Longitudinal, bidirectional relationships of insomnia symptoms and musculoskeletal pain across adolescence: the mediating role of mood
| Autor: | Markus Jansson-Fröjmark, Jonas K. E. Persson, Hugo Hesser, Martien G.S. Schrooten, Tor Arnison |
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| Rok vydání: | 2021 |
| Předmět: |
Musculoskeletal pain
Longitudinal sample Insomnia Adolescent Pain Anxious mood Anxiety Klinisk vetenskap behavioral disciplines and activities Structural equation modeling Musculoskeletal Pain Sleep Initiation and Maintenance Disorders Mood mental disorders Humans Medicine Longitudinal Studies High prevalence business.industry Mediation Reverse effect Clinical Science Adolescence Affect Anesthesiology and Pain Medicine Neurology Longitudinal Neurology (clinical) medicine.symptom Sleep business Clinical psychology |
| Zdroj: | Pain. 163:287-298 |
| ISSN: | 1872-6623 0304-3959 |
| Popis: | Previous studies have established a bidirectional relationship between sleep and pain, and mood has been proposed as a mediator of this relationship. There are only a limited number of longitudinal studies examining the mediational role of mood, and the directionality of effects between sleep, pain and mood is uncertain. Also, and despite the high prevalence of pain and sleep problems during adolescence, these relationships have rarely been examined in a longitudinal sample of adolescents. Here, longitudinal survey data with five yearly measurements was used to examine the bidirectional relationship between insomnia symptoms and pain across adolescence (Mbaseline age = 13.65 years, Nbaseline = 2766). We also explored if depressed mood, positive affect and anxious mood function as mediators in both directions of the sleep-pain relationship. Utilizing latent variables for insomnia, pain and mood at multiple time-points, the data was analyzed with cross-lagged panel models for longitudinal data with structural equation modeling. Current results confirmed a bidirectional relationship between insomnia symptoms and pain, where the effect of insomnia symptoms on pain was stronger than vice versa. Depressed mood and anxious mood mediated the effect of insomnia symptoms on pain, but not the reverse effect of pain on insomnia symptoms. Positive affect did not serve as a mediator in either direction. These findings add novel insights into the temporal directionality of sleep, pain and mood during adolescence, suggesting a temporal path from sleep to pain, via mood, rather than a reciprocal relationship between the constructs. Funding agency:Regional Ethics Board of Uppsala 2013/384 |
| Databáze: | OpenAIRE |
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