Do pain problems in young school children persist into early adulthood? A 13-year follow-up
Do pain problems in young school children persist into early adulthood? A 13-year follow-up
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DOI：
10.1016/j.ejpain.2003.08.001
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发表时间：
2004-06-01
影响因子：
3.6
通讯作者：
Brattberg, G
中科院分区：
文献类型：
--
作者：
Brattberg, G
设计在一项纵向研究中，1989年首次研究的335名8岁、11岁和14岁的儿童在1991年和2002年进行了两次随访。受试者填写关于疼痛的问卷，前两次在学校，最后一次作为邮寄调查。目的。确定头痛和背痛在上学期间是暂时的，还是在成年后发展为疼痛问题;确定疼痛的预测因素。在2002年的研究中，59%的女性和39%的男性在21岁、24岁和27岁时报告疼痛。在所有三项研究中，共有68例（52例女性，16例男性）或20%的受试者报告了疼痛症状。1989-2002年研究队列中疼痛的累积发生率为31%，1991-2002年为43%。10名疼痛患者中有4人也报告了压力迹象。发现了三个预测因素：8-14岁儿童报告背痛（p < 0.0001）;同一年龄组报告头痛一周一次或更多次（p不大于0.0001）; 10-16岁儿童对“你经常感到紧张吗？（OR = 2.1，95%，CI 1.3-3.4）。当调整了年龄，性别和所有的心理社会风险因素的多元逻辑回归研究，这个问题的积极回答是一个显着的预测疼痛在年轻的成年。10-16岁的青少年对“你觉得很难描述你的感受吗？“是成年早期病理性焦虑的预测因子，但儿童/青少年期感受到的压力并不能预测未来的疼痛或压力。由于儿童和青少年早期的疼痛报告似乎与成年早期的疼痛报告有关，因此应更多地关注这一弱势群体在青春期管理健康不良的方式。(C)2003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。
Design. In a longitudinal study, 335 children ages 8, 11 and 14, first studied in 1989 were followed-up on two occasions in 1991 and 2002. The subjects filled in questionnaires on pain, the first two times in school, the last as a postal survey.Purposes. To determine if headache and back pain during the school years were transitory or if they grew into pain problems in adulthood; to determine predictors of pain.Results. In the 2002 study, 59% of the women and 39% of the men reported pain at 21, 24 and 27 years. A total of 68 (52 women, 16 men) or 20% of the subjects reported pain symptoms in all three studies. The cumulative incidence rate for the presence of pain in the cohort studied was 31% for 1989-2002 and 43% for 1991-2002. Four of the 10 individuals with pain also reported signs of stress. Three predictors were found: reported back pain in 8-14-year-olds (p < 0.0001); reported headaches once a week or more in the same age group (p not greater than 0.0001); and a positive response in the ages 10-16 to the question: "Do you often feel nervous?" (OR = 2.1, 95%,, CI 1.3-3.4). When adjusted for age, sex and all psychosocial risk determinants studied in multiple logistic regression, a positive answer to this question was a significant predictor of pain in young adulthood. A positive response by the 10-16-year-olds to "Do you find it difficult to describe your feelings?" was a predictor of pathological anxiety in early adulthood, but stress perceived in childhood/adolescence did not predict future pain or stress.Conclusions. Since pain reports in childhood and early adolescence seem to be associated with the report of pain in early adulthood, more attention should be given to the way ill-health is managed in adolescence in this vulnerable group. (C) 2003 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.