Chronic Pain And Health-Related Quality Of Life In Women With Autism And/Or ADHD: A Prospective Longitudinal Study
Chronic Pain And Health-Related Quality Of Life In Women With Autism And/Or ADHD: A Prospective Longitudinal Study
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DOI：
10.2147/jpr.s212422
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发表时间：
2019-01-01
影响因子：
2.7
通讯作者：
Bergman, Stefan
中科院分区：
文献类型：
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作者：
Asztely, Karin;Kopp, Svenny;Bergman, Stefan
目的：调查一组在儿童时期被诊断患有自闭症谱系障碍 (ASD) 和/或注意缺陷多动障碍 (ADHD) 的女性中慢性疼痛的患病率及其与健康相关生活质量 (HRQoL) 的关系。患者和方法：对 100 名在儿童/青春期被诊断患有 ASD 和/或 ADHD 的瑞典女性进行前瞻性纵向 16-19 年随访研究。目前的子研究纳入了 77 名女性，使用了经过验证的疼痛感知和生活质量测量方法。结果：绝大多数女性 (76.6%) 报告有慢性疼痛。 HRQoL 总体较低，对于那些报告慢性疼痛的人来说，HRQoL 更低。持续接受兴奋剂治疗的 ADHD 女性报告，慢性广泛性疼痛 (CWP) 的患病率显着低于未接受治疗的女性。 结论：慢性疼痛合并症在 ASD 和/或 ADHD 女性中很常见，在临床中解决这一问题很重要，因为它与本来就很低的 HRQoL 相关。在某些情况下，治疗多动症可能会减轻疼痛。
Purpose: To investigate the prevalence of chronic pain and its association with health-related quality of life (HRQoL) in a group of women, diagnosed with autism spectrum disorder (ASD) and/or attention deficit hyperactive disorder (ADHD) in childhood.Patients and methods: Prospective longitudinal 16-19 years follow-up study of 100 Swedish females diagnosed with ASD and/or ADHD in childhood/adolescence. Seventy-seven of the women were included in the current sub-study, using validated measures of pain perception and quality of life.Results: A large majority of the women (76.6%) reported chronic pain. HRQoL was low overall and lower still for those reporting chronic pain. Women with ADHD who had ongoing treatment with stimulants reported a significant lower prevalence of chronic widespread pain (CWP) than those not treated.Conclusion: Comorbidity with chronic pain is common in women with ASD and/or ADHD and important to address in the clinic since it is associated with an already low HRQoL. Treatment for ADHD might reduce the pain in some cases.