title: Temporal daily associations among sleep and pain in treatment-seeking youth with acute musculoskeletal pain.
abstract: Sleep is an important health risk factor. In the context of pediatric chronic pain, sleep is often impaired and temporal daily associations link sleep deficiency to subsequent increased pain. It is unknown whether similar temporal relationships exist for youth with acute pain. Thus, we characterized sleep in youth with acute musculoskeletal (MSK) pain to examine daily sleep-pain associations. Participants were 67 youth (10-17 years) with acute MSK pain (<1 month duration). Youth underwent eight nights of actigraphic sleep monitoring and completed twice daily pain diaries. Generalized linear models tested nighttime sleep as a predictor of morning pain, and evening pain as a predictor of nighttime sleep. Shorter sleep duration and poorer sleep quality predicted higher morning pain intensity. However, evening pain did not predict nighttime sleep, suggesting the strongest temporal association is in the direction of sleep deficiency impacting next-day pain, as has been found in prior research in youth with chronic pain.
authors.affiliation: Institute on Development and Disability, Oregon Health and Science University, CDRC 707 SW Gaines St., Portland, OR, 97239, USA. holleya@ohsu.edu.
authors.forename: Amy
authors.identifier: http://orcid.org/0000-0002-5274-0882
authors.initials: A
authors.lastname: Lewandowski Holley
authors.affiliation: Seattle Children's Research Institute, Seattle, WA, USA.|Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Rabbitts
authors.affiliation: Seattle Children's Research Institute, Seattle, WA, USA.
authors.forename: Chuan
authors.initials: C
authors.lastname: Zhou
authors.affiliation: Seattle Children's Research Institute, Seattle, WA, USA.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Durkin
authors.affiliation: Seattle Children's Research Institute, Seattle, WA, USA.|Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: Tonya M
authors.initials: TM
authors.lastname: Palermo
mesh_terms: D056044:Actigraphy; D059787:Acute Pain / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D059352:Musculoskeletal Pain / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D059408:Pain Management; D010147:Pain Measurement; D012720:Severity of Illness Index; D012890:Sleep / Q000502:physiology*; D013997:Time Factors
keywords: Actigraphy; Acute pain; Adolescent; Child; Musculoskeletal; Sleep