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Longitudinal, bidir...
Longitudinal, bidirectional relationships of insomnia symptoms and musculoskeletal pain across adolescence : the mediating role of mood
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- Arnison, Tor, 1984- (author)
- Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Orebro Univ, Sweden
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- Schrooten, Martien G. S., 1978- (author)
- Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Orebro Univ, Sweden
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- Hesser, Hugo, 1982- (author)
- Linköpings universitet,Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden,Psykologi,Filosofiska fakulteten,Orebro Univ, Sweden
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- Jansson-Fröjmark, Markus (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Persson, Jonas, 1971- (author)
- Karolinska Institutet,Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden,Orebro Univ, Sweden; Karolinska Inst, Sweden
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(creator_code:org_t)
- 2021-05-12
- 2022
- English.
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In: Pain. - : Wolters Kluwer. - 0304-3959 .- 1872-6623. ; 163:2, s. 287-298
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Abstract
Subject headings
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- Previous studies have established a bidirectional relationship between sleep and pain, and mood has been proposed as a mediator of this relationship. There are only a limited number of longitudinal studies examining the mediational role of mood, and the directionality of effects between sleep, pain and mood is uncertain. Also, and despite the high prevalence of pain and sleep problems during adolescence, these relationships have rarely been examined in a longitudinal sample of adolescents. Here, longitudinal survey data with five yearly measurements was used to examine the bidirectional relationship between insomnia symptoms and pain across adolescence (Mbaseline age = 13.65 years, Nbaseline = 2766). We also explored if depressed mood, positive affect and anxious mood function as mediators in both directions of the sleep-pain relationship. Utilizing latent variables for insomnia, pain and mood at multiple time-points, the data was analyzed with cross-lagged panel models for longitudinal data with structural equation modeling. Current results confirmed a bidirectional relationship between insomnia symptoms and pain, where the effect of insomnia symptoms on pain was stronger than vice versa. Depressed mood and anxious mood mediated the effect of insomnia symptoms on pain, but not the reverse effect of pain on insomnia symptoms. Positive affect did not serve as a mediator in either direction. These findings add novel insights into the temporal directionality of sleep, pain and mood during adolescence, suggesting a temporal path from sleep to pain, via mood, rather than a reciprocal relationship between the constructs.
Subject headings
- LANTBRUKSVETENSKAPER -- Veterinärmedicin -- Klinisk vetenskap (hsv//swe)
- AGRICULTURAL SCIENCES -- Veterinary Science -- Clinical Science (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Keyword
- Pain
- Sleep
- Longitudinal
- Adolescence
- Mood
- Mediation
- Structural equation modeling
- Insomnia
Publication and Content Type
- ref (subject category)
- art (subject category)
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