Evidence map›Paper›PMID 23031311›Full record

ArticleThe journal of pain2012

Longitudinal course and impact of insomnia symptoms in adolescents with and without chronic pain.

Tonya M Palermo, Emily Law, Shervin S Churchill, Amy Walker

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The journal of pain, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03137147 (Intervention for Sleep and Pain in Youth), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03137147 nacompletednot on this mapstarted 2016, after this paper: background citation

Intervention for Sleep and Pain in Youth: A Feasibility Study of Cognitive-Behavioral Intervention

TypeinterventionalSponsorSeattle Children's HospitalRan2016 to 2017Enrolled21ConditionsHeadache Disorders, Migraine Disorders, InsomniaArmsIntervention for Sleep and Pain in Youth
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Efficacy of psychological interventions on sleep in children and adolescents with chronic pain: a systematic review with meta-analysis of randomized controlled trials.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Pediatric Project ECHOBMC medical education · 2023
    Article
  12. Article
  13. Article
  14. Chronic Lumbar Pain and Insomnia in College-Aged Students.Healthcare (Basel, Switzerland) · 2022
    Article
  15. Article
  16. Associations of frequent pain symptoms with excessive daytime sleepiness in adolescents: a longitudinal study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  17. Article
  18. Sleep Deficiency and Pediatric Chronic Pain.The Nursing clinics of North America · 2021
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Tonya M PalermoUniversity of Washington and Seattle Children's Research Institute, Seattle, WA 98145, USA. tonya.palermo@seattlechildrens.org
Emily Law
Shervin S Churchill
Amy Walker
University of Washington · US

Funding

Sleep-wake disturbances in adolescents with chronic painR01HD053431 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2007 to 2011
$1.7M
Innovations in Pediatric Pain ResearchK24HD060068 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2009 to 2018
$1.6M
NICHD NIH HHS K24 HD060068NICHD NIH HHS R01 HD053431NICHD NIH HHS R01HD053431
6 · The paper itself

Abstract

unlabelledThis study aimed to 1) examine trajectories of insomnia symptoms in adolescents with chronic pain compared to their healthy peers; 2) evaluate psychological and behavioral risk factors for longitudinal insomnia symptoms; and 3) evaluate insomnia as a predictor of quality of life, activity limitations, and healthcare utilization over 12 months. Participants included 61 adolescents with chronic pain and 60 youths without chronic pain (12-18 years; 72% female). Questionnaires were completed at enrollment, 6 months, and 12 months and assessed pain intensity, insomnia symptoms, sleep hygiene, presleep arousal, depression, pubertal status, activity limitations, quality of life, and healthcare utilization. Insomnia symptoms persisted for both groups and remained higher at all time points for youths with chronic pain. Generalized estimating equations modeling identified 3 risk factors for longitudinal insomnia symptoms: having chronic pain, poorer sleep hygiene, and higher depressive symptoms. Insomnia symptoms also predicted poorer quality of life over time and were associated with more frequent healthcare utilization. Findings suggest that sleep problems are persistent and associated with negative impact for youths with chronic pain. Treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs. PERSPECTIVE: Insomnia symptoms are persistent over a 12-month period and are associated with negative impact for youths with chronic pain. These findings suggest that treatment of insomnia symptoms in youths with chronic pain may lead to improvements in quality of life and reductions in healthcare costs.

Indexed as

AdolescentArousalChildChronic PainCohort StudiesData Interpretation, StatisticalDelivery of Health CareDemographyDepressionFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMental HealthMotor Activity

Identifiers

PMID23031311
PMCPMC3488154
OpenAlexW1967652637

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.