A Systematic Review of Sleep in Pediatric Pain Populations

Valrie, Cecelia R.; Bromberg, Maggie H.; Palermo, Tonya M.; Schanberg, Laura E.

doi:10.1097/dbp.0b013e31827d5848

Cited by 201 publications

(163 citation statements)

References 89 publications

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“…Accordingly, SCD patients are expected to suffer from sleep disturbances, as it is well established that sleep is disrupted in individuals who suffer from chronic pain in general. A recent review [192] summarized the available information on sleep in the context of pediatric patients with chronic pain, and readers are encouraged to refer to this summary.…”

Section: Erectile Dysfunctionmentioning

confidence: 98%

Hemoglobinopathies and sleep – The road less traveled

Gileles‐Hillel

Kheirandish‐Gozal

Gozal

2015

Sleep Medicine Reviews

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Section: Erectile Dysfunctionmentioning

confidence: 98%

Hemoglobinopathies and sleep – The road less traveled

Gileles‐Hillel

Kheirandish‐Gozal

Gozal

2015

Sleep Medicine Reviews

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“…Pain has shown to be an important contributor to sleep disturbances in children and adolescents with chronic pain. 29 A recent systematic review of sleep disturbances in pediatric chronic pain 29 proposed a complex, bidirectional relationship between sleep and pain that is influenced by physiological and mood variables. The interaction between pain and sleep is yet to be investigated in the pediatric CFS population; however, the coexistence of fibromyalgia was not found to be associated with increased sleep disturbance in adults with CFS.…”

Section: Discussionmentioning

confidence: 99%

Sleep Disturbances in Pediatric Chronic Fatigue Syndrome: A Review of Current Research

Snodgrass

Harvey

Scheinberg

et al. 2015

Journal of Clinical Sleep Medicine

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Objective: Children and adolescents with chronic fatigue syndrome (CFS) frequently report sleep disturbances. However, little is known about the nature and severity of sleep disturbance and factors associated with sleep problems in pediatric CFS. The purpose of this review was to synthesize and critically appraise existing literature relating to sleep disturbances in pediatric CFS. Methods: Embase, CINAHL, PsychINFO, PubMed. and Medline databases were searched to retrieve all studies that included an assessment of sleep in pediatric CFS. Two reviewers independently assessed eligibility, extracted data, and systematically assessed reporting quality. Results: Six studies were included and these were mostly case-controlled designs. Findings varied across studies; however, most studies found that children and adolescents with CFS had signifi cantly more sleep disturbances when compared to healthy controls. Signifi cant methodological variations and limitations were apparent. Conclusions: This review suggests that children and adolescents with CFS experience sleep disturbances. However, results need to be interpreted cautiously given the limited evidence available and its overall low quality. More research is required to elucidate the nature and extent of sleep disturbance in pediatric CFS and should focus on (1) identifying the specifi c types, causes, and severity of sleep disturbances; (2) the specifi c consequences of sleep disturbances; and (3) Originally thought to occur only in adults, it is becoming increasingly recognized within the pediatric population with estimates of incidence ranging from 0.001% to 2%.2-5 With typical age of onset in mid to late adolescence, the effect of CFS often occurs in the critical stages of higher education where missed schooling due to illness can have a major effect on future academic and social outcomes. Sleep problems are commonly reported by children and adolescents with CFS. 6It is well accepted that adequate amount and quality of sleep is crucial for healthy child development and the functional consequences of poor sleep for children and adolescents are well known.7 Although studies show that most children and adolescents with CFS complain of sleep disturbances, 6 the type and severity of sleep disturbance that these children and adolescents experience has not been well characterized. There has been limited investigation of factors that might contribute to sleep disturbances (physiological, psychological, and social) in this group, as well as little or no evidence supporting the effi cacy of sleep interventions in children and adolescents with CFS. Therefore, there is little guidance for clinicians in how to best manage sleep disturbances in this population, which may potentially exacerbate disease burden in this already vulnerable group.

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“…One specific area with growing research interest and evidence from research on adults with musculoskeletal pain is the role of sleep, more specifically sleep problems (quality, quantity, resulting day time tiredness), as both a risk factor and a prognostic factor. 16 Recent reviews, both in adult and in child populations, show that sleep problems are common in those with pain 16,17 and that in adults sleep problems are more likely to precede pain (risk of new episodes of pain) in contrast to pain as a predictor of sleep problems. 16 Previous systematic reviews [18][19][20][21][22][23] on risk factors for musculoskeletal pain onset in children and adolescents have been carried out but have not yet considered the potential role of sleep problems as a risk factor for musculoskeletal pain onset in these populations.…”

Section: Introductionmentioning

confidence: 99%

Are Sleep Problems a Risk Factor for the Onset of Musculoskeletal Pain in Children and Adolescents? A Systematic Review

Andreucci

Campbell

Dunn

2017

Sleep

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Study Objectives: Musculoskeletal pain is a major burden on the society. Adults with sleep problems are at higher risk of musculoskeletal pain onset, but there is no evidence for this relationship in children and adolescents. This study aimed to systematically review prospective studies on the risk of musculoskeletal pain onset in children and adolescents with sleep problems. Methods: Five databases (MEDLINE, PsycINFO, AMED, EMBASE, and HMIC) were systematically searched to identify prospective studies that investigated if children and adolescents (aged 6-19 years) with sleep problems are at higher risk of musculoskeletal pain onset. Included studies were assessed for study quality and a best evidence synthesis was carried out on extracted data. Results: Thirteen prospective studies were identified. Overall, evidence indicates that sleep problems (quality, quantity, and day time tiredness) are not risk factors for musculoskeletal pain onset. Further analysis on specific body regions shows strong evidence that sleep problems are a risk factor for neck pain onset (only in girls) and that sleep problems are not a risk factor for the onset of widespread pain. Conclusions: Overall, sleep problems are not a risk factor for musculoskeletal pain onset in children and adolescents. Increased risk was found for some specific body regions and subgroups, but the evidence base was less strong and generally inconsistent. This review found a lack of quality in research methodology compared to research in adults, and further research with improved methodology is required.

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A Systematic Review of Sleep in Pediatric Pain Populations

Cited by 201 publications

References 89 publications

Hemoglobinopathies and sleep – The road less traveled

Hemoglobinopathies and sleep – The road less traveled

Sleep Disturbances in Pediatric Chronic Fatigue Syndrome: A Review of Current Research

Are Sleep Problems a Risk Factor for the Onset of Musculoskeletal Pain in Children and Adolescents? A Systematic Review

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