Sleep Health Assessment and Treatment in Children and Adolescents with Chronic Pain: State of the Art and Future Directions

Overview

Journal J Clin Med

Specialty General Medicine

Date 2022 Mar 25

PMID 35329817

Authors

Emily F Law

Agnes Kim

Kelly Ickmans

Tonya M Palermo

Affiliations

Soon will be listed here.

Abstract

Sleep is interrelated with the experience of chronic pain and represents a modifiable lifestyle factor that may play an important role in the treatment of children and adolescents with chronic pain. This is a topical review of assessment and treatment approaches to promote sleep health in children and adolescents with chronic pain, which summarizes: relevant and recent systematic reviews, meta-analyses, and methodologically sound prospective studies and clinical trials. Recommendations are provided for best practices in the clinical assessment and treatment of sleep health in youth with chronic pain. This overview can also provide researchers with foundational knowledge to build upon the best evidence for future prospective studies, assessment and intervention development, and novel clinical trials.

Citing Articles

5HT1R agonist alleviates presurgical prolonged sleep deprivationinduced postsurgical pain in adolescent mice.

Zhu W, Xu X, Xu R, Huang Y, Ma Z Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2025; 49(10):1543-1555.

PMID: 40074303 PMC: 11897974. DOI: 10.11817/j.issn.1672-7347.2024.240499.

Personalized Multimodal Lifestyle Intervention as the Best-Evidenced Treatment for Chronic Pain: State-of-the-Art Clinical Perspective.

Nijs J, Malfliet A, Roose E, Lahousse A, Van Bogaert W, Johansson E J Clin Med. 2024; 13(3).

PMID: 38337338 PMC: 10855981. DOI: 10.3390/jcm13030644.

Temporal Daily Relationships Between Sleep and Pain in Adolescents With Systemic Lupus Erythematosus.

Wi D, Palermo T, Walsh E, Ward T J Pediatr Health Care. 2023; 38(3):365-373.

PMID: 38149951 PMC: 11065602. DOI: 10.1016/j.pedhc.2023.11.016.

Help overcoming pain early, a brief person-centred intervention for adolescents with chronic pain in a school setting, may improve symptoms of insomnia.

Wallbing U, Nilsson S, Lundberg M, Wigert H, Kemani M Front Pain Res (Lausanne). 2023; 4:1264355.

PMID: 38034879 PMC: 10682372. DOI: 10.3389/fpain.2023.1264355.

Association of Neighborhood Characteristics and Chronic Pain in Children and Adolescents in the United States.

Vandeleur D, Cunningham M, Palermo T, Groenewald C Clin J Pain. 2023; 40(3):174-181.

PMID: 38013473 PMC: 10922713. DOI: 10.1097/AJP.0000000000001179.

References

Hoff A, Palermo T, Schluchter M, Zebracki K, Drotar D . Longitudinal relationships of depressive symptoms to pain intensity and functional disability among children with disease-related pain. J Pediatr Psychol. 2005; 31(10):1046-56. PMC: 1635786. DOI: 10.1093/jpepsy/jsj076. View

Malfliet A, Bilterys T, Van Looveren E, Meeus M, Danneels L, Ickmans K . The added value of cognitive behavioral therapy for insomnia to current best evidence physical therapy for chronic spinal pain: protocol of a randomized controlled clinical trial. Braz J Phys Ther. 2018; 23(1):62-70. PMC: 6546904. DOI: 10.1016/j.bjpt.2018.10.007. View

Olufsen I, Sorensen M, Bjorvatn B . New diagnostic criteria for insomnia and the association between insomnia, anxiety and depression. Tidsskr Nor Laegeforen. 2020; 140(1). DOI: 10.4045/tidsskr.19.0041. View

Buysse D . Sleep health: can we define it? Does it matter?. Sleep. 2014; 37(1):9-17. PMC: 3902880. DOI: 10.5665/sleep.3298. View

Peersmann S, van Straten A, Kaspers G, Thano A, van den Bergh E, Grootenhuis M . Does the guided online cognitive behavioral therapy for insomnia "i-Sleep youth" improve sleep of adolescents and young adults with insomnia after childhood cancer? (MICADO-study): study protocol of a randomized controlled trial. Trials. 2021; 22(1):307. PMC: 8077706. DOI: 10.1186/s13063-021-05263-z. View

Finan P, Goodin B, Smith M . The association of sleep and pain: an update and a path forward. J Pain. 2013; 14(12):1539-52. PMC: 4046588. DOI: 10.1016/j.jpain.2013.08.007. View

Finan P, Buenaver L, Coryell V, Smith M . Cognitive-Behavioral Therapy for Comorbid Insomnia and Chronic Pain. Sleep Med Clin. 2014; 9(2):261-274. PMC: 4248667. DOI: 10.1016/j.jsmc.2014.02.007. View

Ward T, Chen M, Landis C, Ringold S, Beebe D, Pike K . Congruence between polysomnography obstructive sleep apnea and the pediatric sleep questionnaire: fatigue and health-related quality of life in juvenile idiopathic arthritis. Qual Life Res. 2016; 26(3):779-788. PMC: 5310971. DOI: 10.1007/s11136-016-1475-3. View

Fisher E, Law E, Dudeney J, Palermo T, Stewart G, Eccleston C . Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev. 2018; 9:CD003968. PMC: 6257251. DOI: 10.1002/14651858.CD003968.pub5. View

10.

Lewandowski A, Palermo T, Peterson C . Age-dependent relationships among pain, depressive symptoms, and functional disability in youth with recurrent headaches. Headache. 2006; 46(4):656-62. DOI: 10.1111/j.1526-4610.2006.00363.x. View

11.

Lewandowski A, Palermo T, de la Motte S, Fu R . Temporal daily associations between pain and sleep in adolescents with chronic pain versus healthy adolescents. Pain. 2010; 151(1):220-225. PMC: 2939216. DOI: 10.1016/j.pain.2010.07.016. View

12.

Palermo T, Putnam J, Armstrong G, Daily S . Adolescent autonomy and family functioning are associated with headache-related disability. Clin J Pain. 2007; 23(5):458-65. DOI: 10.1097/AJP.0b013e31805f70e2. View

13.

Galland B, Meredith-Jones K, Terrill P, Taylor R . Challenges and Emerging Technologies within the Field of Pediatric Actigraphy. Front Psychiatry. 2014; 5:99. PMC: 4139737. DOI: 10.3389/fpsyt.2014.00099. View

14.

Palermo T, Beals-Erickson S, Bromberg M, Law E, Chen M . A Single Arm Pilot Trial of Brief Cognitive Behavioral Therapy for Insomnia in Adolescents with Physical and Psychiatric Comorbidities. J Clin Sleep Med. 2016; 13(3):401-410. PMC: 5337587. DOI: 10.5664/jcsm.6490. View

15.

Law E, Beals-Erickson S, Fisher E, Lang E, Palermo T . Components of Effective Cognitive-Behavioral Therapy for Pediatric Headache: A Mixed Methods Approach. Clin Pract Pediatr Psychol. 2018; 5(4):376-391. PMC: 5830168. DOI: 10.1037/cpp0000216. View

16.

Kashikar-Zuck S, Cunningham N, Sil S, Bromberg M, Lynch-Jordan A, Strotman D . Long-term outcomes of adolescents with juvenile-onset fibromyalgia in early adulthood. Pediatrics. 2014; 133(3):e592-600. PMC: 3934334. DOI: 10.1542/peds.2013-2220. View

17.

Meltzer L, Mindell J . Systematic review and meta-analysis of behavioral interventions for pediatric insomnia. J Pediatr Psychol. 2014; 39(8):932-48. DOI: 10.1093/jpepsy/jsu041. View

18.

Zachariae R, Lyby M, Ritterband L, OToole M . Efficacy of internet-delivered cognitive-behavioral therapy for insomnia - A systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev. 2015; 30:1-10. DOI: 10.1016/j.smrv.2015.10.004. View

19.

Herrero Babiloni A, Beetz G, Tang N, Heinzer R, Nijs J, Martel M . Towards the endotyping of the sleep-pain interaction: a topical review on multitarget strategies based on phenotypic vulnerabilities and putative pathways. Pain. 2020; 162(5):1281-1288. DOI: 10.1097/j.pain.0000000000002124. View

20.

Butbul Aviel Y, Stremler R, Benseler S, Cameron B, Laxer R, Ota S . Sleep and fatigue and the relationship to pain, disease activity and quality of life in juvenile idiopathic arthritis and juvenile dermatomyositis. Rheumatology (Oxford). 2011; 50(11):2051-60. DOI: 10.1093/rheumatology/ker256. View