Baseline musculoskeletal pain and impaired sleep related to school pressure influence the development of musculoskeletal pain in N = 107 adolescents in a 5-year longitudinal study

Rolli Salathé, C.; Kälin, W.; Zilse, Sebastian; Elfering, Achim (2020). Baseline musculoskeletal pain and impaired sleep related to school pressure influence the development of musculoskeletal pain in N = 107 adolescents in a 5-year longitudinal study. European spine journal, 29(3), pp. 540-548. Springer 10.1007/s00586-019-06211-x

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Purpose: This longitudinal study followed 10- to 13-year-old adolescents for five years to investigate the effects of juvenile musculoskeletal (MSK) pain and psychosocial risk factors on future pain. We further predicted that increased MSK pain at follow-up would be positively related to current school pressure at follow-up and negatively related to current sleep quality. Sleep quality was tested as a potential mediator of the link between school pressure and MSK pain at follow-up after controlling for baseline MSK pain.
Methods: The baseline sample comprised 189 adolescents and five-year follow-up resulted in 107 15- to 18-year-old adolescents who had completed mandatory education. Adolescents responded to an online questionnaire about psychosocial stressors, MSK pain, school achievement, and leisure activities. A longitudinal hierarchic linear regression including all significant baseline predictors was run to assess their impact on MSK pain five years later. Mediation analysis was used to investigate sleep quality as a potential mediator of the relationship between school pressure and MSK pain at follow-up.
Results: Baseline MSK pain predicted MSK pain over a time lag of five years (ß = .26, p = .02). The relationship between follow-up school pressure and current MSK pain was mediated by sleep quality at follow-up (B = .17, SEB = .07, CI-95 = .06 to .34) when baseline MSK pain was controlled.
Conclusions: Juvenile MSK pain predicts MSK pain in adolescence. A psychosocial mediation model including school pressure and sleep impairments has the potential to explain MSK pain mechanisms in adolescents.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Psychology > Work and Organisational Psychology

UniBE Contributor:

Rolli Salathé, Cornelia; Kälin, Wolfgang; Zilse, Sebastian and Elfering, Achim

Subjects:

100 Philosophy > 150 Psychology
300 Social sciences, sociology & anthropology

ISSN:

0940-6719

Publisher:

Springer

Language:

English

Submitter:

Christine Soltermann

Date Deposited:

02 Mar 2021 15:04

Last Modified:

02 Mar 2021 16:12

Publisher DOI:

10.1007/s00586-019-06211-x

PubMed ID:

31754821

Uncontrolled Keywords:

Adolescents; Longitudinal analysis; Musculoskeletal pain; Psychosocial risk factors; School characteristics; Sleep quality.

BORIS DOI:

10.48350/152829

URI:

https://boris.unibe.ch/id/eprint/152829

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