• Rocío de la Vega, Mélanie Racine, Elisabet Sánchez-Rodríguez, Catarina Tomé-Pires, Elena Castarlenas, Mark P Jensen, and Jordi Miró.
• Unit for the Study and Treatment of Pain-ALGOS.
• Pain Med. 2016 Nov 1; 17 (11): 1971-1977.

ObjectivesPain has been shown to be associated with poor sleep quality. The aim of this study was to better understand the role that pain intensity and pain extent (number of painful areas) may play in the sleep quality of young people with acute and chronic pain.DesignCross-sectional survey.Setting And PatientsA convenience sample of adolescents and young adults with acute or chronic pain; 414 individuals ages 12 to 24 (44% with chronic pain).MethodsWe performed a hierarchical regression analysis with sleep as the dependent variable and pain intensity, extent, age and pain chronicity as predictors.ResultsPain extent and pain intensity made significant and independent contributions to the prediction of sleep quality (βs = 0.23 [P < 0.001] and 0.14 [P < 0.01]). Young adults reported poorer sleep than adolescents (β = 0.13, P < 0.01). Two significant interactions emerged: age × intensity (β = 0.39, P < 0.05) and chronicity × intensity (β = 0.88, P < 0.001).ConclusionsSleep quality in young people could be improved by teaching them strategies to better manage pain intensity and pain extent. Clinical trials to evaluate the efficacy of (and best timing for) pain interventions to improve sleep quality are warranted.© 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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