The association between neck and shoulder discomfort?Katakori?and high somatizing tendency
The association between neck and shoulder discomfort?Katakori?and high somatizing tendency
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颈肩不适“Katakori”与高躯体化倾向之间的关系
DOI：
10.1080/14397595.2018.1551177
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发表时间：
2018
影响因子：
2.2
通讯作者：
Matsudaira Ko
中科院分区：
文献类型：
--
作者：
Fujimoto Yoh;Fujii Tomoko;Oshima Yasushi;Oka Hiroyuki;Tanaka Sakae;Matsudaira Ko
目的：肩颈痛是日本常见的颈部和肩部的不适或隐痛.躯体化倾向对日常生活质量有重要影响。本研究旨在探讨由于片切伤和高躯体化倾向的残疾之间的关联。方法：这项互联网研究包括34,754名日本成年人谁报告片切伤在过去的四周。片睡分为四个等级：1）无片睡，2）日常生活活动（ADL）无困难的片睡，3）ADL有困难但不缺席社交活动的片睡，4）缺席社交活动的片睡。躯体化倾向采用躯体症状量表-8（SSS-8）进行评估。一个非常高的结果：躯体化倾向与Katakori分级显著相关，躯体化倾向与Katakori分级显著相关（P <0.05），躯体化倾向与Katakori分级显著相关（P <0.05（4级与2级的比值比（OR）= 5.36 [4.36-6.60]，3级与2级的比值比（OR）= 2.57 [2.30-2.89]）。在治疗重度片伤伴残疾时，应评估躯体化倾向，以便于更好地管理。
Objectives:‘Katakori’, discomfort or dull pain around the neck and shoulder, is common in Japan. Somatizing tendency is important in the quality of daily living. This study aimed to examine the association between disability due to Katakori and high somatizing tendency.Methods:This internet study included 34,754 Japanese adults who reported Katakori in the past four weeks. Katakori was classified into four grades: 1) no Katakori, 2) Katakori without difficulty in activities for daily living (ADL), 3) Katakori with ADL difficulty but without absence from social activities, and 4) Katakori with absence from social activities. Somatizing tendency was assessed using the Somatic Symptom Scale-8 (SSS-8). The association between a very high (SSS-8 ≥ 16) somatizing tendency and Katakori grade was examined using logistic regression adjusting for age, sex, body mass index, marital status, smoking, regular exercise, low back pain, depression, and the number of chronic conditions.Results:Katakori grade was significantly associated with a very high somatizing tendency (Odds ratio (OR)= 5.36 [4.36–6.60] in grade 4 vs. 2, and OR= 2.57 [2.30–2.89] in grade 3 vs. 2).Conclusion:When treating severe Katakori with disability, somatizing tendency should be assessed to facilitate better management.