title: Sleep quality and acute pain severity among young adults with and without chronic pain: the role of biobehavioral factors.
abstract: Adequate sleep is essential for health across the lifespan and is likely to be influenced by different factors among those with chronic pain than among others. Questionnaires were administered to 362 college students, some of whom reported chronic pain from varied sources. Among chronic pain sufferers (n = 108), pain severity was uniquely associated with sleep quality after controlling for gender, BMI, perceived health, health behaviors, depressed mood, perceived stress, and scholastic/interpersonal self-esteem. For these participants, perceived health, alcohol use, pain medication use, and depressed mood were also associated with sleep quality, whereas for participants with non-chronic recent pain (n = 129) only perceived health and depressed mood predicted sleep. Individuals with both chronic pain and high stress had the worst sleep. Stress, alcohol use, pain, and mood may contribute to poor sleep among young adults with pain, which could lead to a cycle of long-term health problems.
authors.affiliation: Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA, USA. jeg32@psu.edu
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Graham
authors.forename: Katherine L
authors.initials: KL
authors.lastname: Streitel
mesh_terms: D000208:Acute Disease; D000328:Adult; D001294:Attitude to Health; D002908:Chronic Disease; D003863:Depression / Q000150:complications / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D010146:Pain / Q000150:complications / Q000523:psychology*; D012649:Self Concept; D057566:Self Report; D012720:Severity of Illness Index; D012727:Sex Characteristics; D012893:Sleep Wake Disorders / Q000150:complications / Q000523:psychology*; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology*
references.citation: Behav Res Ther. 1994 Jan;32(1):9-16
references.pmid: 8135727
references.citation: Clin J Pain. 1997 Jun;13(2):116-37
references.pmid: 9186019
references.citation: Nat Rev Neurosci. 2009 Mar;10(3):199-210
references.pmid: 19209176
references.citation: Sleep Med Rev. 1997 Nov;1(1):45-56
references.pmid: 15310523
references.citation: Curr Neurol Neurosci Rep. 2003 Mar;3(2):97-103
references.pmid: 12583836
references.citation: Pain. 1985 Dec;23(4):345-356
references.pmid: 4088697
references.citation: Nutr Clin Pract. 2009 Oct-Nov;24(5):589-608
references.pmid: 19841247
references.citation: J Sports Med Phys Fitness. 2007 Dec;47(4):462-7
references.pmid: 18091688
references.citation: Clin J Pain. 1997 Jun;13(2):163-70
references.pmid: 9186024
references.citation: Health Psychol. 2004 Sep;23(5):542-5
references.pmid: 15367075
references.citation: Brain Behav Immun. 2006 Jul;20(4):389-400
references.pmid: 16376518
references.citation: Health Psychol. 2007 May;26(3):288-95
references.pmid: 17500615
references.citation: Epidemiology. 2008 Nov;19(6):846-50
references.pmid: 18854711
references.citation: J Behav Med. 2000 Feb;23(1):1-13
references.pmid: 10749008
references.citation: J Am Coll Health. 2001 Nov;50(3):131-5
references.pmid: 11765249
references.citation: J Am Coll Health. 2006 Jan-Feb;54(4):231-7
references.pmid: 16450848
references.citation: Clin J Pain. 1999 Mar;15(1):24-30
references.pmid: 10206564
references.citation: Psychiatry Res. 1989 May;28(2):193-213
references.pmid: 2748771
references.citation: J Sleep Res. 2001 Mar;10(1):59-67
references.pmid: 11285056
references.citation: Sleep Med Rev. 2002 Apr;6(2):97-111
references.pmid: 12531146
references.citation: J Pain Symptom Manage. 2007 Feb;33(2):208-16
references.pmid: 17280926
references.citation: Pain. 2000 Jul;87(1):51-58
references.pmid: 10863045
references.citation: Psychol Bull. 2007 Jul;133(4):581-624
references.pmid: 17592957
references.citation: Biol Psychiatry. 2000 May 15;47(10):921-7
references.pmid: 10807965
references.citation: J Pediatr Psychol. 2007 Sep;32(8):938-49
references.pmid: 17627965
references.citation: Am Psychol. 2000 Jun;55(6):626-36
references.pmid: 10892205
references.citation: Dev Psychol. 2000 May;36(3):291-301
references.pmid: 10830974
references.citation: J Behav Med. 2007 Jun;30(3):187-97
references.pmid: 17410418
references.citation: J Fam Psychol. 2007 Mar;21(1):124-35
references.pmid: 17371117
references.citation: Sleep Med. 2007 Apr;8(3):266-70
references.pmid: 17368977
references.citation: Nat Rev Immunol. 2004 Jun;4(6):457-67
references.pmid: 15173834
references.citation: J Rheumatol. 1998 Jun;25(6):1180-6
references.pmid: 9632083
references.citation: Clin J Pain. 1998 Dec;14(4):311-4
references.pmid: 9874009
references.citation: Alcohol Health Res World. 1998;22(1):61-6
references.pmid: 15706735
references.citation: Sleep Med. 2007 Sep;8(6):602-12
references.pmid: 17383934
references.citation: Health Psychol. 2000 Nov;19(6):586-92
references.pmid: 11129362
references.citation: Chronobiol Int. 2006;23(3):623-37
references.pmid: 16753946
references.citation: J Pain. 2007 Mar;8(3):256-62
references.pmid: 17174608
references.citation: Semin Arthritis Rheum. 2010 Jun;39(6):477-90
references.pmid: 19136144
references.citation: Intensive Crit Care Nurs. 2009 Dec;25(6):314-22
references.pmid: 19880319
references.citation: J Psychosom Res. 2002 Sep;53(3):737-40
references.pmid: 12217446
references.citation: J Am Geriatr Soc. 2005 Jul;53(7 Suppl):S264-71
references.pmid: 15982375
references.citation: Pain. 1996 Dec;68(2-3):363-8
references.pmid: 9121825
references.citation: Brain Behav Immun. 2007 Feb;21(2):131-46
references.pmid: 17175134
references.citation: Headache. 2003 Apr;43(4):362-8
references.pmid: 12656707
references.citation: Chronobiol Int. 2008 Sep;25(5):760-75
references.pmid: 18780202
references.citation: Med Care. 1992 Jun;30(6):473-83
references.pmid: 1593914
references.citation: J Psychosom Res. 2004 Feb;56(2):231-7
references.pmid: 15016583
references.citation: Child Dev. 1998 Aug;69(4):875-87
references.pmid: 9768476
references.citation: Am J Epidemiol. 2009 May 1;169(9):1052-63
references.pmid: 19299406