An Electronic Daily Diary Study of Sleep Quality, Pain, and Emotion Regulation in Children with Juvenile Idiopathic Arthritis Public Deposited

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Last Modified
  • March 21, 2019
Creator
  • Bromberg, Maggie Hood
    • Affiliation: College of Arts and Sciences, Department of Psychology and Neuroscience
Abstract
  • Children with juvenile idiopathic arthritis (JIA) experience frequent, fluctuating pain, not fully explained by medical factors. Previous research identifies sleep as an important predictor of pain and daytime functioning. This study extended inquiry on the role of sleep in daily pain by employing electronic daily diaries (e-diaries) that allowed children to report symptoms and behavior in the natural environment 3 times each day. In addition to replicating previous findings that daily and typical sleep quality predict pain intensity (t(2456) = -3.20, p =.001; t(51) = -3.64, p < .001), this study built on research on emotions in the pain-sleep association by testing the role of emotion recovery. The momentary association between sleep quality and pain intensity was moderated by positive emotion recovery. Consistent with current pediatric pain models, sleep and pain were also examined as predictors of functional outcomes (i.e., across aspects of physical, social, and school functioning). Pain intensity mediated the association between daily and typical sleep quality and functional limitations. Findings support ongoing, mechanistic research on pain and sleep in children with JIA and a clinical need to assess sleep and incorporate psychosocial interventions targeting sleep and promoting positive emotions into the care of children with JIA.
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  • In Copyright
Advisor
  • Gil, Karen M.
Degree
  • Doctor of Philosophy
Graduation year
  • 2013
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