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Insomnia in paediatric chronic pain and its impact on depression and functional disability

M Kanstrup1, L Holmström, R Ringström

  • 1Behavior Medicine Pain Treatment Services, Karolinska University Hospital, Solna, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.

European Journal of Pain (London, England)
|January 21, 2014
PubMed

Insights

Insomnia significantly impacts depression and functional disability in children with chronic pain. The Insomnia Severity Index (ISI) effectively measures sleep issues in this population.

Area of Science:

  • Pediatric Health
  • Sleep Medicine
  • Pain Management

Background:

  • Chronic pain is common in children and adolescents, often co-occurring with insomnia.
  • Sleep disturbances are linked to increased depression and functional disability in pediatric chronic pain patients.
  • Further research is needed to understand the interplay between pain, insomnia, and disability in youth.

Purpose of the Study:

  • To determine the prevalence, severity, and significance of insomnia in pediatric chronic pain patients.
  • To examine insomnia's mediating role in the relationship between pain and depression/functioning.
  • To validate the Swedish translation of the Insomnia Severity Index (ISI) for use with adolescents.

Main Methods:

  • Cross-sectional correlational analysis of data from 154 pediatric chronic pain patients.
  • Patients were referred to a tertiary pain clinic.
  • Statistical evaluation of the Insomnia Severity Index (ISI) psychometric properties.

Main Results:

  • Insomnia significantly predicted variance in depression and functional disability, even after controlling for pain and demographics.
  • Insomnia demonstrated indirect effects on the relationship between pain and both depression and functional disability.
  • The Swedish ISI translation exhibited satisfactory psychometric properties, including internal consistency and concurrent validity.

Conclusions:

  • Insomnia is a critical factor in explaining depression and functional disability in pediatric chronic pain.
  • The Insomnia Severity Index (ISI) is a reliable tool for assessing insomnia in this population.
Abstract

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