Emma, a 10-year-old girl, has been experiencing chronic musculoskeletal pain for the past six months. Her parents report that she often has difficulty falling asleep and wakes up frequently throughout the night. Despite trying various bedtime routines, Emma's sleep problems persist, and she frequently complains of feeling tired during the day. Her pediatrician has noted that Emma's pain seems to be worse on days following poor sleep, and her response to pain medication has been inconsistent. Given Emma's chronic pain condition and sleep disturbances, her pediatrician is considering different strategies to help improve her sleep quality and manage her pain more effectively.


Which of the following statements about the relationship between chronic pain and sleep disturbances in children is most accurate?