• J Pediatr Psychol · Apr 2008

    Actigraphic sleep and daytime naps in adolescent girls with chronic musculoskeletal pain.

    • Shao-Yu Tsai, Susan E Labyak, Laura P Richardson, Martha J Lentz, Patricia A Brandt, Teresa M Ward, and Carol A Landis.
    • Family & Child Nursing, University of Washington, Seattle, WA 98195-7266, USA.
    • J Pediatr Psychol. 2008 Apr 1;33(3):307-11.

    ObjectivesA descriptive pilot study to examine sleep and daytime naps in adolescent girls with chronic musculoskeletal (MSK) pain.MethodsSeventeen girls (14.9 +/- 2.0 years) completed questionnaires on anxiety and depressive symptoms during their clinic visit, and maintained a sleep diary and wore an actigraph for 7 days. Parents completed a daily diary of their teen's medications and approaches used to ease pain.ResultsAverage nighttime sleep was 7.2 hr by actigraphy. All participants had mean sleep efficiency <90%. In diaries, 76.5% of the girls reported daytime naps; five girls reported more than three days with naps and more naps were associated with lower sleep efficiency and total nighttime sleep.ConclusionsAdolescent girls with chronic MSK pain may sleep fewer hours at night than is recommended and nap in the daytime to compensate for insufficient nighttime sleep.

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