Format

Send to

Choose Destination
See comment in PubMed Commons below
Sleep. 2013 Apr 1;36(4):509-16. doi: 10.5665/sleep.2534.

Relationship between sleep and pain in adolescents with juvenile primary fibromyalgia syndrome.

Author information

1
Division of Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

Abstract

STUDY OBJECTIVES:

To investigate sleep quality in adolescents with juvenile primary fibromyalgia syndrome (JPFS) and determine whether sleep abnormalities, including alpha-delta sleep (ADS), correlate with pain intensity. We hypothesized that successful treatment for pain with exercise therapy would reduce ADS and improve sleep quality.

DESIGN:

Single-center preintervention and postintervention (mean = 5.7 ± 1.0 weeks; range = 4.0-7.3 weeks) observational study.

PATIENTS:

Ten female adolescents (mean age = 16.2 ± 0.65 SD yr) who met criteria for JPFS and completed treatment.

INTERVENTIONS:

Multidisciplinary pain treatment, including intensive exercise therapy.

MEASUREMENTS AND RESULTS:

Pain and disability were measured by a pain visual analog scale (VAS) and the functional disability inventory. Subjective sleep measures included a sleep VAS, an energy VAS, and the School Sleep Habits Survey. Objective sleep measures included actigraphy, polysomnography (PSG), and the Multiple Sleep Latency Test. Baseline PSG was compared with that of healthy age- and sex-matched control patients. At baseline, patients had poorer sleep efficiency, more arousals/awakenings, and more ADS (70.3% of total slow wave sleep [SWS] versus 21.9% SWS, P = 0.002) than controls. ADS was unrelated to pain, disability, or subjective sleep difficulty. After treatment, pain decreased (P = 0.000) and subjective sleep quality improved (P = 0.008). Objective sleep quality, including the amount of ADS, did not change.

CONCLUSIONS:

Although perceived sleep quality improved in adolescents with JPFS after treatment, objective measures did not. Our findings do not suggest exercise therapy for pain improves sleep by reducing ADS, nor do they support causal relationships between ADS and chronic pain or subjective sleep quality.

KEYWORDS:

Adolescents; alpha-delta sleep; juvenile primary fibromyalgia syndrome; pain; polysomnography; sleep

PMID:
23564998
PMCID:
PMC3612246
DOI:
10.5665/sleep.2534
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Support Center