The Unholy Trinity: Childhood Trauma, Adulthood Anxiety, and Long-Term Pain
The Unholy Trinity: Childhood Trauma, Adulthood Anxiety, and Long-Term Pain
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DOI：
10.3390/ijerph17020414
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发表时间：
2020-01-02
影响因子：
--
通讯作者：
Tavel, Peter
中科院分区：
文献类型：
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作者：
Kascakova, Natalia;Furstova, Jana;Tavel, Peter
背景：童年创伤被认为是发展为焦虑和慢性疼痛的危险因素。本研究的目的是评估在普通人群和临床人群中，童年创伤与报告焦虑和长期疼痛状况之间的关系。方法：在2016年和2017年进行的横断面调查中，来自捷克共和国代表性样本的受访者（n = 1800，平均年龄：46.6岁，男性48.7%）和临床诊断为焦虑或适应障碍的患者（n = 67，平均年龄：40.5岁，男性18.0%）被要求报告焦虑、各种慢性和疼痛相关疾病以及儿童创伤（儿童创伤问卷，CTQ）。结果：在普通人群和临床人群中，报告情绪虐待（比值比为2.14 ~ 14.71）、情绪忽视（比值比为2.42 ~ 10.99）或身体忽视（比值比为2.24 ~ 3.30）与报告焦虑和长期疼痛相关，报告身体虐待与报告焦虑或适应障碍并发长期疼痛相关（比值比为4.04 ~ 6.39）。结论：这项研究强调了童年创伤作为一个可能因素的相关性，在普通人群和临床人群中都有助于焦虑和成年期并发疼痛状况。
Background: Childhood trauma is considered to be a risk factor for developing anxiety as well as chronic pain. The aim of this study was to assess the association between childhood trauma and reporting anxiety and long-term pain conditions in the general and clinical populations. Methods: Respondents from a representative sample in the Czech Republic (n = 1800, mean age: 46.6 years, 48.7% male) and patients with a clinically diagnosed anxiety or adjustment disorder (n = 67, mean age: 40.5 years, 18.0% male) were asked to report anxiety, various chronic and pain-related conditions, and childhood trauma (The Childhood Trauma Questionnaire, CTQ) in a cross-sectional questionnaire-based survey conducted in 2016 and 2017. Results: Reporting emotional abuse (Odds ratio OR from 2.14 to 14.71), emotional neglect (OR from 2.42 to 10.99), or physical neglect (OR from 2.24 to 3.30) was associated with reporting anxiety and long-term pain both in the general and clinical populations and reporting physical abuse moreover with reporting anxiety or adjustment disorder with concurrent long-term pain (OR from 4.04 to 6.39). Conclusion: This study highlights the relevance of childhood trauma as a possible factor contributing to anxiety with concurrent pain conditions in adulthood in both the general and clinical populations.