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Adolescent girls' m...
Adolescent girls' musculoskeletal pain is more affected by insomnia than boys', and through different psychological pathways
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- Arnison, Tor, Filosofie doktor, 1984- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Institutionen för beteende-, social- och rättsvetenskap,Region Örebro län,Clinical Epidemiology and Biostatistics
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- Evans, Brittany, 1982- (author)
- Örebro universitet,Institutionen för beteende-, social- och rättsvetenskap
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- Schrooten, Martien G. S., 1978- (author)
- Örebro universitet,Institutionen för beteende-, social- och rättsvetenskap
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- Persson, Jonas, 1971- (author)
- Örebro universitet,Institutionen för beteende-, social- och rättsvetenskap,Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
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- Palermo, Tonya M. (author)
- Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, USA; Department of Anesthesiology, Pediatrics & Psychiatry, University of Washington School of Medicine, Seattle, Washington, USA
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(creator_code:org_t)
- 2024
- 2024
- English.
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In: Journal of Pain. - : Elsevier. - 1526-5900 .- 1528-8447.
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Prior research has established that insomnia is predctive of pain in adolescents and that psychological mechanisms have a crucial role in this relationship. Adolescent girls report more insomnia and pain than boys, yet little is known of gender differences in how insomnia influences pain. This study assessed gender differences in levels and trajectories of insomnia and pain during adolescence, and whether rumination and negative mood mediated the effect of insomnia on pain. Longitudinal survey data measured on 5 annual occasions (Nbaseline = 2,767) were analyzed in a multigroup longitudinal serial mediation model. A final model was generated with insomnia as the predictor, rumination and depressed mood as mediators, pain as the outcome, and gender the grouping variable. The results showed that insomnia predicted pain in adolescents, with an effect 3.5 times larger in girls than boys. Depressed mood was the main mediator in boys. In girls, rumination was the only significant mediator. There were significant gender differences in the effects of insomnia on rumination and pain, and in the effects of rumination on depressed mood and pain, with stronger effects in girls. These results highlight that girls and boys should be considered separately when studying the relationship between insomnia and pain. PERSPECTIVE: Levels of insomnia and pain are progressively higher in adolescent girls than boys, across adolescence. The predictive strength of insomnia symptoms for future pain is 3.5 times greater in girls, with distinct gender-specific underlying pathways: rumination partially mediates this effect in girls, while depressed mood does so in boys.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Adolescents
- Depressed Mood
- Gender Differences
- Insomnia
- Mediation
- Pain
- Rumination
- Sleep
- Structural Equation Modeling
Publication and Content Type
- ref (subject category)
- art (subject category)
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