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The relationship between parental responses to pain,pain catastrophizing,and adolescent sleep in adolescents with chronic pain
Authors:Kristina Puzino  Jessica W. Guite  Melisa Moore  Margaret O. Lewen  Ariel A. Williamson
Affiliation:1. Education &2. Human Services, College of Education, Lehigh University, Bethlehem, PA;3. Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT;4. Center for Behavioral Health, Connecticut Children’s Medical Center, Hartford, CT;5. Department of Anesthesiology &6. Critical Care Medicine, The Children’s Hospital of Philadelphia, Philadelphia, PA;7. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;8. Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PA;9. The Sleep Center, Children’s Hospital of Philadelphia, Philadelphia, PA;10. Department of Medicine, Children’s Hospital Boston, Boston, MA;11. The Sleep Center, Children’s Hospital of Philadelphia, Philadelphia, PA;12. Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;13. Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
Abstract:This study examines linkages between protective parental responses to pain (PPRP), pain catastrophizing, and adolescent sleep difficulties. Participants included 121 adolescents with chronic musculoskeletal pain and their parents. PPRP were significantly related to adolescent sleep difficulty, with adolescent pain catastrophizing mediating this relationship. PPRP were not related to sleep duration or insomnia symptoms. Adolescent pain catastrophizing was associated with sleep duration and difficulty, but not insomnia. Study findings provide initial evidence for PPRP and pain catastrophizing as potential intervention targets for adolescents with chronic pain, especially in the context of sleep difficulties.
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