Concurrent and longitudinal associations among insomnia symptoms, internalizing problems, and chronic pain in youth
| Autor: | Mary K. Lynch Milder, Maureen E. McQuillan, Sarah M. Honaker, Megan M. Miller, James Tolley, Martha A. Michel, Adam T. Hirsh, Amy E. Williams |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Health Psychology. 42:15-23 |
| ISSN: | 1930-7810 0278-6133 |
| Popis: | Although insomnia symptoms and chronic pain are associated, less is known about the temporal nature of the associations between these variables or the impact of internalizing symptoms on the associations. Concurrent and longitudinal associations were examined among insomnia symptoms, internalizing symptoms, and pain in youth with chronic pain in this retrospective analysis of clinical records. We hypothesized the following: (a) pain, insomnia symptoms, and internalizing symptoms would be significantly interrelated at all waves, (b) insomnia symptoms would more strongly predict future pain than the reverse, and (c) internalizing symptoms would mediate the longitudinal association between insomnia symptoms and pain.Youth (Pain and insomnia symptoms were positively correlated within each wave. We found bidirectional longitudinal associations between insomnia symptoms and pain.Overall, these data demonstrate a bidirectional relationship between insomnia symptoms and pain, as well as weak support for internalizing symptoms mediating the association between pain and insomnia symptoms. Treatment of youth with chronic pain should prioritize concurrent or early treatment of comorbid insomnia symptoms to maximize response to pain treatment. (PsycInfo Database Record (c) 2023 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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