Sleep, stress, neurocognitive profile and health-related quality of life in adolescents with idiopathic musculoskeletal pain

Abstract

OBJECTIVES:The aims of this study were to measure levels of sleep, stress, and depression, as well as health-related quality of life, and to assess the neurocognitive profiles in a sample of adolescents with idiopathic musculoskeletal pain.METHODS:Nineteen adolescents with idiopathic musculoskeletal pain and 20 age-matched healthy control subjects were evaluated regarding their levels of sleep and stress, as well as quality of life, and underwent neurocognitive testing.RESULTS:The sample groups consisted predominantly of females (84%), and the socioeconomic status did not differ between the two groups. In addition, the occurrence of depressive symptoms was similar between the two groups; specifically, 26% of the idiopathic musculoskeletal pain patients and 30% of the control subjects had scores indicative of depression. Teenagers in the group with idiopathic musculoskeletal pain reported poorer quality of life and sleep scores than those in the control group. Regarding stress, patients had worse scores than the control group; whereas 79% of the adolescents with idiopathic musculoskeletal pain met the criteria for a diagnosis of stress, only 35% of the adolescents in the control group met the criteria. In both groups, we observed scores that classified adolescents as being in the resistance phase (intermediate) and exhaustion phase (pathological) of distress. However, the idiopathic musculoskeletal pain group more frequently reported symptomatic complaints of physical and emotional distress. The neurocognitive assessment showed no significant impairments in either group.CONCLUSION:Adolescents with idiopathic musculoskeletal pain did not exhibit cognitive impairments. However, adolescents with idiopathic musculoskeletal pain did experience intermediate to advanced psychological distress and lower health-related quality of life, which may increase their risk of cognitive dysfunction in the future.

Functional resonance magnetic imaging (fMRI) in adolescents with idiopathic musculoskeletal pain: a paradigm of experimental pain

“…Unlike the findings in adults, but corroborating previous studies [ 46 ] for the pediatric population, our negative results for symptoms of stress or depression suggest that, despite a number of complaints and functional impairment, adolescents with IMP do not seem to yet experience significant mood changes found in adults with chronic pain.…”

Problemas de sono em idosos estão associados a sexo feminino, dor e incontinência urinária

“…It is important to emphasize, however, that due to the transversal character of this work, it is not possible to establish the direction of this association. The reduction of sleep quality has been related to musculoskeletal pain both in adults 21,22 and in children and adolescents 23 . Some authors suggest that pain can lead to poor sleep quality in the same way that it leads to an increase in the perception of other daily stressors, due to the greater sensitivity caused by the painful state 23,24 .…”

Maternal Smoking During Pregnancy Is Associated With Offspring’s Musculoskeletal Pain in Adolescence: Structural Equation Modeling

“…The lack of data on pain severity may have caused some overestimation of pain, and the minimal information regarding the nature of pain needs to be considered when interpreting and generalizing these results. However, our pain measure, number of pain sites at 16 years, is a relevant outcome as it is related to reduced quality of life and poorer work ability [3][4][5][6][7][8][9]53 .…”

“…Reporting of recurrent musculoskeletal (MS) pain already begins in pre-adolescence 1 , and is common in adolescence . Multi-site pain is clinically relevant as it reduces quality of life more than single-site pain [3][4][5][6] and causes work disability [7][8][9] . Frequent MS pain in multiple body sites is related to behavioral and emotional problems, pessimistic beliefs regarding pain prognosis, poor mental health, and somatizing tendency 7,10 .…”