Preliminary data examining associations of fatigue subtypes with pain, pain interference, sleep quality, and affect across 14 days in adolescents with chronic musculoskeletal pain and pain-free controls.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-03-21 DOI:10.1093/jpepsy/jsaf007

Ian A Boggero, James Peugh, Chris D King

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引用次数: 0

Abstract

Objective: This preliminary study analyzed existing data from a larger study to characterize fatigue subtypes (general, cognitive, and sleep-related) across 14 days in adolescents with chronic musculoskeletal (MSK) pain and pain-free controls. A secondary exploratory aim was to determine whether fatigue subtypes were associated with next-day pain intensity, pain interference, sleep quality, or positive or negative affect.

Methods: Participants were 26 adolescents with chronic MSK pain and 26 pain-free controls matched on age and sex who completed a daily diary assessing fatigue subtypes, pain intensity, pain interference, sleep quality, and affect for 14 consecutive nights. Data were aggregated across all nights for between-group comparisons, and dynamic structural equation models were used to determine how fatigue subtypes were associated with pain, sleep, and affect from one day to the next.

Results: Averaging across 14 days, participants in the MSK group reported greater total fatigue and fatigue subtypes than participants in the control group (all p's < .001). Averaging across days, participants in the MSK group reported higher general fatigue than cognitive (p = .03) or sleep-related fatigue (p = .053). In the exploratory within-person analysis, previous day's cognitive fatigue (-0.10, p < .01) and general fatigue (-0.08, p < .01) were associated with worse next-day sleep quality in the MSK pain group. In the control group, cognitive fatigue was associated with greater next-day pain intensity (.04; p < .01) but lower next day pain interference (-0.03; p < .001).

Conclusions: Results preliminarily suggest fatigue subtypes are prevalent and impactful in adolescents with chronic MSK pain. Future replication of results is needed.

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初步数据研究了患有慢性肌肉骨骼疼痛的青少年和无疼痛对照组 14 天内疲劳亚型与疼痛、疼痛干扰、睡眠质量和情绪的关系。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.