Associations of adverse childhood experiences and bullying on physical pain in the general population of Germany
Associations of adverse childhood experiences and bullying on physical pain in the general population of Germany
复制标题
DOI：
10.2147/jpr.s169135
复制
发表时间：
2018-01-01
影响因子：
2.7
通讯作者：
Huber-Langs, Markus
中科院分区：
文献类型：
--
作者：
Brown, Rebecca C.;Plener, Paul L.;Huber-Langs, Markus
背景：慢性疼痛是普通人群中常见的负担。儿童虐待和欺凌是慢性疼痛发展的危险因素。本横断面研究的目的是调查儿童虐待、欺凌和疼痛经历在一般人群中的代表性样本的关系。材料与方法：从德国普通人群中共N= 2491人参与研究（M-age = 48.3岁[SD= 18.2]， 53.2%为女性）。使用儿童创伤问卷（CTQ）评估儿童虐待，使用多重创伤结局(POLO)-身体状态域评估疼痛，使用患者健康问卷评估抑郁评分，使用一般焦虑障碍问卷评估焦虑评分。通过计算回归分析来调查欺凌和儿童虐待，以及抑郁、焦虑和性别对疼痛体验的影响。结果：疼痛程度的增加与童年不良经历的数量有显著的相关性。就特定类型的虐待而言，情感虐待的影响最大。霸凌与疼痛的关系显著，但总体上相对温和。在女性中，所有形式的虐待都与疼痛有关，而在男性中，只有性虐待和身体虐待显示出显著的影响。尽管抑郁和焦虑得分与当前疼痛体验显著相关，但它们并没有显著改变儿童虐待对疼痛的影响。结论：在这个普通人群的样本中，不良的童年经历与疼痛显著相关，并表现出累积效应，超过抑郁和焦虑症状。
Background: Chronic pain is a frequent burden in the general population. Child maltreatment and bullying are risk factors for the development of chronic pain. Aim of this cross-sectional study was to investigate the association of child maltreatment and bullying and pain experiences in a representative sample of the general population.Materials and methods: A total of N= 2,491 people from the general population of Germany participated in the study (M-age = 48.3 years [SD= 18.2], 53.2 % female). Child maltreatment was assessed with the Childhood Trauma Questionnaire (CTQ), pain was rated with the Polytrauma Outcome (POLO)-physical state domain, depression scores were assessed with the Patient Health Questionnaire, and anxiety scores via the General Anxiety Disorder Questionnaire. Regression analyses were calculated to investigate the effect of bullying and child maltreatment, as well as depression, anxiety, and gender on pain experiences.Results: A significant correlation between increasing pain levels and number of adverse childhood experiences was found. With regard to specific types of maltreatment, largest effect sizes were found for emotional abuse. Bullying was significantly, but overall rather moderately, related to pain suffering. In women, all forms of maltreatment were associated with pain, while in men only sexual and physical abuse revealed significant effects. Although depression and anxiety scores were significantly associated with the experience of current pain, they did not change the effect of child maltreatment on pain significantly.Conclusion: In this sample of the general population, adverse childhood experiences were significantly associated with pain and showed cumulative effects, over and above depressive and anxiety symptoms.