night effect" suggests that valid laboratory sleep assessments require an adaptation night.

Key words: fatigue, pain, anxiety; juvenile rheumatoid arthritis; polysomnography; sleep; sleep disturbance.

Received April 27, 2007; revision received November 9, 2007; accepted November 9, 2007


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.