Longitudinal Course and Impact of Insomnia Symptoms in Adolescents with and without Chronic Pai (Research Paper Sample)

Article Summary: Longitudinal Course and Impact of InsomniaSymptoms in Adolescents with and without Chronic Pain
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Article Summary: Longitudinal Course and Impact of InsomniaSymptoms in Adolescents with and without Chronic Pain
Introduction
In the article in question, the researchers were seeking to evaluate insomnia symptoms in adolescents who experienced chronic pains and those without such pain. The researchers further sought to establish the associated psychological and behavioural risk factor of insomnia, as an indicator of quality of life through a certain time period ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "abstract" : "This study aimed to 1) examine trajectories of insomnia symptoms in adolescents with chronic pain compared to their healthy peers; 2) evaluate psychological and behavioral risk factors for longitudinal insomnia symptoms; and 3) evaluate insomnia as a predictor of quality of life, activity limitations, and healthcare utilization over 12 months. Participants included 61 adolescents with chronic pain and 60 youths without chronic pain (12\u201318 years; 72% female). Questionnaires were completed at enrollment, 6 months, and 12 months and assessed pain intensity, insomnia symptoms, sleep hygiene, presleep arousal, depression, pubertal status, activity limitations, quality of life, and healthcare utilization. Insomnia symptoms persisted for both groups and remained higher at all time points for youths with chronic pain. Generalized estimating equations modeling identified 3 risk factors for longitudinal insomnia symptoms: having chronic pain, poorer sleep hygiene, and higher depressive symptoms. Insomnia symptoms also predicted poorer quality of life over time and were associated with more frequent healthcare utilization. Findings suggest that sleep problems are persistent and associated with negative impact for youths with chronic pain. Treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs. Perspective: Insomnia symptoms are persistent over a 12-month period and are associated with negative impact for youths with chronic pain. These findings suggest that treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs.", "author" : [ { "dropping-particle" : "", "family" : "Palermo", "given" : "Tonya M.", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Law", "given" : "Emily", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Churchill", "given" : "Shervin S.", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Walker", "given" : "Amy", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "The Journal of Pain", "id" : "ITEM-1", "issue" : "11", "issued" : { "date-parts" : [ [ "2012" ] ] }, "page" : "1099-1106", "title" : "Longitudinal Course and Impact of Insomnia Symptoms in Adolescents With and Without Chronic Pain", "type" : "article-journal", "volume" : "13" }, "uris" : [ "/documents/?uuid=35b0225d-1915-4abc-b391-1c8316d85324" ] } ], "mendeley" : { "previouslyFormattedCitation" : "(Palermo, Law, Churchill, & Walker, 2012)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Palermo et al., 2012). The hypothesis pointed towards chronic pain resulting in insomnia among the many adolescents who experienced these pains. A comorbid association between chronic pains and insomnia was also believed to be fundamental in determining the quality of life for the individuals suffering from the condition.
Previous research indicated a close association between chronic pain the occurrence of insomnia among youths. The researcher believed there could be a comorbid association which resulted in adverse behavioural and psychological effects upon the individuals suffering from the condition ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "abstract" : "This study aimed to 1) examine trajectories of insomnia symptoms in adolescents with chronic pain compared to their healthy peers; 2) evaluate psychological and behavioral risk factors for longitudinal insomnia symptoms; and 3) evaluate insomnia as a predictor of quality of life, activity limitations, and healthcare utilization over 12 months. Participants included 61 adolescents with chronic pain and 60 youths without chronic pain (12\u201318 years; 72% female). Questionnaires were completed at enrollment, 6 months, and 12 months and assessed pain intensity, insomnia symptoms, sleep hygiene, presleep arousal, depression, pubertal status, activity limitations, quality of life, and healthcare utilization. Insomnia symptoms persisted for both groups and remained higher at all time points for youths with chronic pain. Generalized estimating equations modeling identified 3 risk factors for longitudinal insomnia symptoms: having chronic pain, poorer sleep hygiene, and higher depressive symptoms. Insomnia symptoms also predicted poorer quality of life over time and were associated with more frequent healthcare utilization. Findings suggest that sleep problems are persistent and associated with negative impact for youths with chronic pain. Treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs. Perspective: Insomnia symptoms are persistent over a 12-month period and are associated with negative impact for youths with chronic pain. These findings suggest that treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs.", "author" : [ { "dropping-particle" : "", "family" : "Palermo", "given" : "Tonya M.", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Law", "given" : "Emily", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Churchill", "given" : "Shervin S.", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Walker", "given" : "Amy", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "The Journal of Pain", "id" : "ITEM-1", "issue" : "11", "issued" : { "date-parts" : [ [ "2012" ] ] }, "page" : "1099-1106", "title" : "Longitudinal Course and Impact of Insomnia Symptoms in Adolescents With and Without Chronic Pain", "type" : "article-journal", "volume" : "13" }, "uris" : [ "/documents/?uuid=35b0225d-1915-4abc-b391-1c8316d85324" ] } ], "mendeley" : { "previouslyFormattedCitation" : "(Palermo et al., 2012)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Palermo et al., 2012). Depression as a symptom has been utilised in predicting occurrence of insomnia among adolescents. This psychological factor can be observed through the behaviours displayed by individuals suffering from insomnia. Other factors that have been associated with the development of sleeping problems include moods, sleeping habits and behaviours with regard to adolescents. Most of the other research focused on the behavioural and psychological factors, which were associated with the presence of insomnia among adolescents.
Participants
The participants in the context of this research included individuals who had been diagnosed with chronic pains and other adolescents without such problems. The participants with chronic pains were recruited from a paediatric clinic at an academic medical centre in the Northwest. The recruitment was either done through written letters to the participants, or through one on one contact with the participants at the clinic. Inclusion included people aged between 12-18, with constant pain for the last three months and who could understand English fluently ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "abstract" : "This study aimed to 1) examine trajectories of insomnia symptoms in adolescents with chronic pain compared to their healthy peers; 2) evaluate psychological and behavioral risk factors for longitudinal insomnia symptoms; and 3) evaluate insomnia as a predictor of quality of life, activity limitations, and healthcare utilization over 12 months. Participants included 61 adolescents with chronic pain and 60 youths without chronic pain (12\u201318 years; 72% female). Questionnaires were completed at enrollment, 6 months, and 12 months and assessed pain intensity, insomnia symptoms, sleep hygiene, presleep arousal, depression, pubertal status, activity limitations, quality of life, and healthcare utilization. Insomnia symptoms persisted for both groups and remained higher at all time points for youths with chronic pain. Generalized estimating equations modeling identified 3 risk factors for longitudinal insomnia symptoms: having chronic pain, poorer sleep hygiene, and higher depressive symptoms. Insomnia symptoms also predicted poorer quality of life over time and were associated with more frequent healthcare utilization. Findings suggest that sleep problems are persistent and associated with negative impact for youths with chronic pain. Treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs. Perspective: Insomnia symptoms are persistent over a 12-month period and are associated with negative impact for youths with chronic pain. These findings suggest that treatment of insomnia symptoms in youths with chro...