Emotional/behavioural, social correlates and one-year predictors of frequent pains among early adolescents: Influences of pain characteristics
Emotional/behavioural, social correlates and one-year predictors of frequent pains among early adolescents: Influences of pain characteristics
复制标题
DOI：
10.1016/j.ejpain.2005.12.014
复制
发表时间：
2007-01-01
影响因子：
3.6
通讯作者：
Sund, Anne Mari
中科院分区：
文献类型：
--
作者：
Larsson, Bo;Sund, Anne Mari
在一项为期一年的纵向研究中，情绪/行为相关因素和四种常见疼痛投诉的预测因素（头痛，胃痛，背痛和四肢疼痛），在2360名12至15岁的青少年的代表性学校样本中进行了检查。在第一次评估时，18.3%的人报告经常疼痛（每周至少一次），40%的疼痛患者有两个或两个以上的疼痛部位，女孩更常见。患有四种常见疼痛中任何一种的受试者报告说，他们的朋友更少，更经常缺课。青少年报告疼痛的频率和数量与内化和外化问题的水平呈正相关。后者的问题是一贯的，并显着较高的青少年经常背部和四肢疼痛，然而，当共存的另一个频繁的疼痛得到控制，差异很小。一年随访时的疼痛次数可通过随访期间频繁的背痛和头痛、抑郁症状评分、躯体主诉（疼痛除外）、朋友数量和休闲活动减少来显著预测。频繁的背部疼痛和抑郁症状也预测多个频繁的疼痛（与单一频繁的疼痛）在后续的最近的父母divorction.It的结论是，各种情绪和行为问题，通常被认为是具体相关的疼痛类型或青少年之间的位置，而依赖于频率和共存的多个频繁的疼痛。因此，对频繁和多发性疼痛的青少年的评估应包括广泛的内在和外在问题以及损害的各个方面的筛查。(C)2006年，国际疼痛研究协会欧洲分会联合会。由爱思唯尔有限公司出版。保留所有权利。
In a one-year longitudinal study, emotional/behavioural correlates and predictors of four common pain complaints (headaches, stomach, back and limb pain), were examined in a representative school sample of 2360 adolescents aged 12- to 15-years.At first assessment, 18.3% reported being bothered by a frequent pain (at least once a week) and 40% of the pain sufferers had two or more pain locations, more commonly reported by girls. Subjects having any of the four frequent pains reported having fewer friends and were more often absent from school. Frequency and number of reported pains among adolescents were positively related to levels of internalising and externalising problems. These latter problems were consistently and significantly higher among adolescents with frequent back and limb pains, however, when coexistence of another frequent pain was controlled, differences were small. Number of pains at the one-year follow-up was significantly predicted by frequent back pain and headache, depressive symptoms scores, somatic complaints (other than pain), number of friends and reduced leisure time activities during the follow-up period. Frequent back pain and depressive symptoms also predicted multiple frequent pains (vs single frequent pain) at the follow-up as did recent parental divorce.It is concluded that various emotional and behavioural problems, and which are commonly regarded as being specifically related to pain type or location among adolescents, depend rather on frequency and coexistence of multiple frequent pains. Assessment of adolescents with frequent and multiple pains should, therefore, include broad screening of internalising as well as externalising problems as well as various aspects of impairment. (C) 2006 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.