The purpose of this chapter is to provide an overview of sleep assessment and evidence-based treatment of sleep difficulties in children and adolescents with chronic pain. We begin with a review of sleep measures in a number of domains, providing recommendations of well-established subjective measures that have demonstrated reliability and validity in pediatric pain populations. We review the use of objective measures of sleep, including actigraphy to assess sleep patterns in youth with chronic pain, and polysomnography to assess sleep architecture and diagnose sleep disordered breathing. We describe the indications for referrals for overnight sleep studies. Because of the high prevalence of insomnia in youth with chronic pain we emphasize treatment of insomnia treatment, including an overview of the core strategies. Finally, we illustrate clinical assessment and management of sleep problems in a case example of an adolescent with chronic pain.
1139 An evidence-based clinical guidance designed for managing children and adolescents with sleep problems and associated neurodevelopmental disorders
