A scoping review of chronic pain in emerging adults.
A scoping review of chronic pain in emerging adults.
复制标题
DOI：
10.1097/pr9.0000000000000920
复制
发表时间：
2021
期刊：
影响因子：
4.8
通讯作者：
Wager J
中科院分区：
文献类型：
--
作者：
Brown D;Schenk S;Genent D;Zernikow B;Wager J
补充数字内容在文本中可用。新兴成年人（18-29岁）独特的慢性疼痛经历尚未得到广泛研究。在这里，我们提供了现有证据的综合摘要。许多成人慢性疼痛文献都涉及中年至老年人的典型疼痛队列。到目前为止，很少有研究关注年轻人的慢性疼痛，他们可能有完全不同的疼痛体验。本范围审查旨在通过描述新兴成人（18-29岁）慢性疼痛的患病率、相关因素、结局和疼痛管理来解决这一差距。于2020年2月26日对包括PubMed、Embase、PsycINFO和CINAHL在内的主要电子数据库进行了检索，将数据库的发布日期限制在2019年12月31日。以英语进行的检索策略涵盖了“慢性疼痛”和“年轻人”的检索词组合。共考虑了6,612条记录-删除重复记录后为3,141条。这些记录通过标题和摘要进行筛选; 871通过全文筛选。其中，78篇文章涵盖了患有慢性疼痛的新兴成年人的主题。总的来说，结果表明，5%至30%的新兴成年人经历慢性疼痛，这取决于样本和确切的慢性疼痛定义。最一致的相关因素是女性性别，家族性慢性疼痛，和以前的经验，慢性疼痛的儿童。焦虑、抑郁和睡眠问题似乎在慢性疼痛发作前后都有相关性。疼痛的结果包括学习和工作中断，身体功能较差，以及与疼痛相关的社交干扰。我们观察到，在该队列中专门测试了很少的疼痛治疗。需要更多地持续关注新兴成人的慢性疼痛，以改善长期结局。
Supplemental Digital Content is Available in the Text. The unique chronic pain experience in emerging adults (18–29 years) has not been widely studied. Here, we provide an integrated summary of the available evidence. Much of the adult chronic pain literature addresses pain in typical pain cohorts of middle-aged to older individuals. To date, little research has focused on chronic pain in younger adults, who likely have a completely different pain experience. This scoping review aimed to address this gap by describing the emerging adult (18–29 years) chronic pain experience regarding prevalence, associated factors, outcomes, and pain management. Searches of primary electronic databases including PubMed, Embase, PsycINFO, and CINAHL were performed on February 26, 2020, restricting the publication date from database inception to December 31, 2019. The search strategy, conducted in English, covered search term combinations of “chronic pain” and “young adults.” A total of 6,612 records were considered—3,141 after removing duplicates. These records were screened by title and abstract; 871 through full-text screening. Of these, 78 articles covered the topic of emerging adults with chronic pain. Collectively, results indicated that between 5% and 30% of emerging adults experience chronic pain, depending on the sample and exact chronic pain definition. The most consistent associated factors were female sex, familial chronic pain, and previous experiences of chronic pain in childhood. Anxiety, depression, and sleep issues appeared associated both before and after the onset of chronic pain. Outcomes of pain included interruptions to study and work, poorer physical functioning, and pain-related interference to socializing. We observed that few pain treatments have been tested specifically in this cohort. A greater ongoing focus on chronic pain in emerging adults is required to improve long-lasting outcomes.