Objective and Subjective Assessment of Sleep in Adolescents With Chronic Pain Compared to Healthy Adolescents

Palermo, Tonya M.; Toliver-Sokol, Marisol; Fonareva, Irina; Koh, Jeffrey L.

doi:10.1097/ajp.0b013e318156ca63

Cited by 114 publications

(101 citation statements)

References 44 publications

(38 reference statements)

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“…In adolescence, physical and mental health, as well as school performance and quality of life can be affected by pain [2,[8][9][10][11][12]. Studies that have assessed functional status via questionnaires have found that pain can also impair activities of daily functioning [13][14][15]. Physical inactivity has major health effects worldwide, causing noncommunicable diseases such as cardiovascular disease, diabetes, cancer, and depression [16].…”

Section: Introductionmentioning

confidence: 98%

Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey

et al. 2015

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Section: Introductionmentioning

confidence: 98%

Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey

et al. 2015

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“…Sleep quality and duration are interlinked concepts 12 and can be assessed objectively or subjectively. Empirical evidence has shown that subjective assessment of sleep is more sensitive to difference in sleep patterns 13 and had stronger correlation with clinical conditions 14 (eg, depression) than objective measurements such as polysomnography and actigraphy. 15 It has been well documented that self-reported poor sleep quality or extreme sleep durations (either too short or too long) are related to a wide spectrum of health outcomes of older people, including cognitive impairment, depressive symptoms, physical functioning, mobility disorder, pain, and vitality.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China

Pan

Cong

Zhou³

et al. 2017

Journal of Clinical Sleep Medicine

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Study Objectives: To determine the associations of self-reported sleep quality and duration with health-related quality of life (HRQOL) in older Chinese. Methods: We analyzed community-based cross-sectional data of 5,539 individuals aged 60 years and older in the Weitang Geriatric Disease Study. Information of sleep quality and duration were self-reported through participants' responses to predefined questions; HRQOL data were collected by using the European Quality of Life-5 Dimensions (EQ-5D). We estimated the associations of sleep quality and duration with the EQ-5D index and visual analog scale (VAS) scores using linear regression models. The associations between sleep quality and duration and EQ-5D-detected health problems were modeled using logistic regression. Results: In multiple linear models adjusting sociodemographic factors, health conditions, and lifestyle habits, both EQ-5D index and VAS scores declined with deterioration of sleep quality. The coefficients for poor and intermediate sleep quality were −0.053 (95% confidence interval [CI]:−0.065, −0.042) and −0.022 (95% CI: −0.030, −0.013), respectively, in relation to EQ-5D index score. They were −5.2 (95% CI: −6.7, −2.4) and − 3.8 (95% CI: −4.9, −2.7) in modeling the EQ-5D VAS score. HRQOL declined as sleep duration decreased below 7.01 hours or exceeded 8.01 hours, though most of the associations did not reach statistical significance. In multiple logistic models, poor sleep quality was associated with problems of mobility, pain/discomfort, and anxiety/ depression; short sleep duration was associated with mobility problems. Conclusions: Poor sleep quality and extreme sleep durations appeared to be negatively associated with HRQOL in older Chinese adults. Keywords: China, EQ-5D, health-related quality of life, older adults, sleep duration, sleep quality Citation: Pan CW, Cong X, Zhou HJ, Li J, Sun HP, Xu Y, Wang P. Self-reported sleep quality, duration, and health-related quality of life in older Chinese: evidence from a rural town in Suzhou, China.

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“…We assessed sleep behaviorally using actigraphy and focused specifically on sleep duration, sleep efficiency, and sleep latency because these sleep parameters have been associated with health-relevant outcomes (e.g., prehypertension, parasympathetic functioning, pain, inflammation, insulin resistance) among youth (Hall et al, 2015; Javaheri et al, 2008; Matthews et al, 2012; Michels et al, 2013; Palermo et al, 2007; Rodríguez-Colón et al, 2015). We conceptualize sleep on a continuum, and use the term “poor sleep” to refer to shorter sleep duration, lower sleep efficiency, and longer sleep latency, as has been done in previous research (Doane and Thurston, 2014; Kahlhöfer et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Daily family stress and HPA axis functioning during adolescence: The moderating role of sleep

Chiang

Tsai

Park

et al. 2016

Psychoneuroendocrinology

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The present study examined the moderating role of sleep in the association between family demands and conflict and hypothalamic-pituitary-adrenal (HPA) axis functioning in a sample of ethnically diverse adolescents (n = 316). Adolescents completed daily diary reports of family demands and conflict for 15 days, and wore actigraph watches during the first 8 nights to assess sleep. Participants also provided five saliva samples for 3 consecutive days to assess diurnal cortisol rhythms. Regression analyses indicated that sleep latency and efficiency moderated the link between family demands and the cortisol awakening response. Specifically, family demands were related to a smaller cortisol awakening response only among adolescents with longer sleep latency and lower sleep efficiency. These results suggest that certain aspects of HPA axis functioning may be sensitive to family demands primarily in the context of longer sleep latency and lower sleep efficiency.

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Objective and Subjective Assessment of Sleep in Adolescents With Chronic Pain Compared to Healthy Adolescents

Cited by 114 publications

References 44 publications

Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey

Pain and Moderate to Vigorous Physical Activity in Adolescence: An International Population-Based Survey

Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China

Daily family stress and HPA axis functioning during adolescence: The moderating role of sleep

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