Sleep quality in adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)

Josev, E, Jackson, M, Bei, B, Trinder, J, Harvey, A, Clarke, C, Snodgrass, K, Scheinberg, A and Knight, S 2017, 'Sleep quality in adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)', Journal of Clinical Sleep Medicine, vol. 13, no. 9, pp. 1057-1066.


Document type: Journal Article
Collection: Journal Articles

Title Sleep quality in adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)
Author(s) Josev, E
Jackson, M
Bei, B
Trinder, J
Harvey, A
Clarke, C
Snodgrass, K
Scheinberg, A
Knight, S
Year 2017
Journal name Journal of Clinical Sleep Medicine
Volume number 13
Issue number 9
Start page 1057
End page 1066
Total pages 10
Abstract Study Objectives: Little is known about the type and severity of sleep disturbances in the pediatric chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) population, compared with healthy adolescents. Using a range of objective and subjective measures, the aim of this study was to investigate sleep quality, the relationship between objective and subjective measures of sleep quality, and their associations with anxiety in adolescents with CFS/ME compared with healthy controls. Methods: Twenty-one adolescents with CFS/ME aged 13 to 18 years (mean age 15.57 ± 1.40), and 145 healthy adolescents aged 13 to 18 years (mean age 16.2 ± 1.00) wore actigraphy watches continuously for 2 weeks to collect a number of objective sleep variables. The Pittsburgh Sleep Quality Index was used to obtain a subjective measure of sleep quality. Anxiety was measured by the Spence Children's Anxiety scale. Results: On average over the 2-week period, adolescents with CFS/ME were found to have (1) significantly longer objective sleep onset latency, time in bed, total sleep time, and a later rise time (all P < .005), and (2) significantly poorer subjective sleep quality (P < .001), compared with healthy adolescents. The CFS/ME patient group displayed higher levels of anxiety (P < .05), and in both groups, higher levels of anxiety were significantly related to poorer subjective sleep quality (P < .001). Conclusions: This study provides objective and subjective evidence of sleep disturbance in adolescents with CFS/ME compared with healthy adolescent controls.
Subject Clinical Sciences not elsewhere classified
Paediatrics
Keyword(s) Actigraphy
Adolescent
Chronic fatigue syndrome
Myalgic encephalomyelitis
PSQI
Sleep diary
Sleep quality
DOI - identifier 10.5664/jcsm.6722
ISSN 1550-9389
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