The epidemiology of chronic generalized musculoskeletal pain
The epidemiology of chronic generalized musculoskeletal pain
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DOI：
10.1016/s1521-6942(03)00042-1
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发表时间：
2003-08-01
影响因子：
5.2
通讯作者：
Gran, JT
中科院分区：
文献类型：
--
作者：
Gran, JT
在过去的十年中，慢性广泛的肌肉骨骼疼痛受到了几项流行病学研究的影响。根据这些报告，大约10%的普通人群报告了这类抱怨，这清楚地表明慢性广泛的肌肉骨骼疼痛是西方世界的一个主要健康问题。几乎所有的研究都一致发现，女性抱怨此类问题的比例高于男性，但造成性别比例失衡的机制尚不清楚。慢性广泛的肌肉骨骼疼痛是纤维肌痛的临床标志，已成为许多流行病学研究的主题。据报道，纤维肌痛的患病率为3-5%，再次以女性为主。尽管纤维肌痛和无纤维肌痛其他特征的慢性广泛性肌肉骨骼疼痛的发病机制仍然是一个谜，但有大量证据表明心理和社会文化因素对这类疼痛综合征的发生很重要。
Chronic widespread musculoskeletal pain has been subjected to several epidemiological studies during the last decade. According to these, approximately 10% of the general population report such complaints, clearly indicating chronic widespread musculoskeletal pain as a major health problem in the Western world. Almost unanimously, all studies found higher rates of such complaints among women compared with men, but the mechanisms responsible for the skewed gender ratio remain unknown.Chronic widespread musculoskeletal pain is the clinical hallmark of fibromyalgia and has been the subject of numerous epidemiological studies. The prevalence of fibromyalgia is reportedly 3-5%, again with a significant female predominance. Although the aetiopathogenesis of both fibromyalgia and chronic widespread musculoskeletal pain without other features of fibromyalgia remains an enigma, there is a body of evidence suggesting psychological and sociocultural factors as important for contracting such pain syndromes.