Actigraphic sleep and daytime naps in adolescent girls with chronic musculoskeletal pain.
OBJECTIVE
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.
Tsai
Shao-Yu
SY
Family & Child Nursing, University of Washington, Seattle, WA 98195-7266, USA.
Labyak
Susan E
SE
Richardson
Laura P
LP
Lentz
Martha J
MJ
Brandt
Patricia A
PA
Ward
Teresa M
TM
Landis
Carol A
CA
D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D002908:Chronic Disease; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D009140:Musculoskeletal Diseases / Q000150:complications* / Q000503:physiopathology*; D010146:Pain / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D011795:Surveys and Questionnaires; D013997:Time Factors