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.
Family & Child Nursing, University of Washington, Seattle, WA 98195-7266, USA.
Shao-Yu
SY
Tsai
Susan E
SE
Labyak
Laura P
LP
Richardson
Martha J
MJ
Lentz
Patricia A
PA
Brandt
Teresa M
TM
Ward
Carol A
CA
Landis
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