Behavioral and psychosocial factors associated with insomnia in adolescents with chronic pain

Palermo, Tonya M.; Wilson, Anna; Lewandowski, Amy S.; Toliver-Sokol, Marisol; Murray, Caitlin B.

doi:10.1016/j.pain.2010.09.035

Cited by 109 publications

(114 citation statements)

References 35 publications

(47 reference statements)

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“…27,28 Moreover, insomnia contributes to increased health care utilization and costs among the adult population. Indeed, one report published at the end of the past millennium estimated that insomnia sufferers spent well over $285 million for prescription sleeping pills in 1995 alone, whereas the total annual direct costs of insomnia to the U.S. economy in that year were projected to exceed $90 billion.…”

Section: S P E C I a L S E C T I O Nmentioning

confidence: 99%

Quality Measures for the Care of Patients with Insomnia

Edinger

Buysse

Deriy

et al. 2015

Journal of Clinical Sleep Medicine

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The American Academy of Sleep Medicine (AASM) commissioned fi ve Workgroups to develop quality measures to optimize management and care for patients with common sleep disorders including insomnia. Following the AASM process for quality measure development, this document describes measurement methods for two desirable outcomes of therapy, improving sleep quality or satisfaction, and improving daytime function, and for four processes important to achieving these goals. To achieve the outcome of improving sleep quality or satisfaction, pre-and post-treatment assessment of sleep quality or satisfaction and providing an evidence-based treatment are recommended. To realize the outcome of improving daytime functioning, pre-and post-treatment assessment of daytime functioning, provision of an evidence-based treatment, and assessment of treatment-related side effects are recommended. All insomnia measures described in this report were developed by the Insomnia Quality Measures Workgroup and approved by the AASM Quality Measures Task Force and the AASM Board of Directors. The AASM recommends the use of these measures as part of quality improvement programs that will enhance the ability to improve care for patients with insomnia. Citation: Edinger JD, Buysse DJ, Deriy L, Germain A, Lewin DS, Ong JC, Morgenthaler TI. Quality measures for the care of patients with insomnia. J Clin Sleep Med 2015;11(3):311-334.pii: jc-00028-15 http://dx.doi.org/10.5664/jcsm.4552 I nsomnia is the most prevalent sleep disorder, and it has signifi cant consequences for health and function. Effi cacious treatments exist. However, the approach to management of insomnia is not standardized, particularly outside of sleep medicine centers. The aim of this paper is to describe the development of quality measures that can be applied to the management of insomnia patients across a wide range of ages and care settings.Insomnia is characterized by diffi culties initiating, sustaining, or obtaining qualitatively satisfying sleep despite adequate sleep opportunities and circumstances, resulting in impaired daytime functioning.1,2 Insomnia can occur across the majority of the human lifespan, from childhood years to old age. Over 33% of adults experience insomnia at least intermittently, whereas 10% to 22% suffer chronic sleep diffi culties.3-8 While prevalence data are more sparse for younger age groups, insomnia symptoms may be seen in as many as 20% to 40% children and teenagers, with slightly higher rates among girls and those with symptoms of mood disturbance. 9,10 While its signifi cance is often minimized, 11,12 persistent insomnia is associated with daytime fatigue, decreased mood, impairment in social/vocational functioning or poor school performance, and reduced quality of life.1,2,13-15 Insomnia also increases the risks for serious medical disorders, traffi c and work-site accidents, alcohol/drug abuse, and major psychiatric illnesses. 4,[16][17][18][19][20][21][22] When insomnia is comorbid with a psychiatric illness such as major depression, it c...

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Section: S P E C I a L S E C T I O Nmentioning

confidence: 99%

Quality Measures for the Care of Patients with Insomnia

Edinger

Buysse

Deriy

et al. 2015

Journal of Clinical Sleep Medicine

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“…28 A slightly modified version for adolescent samples was used in the present study. 20,29 Examples of cognitive arousal symptoms include racing thoughts, worry and anxiety at bedtime; somatic arousal symptoms are tense muscles and racing heart prior to falling asleep. A total score is calculated, with subscales for cognitive PSA and somatic PSA.…”

Section: Pre-sleep Arousalmentioning

confidence: 99%

Subjective and Objective Assessment of Sleep in Adolescents with Mild Traumatic Brain Injury

Tham

Fales

Palermo

2015

Journal of Neurotrauma

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There is increased recognition that sleep problems may develop in children and adolescents after mild traumatic brain injury (mTBI). However, few studies have utilized both subjective and objective measures to comprehensively assess sleep problems in the pediatric population following the acute post-TBI period. The aims of this study were to compare sleep in adolescents with mTBI to healthy adolescents using subjective and objective measures, and to identify the clinical correlates associated with sleep problems. One hundred adolescents (50 adolescents with mTBI recruited from three to twelve months post-injury and 50 healthy adolescents) completed questionnaires assessing sleep quality, depression, and pain symptoms, and underwent 10 day actigraphic assessment of sleep patterns. Adolescents with mTBI reported poorer sleep quality and demonstrated significantly shorter actigraphic-measured sleep duration, poorer sleep efficiency, and more wake time after onset of sleep, compared with healthy adolescents (all, p < 0.05). For both groups of adolescents, poorer self-reported sleep quality was predicted by greater depressive symptoms. Poorer actigraphic sleep efficiency was predicted by membership in the mTBI group after controlling for age, sex, depressive symptoms, and presence of pain. Our findings suggest that adolescents may experience subjective and objective sleep disturbances up to one year following mTBI. These findings require further replication in larger samples. Additionally, research is needed to identify possible mechanisms for poor sleep in youth with mTBI.

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“…Etwa 3% aller Kinder und Jugendlichen entwickeln schwer beeinträchtigende chronische Schmerzen mit negativen Auswirkungen auf den Schulbesuch, Freizeitaktivitäten, Kontakt zu Gleichaltrigen und zur Familie sowie mit emotionalen Beeinträchtigungen wie Angst und Depressivität [32,55]. Ein Teil dieser Kinder leidet an zusätzlichen Symptomen wie Schlafstörungen [45,57] oder Fatigue [19]. Bei Kindern und Jugendlichen, die an generalisierten Schmerzen des Bewegungsapparats, zusätzlichen Symptomen und einer druckschmerzhaften Muskulatur leiden, wird auch die Diagnose "juveniles Fibromyalgiesyndrom" (JFMS) verwendet.…”

Section: Definition Diagnostik Und Therapie Von Chronischen Schmerzeunclassified

Definition, Diagnostik und Therapie von chronischen Schmerzen in mehreren Körperregionen und des sogenannten Fibromyalgiesyndroms bei Kindern und Jugendlichen

Zernikow

Gerhold²,

Bürk³

et al. 2012

Schmerz

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The diagnosis FMS in children and adolescents is not established. In so-called juvenile FMS (JFMS) multidimensional diagnostics with validated measures should be performed. Multimodal therapy is warranted. In the case of severe pain-related disability, therapy should be primarily performed on an inpatient basis. The English full-text version of this article is available at SpringerLink (under "Supplemental").

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Behavioral and psychosocial factors associated with insomnia in adolescents with chronic pain

Cited by 109 publications

References 35 publications

Quality Measures for the Care of Patients with Insomnia

Quality Measures for the Care of Patients with Insomnia

Subjective and Objective Assessment of Sleep in Adolescents with Mild Traumatic Brain Injury

Definition, Diagnostik und Therapie von chronischen Schmerzen in mehreren Körperregionen und des sogenannten Fibromyalgiesyndroms bei Kindern und Jugendlichen

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