Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents
Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents
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DOI：
10.1046/j.1526-4610.2002.02178.x
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发表时间：
2002-09-01
期刊：
影响因子：
5
通讯作者：
Larsson, B
中科院分区：
文献类型：
--
作者：
Fichtel, Å;Larsson, B
背景。-头痛与其他疼痛相结合的心理社会影响以前没有得到充分的研究。本研究探讨了头痛的患病率，其与其他疼痛和心理社会影响的comorhood之间的concerns. Methods。从瑞典中部的8所学校招募的样本中的793名青少年进行了评估。45%的青少年在评估期间报告持续疼痛，超过一半的青少年在过去6个月内报告至少一次频繁疼痛。女孩最常见的疼痛是头痛（42%），但男孩肌肉疼痛（32%）最普遍。女孩的疼痛次数和感觉疼痛残疾的次数也高于男孩。三分之一的头痛患者只有头痛，而三分之一的人报告了另一种常见的疼痛，其他人至少有两种其他常见的疼痛。总的来说，经常头痛的青少年除了功能障碍和使用止痛药外，还有更高水平的焦虑或抑郁症状。经常头痛患者报告更多的问题，在日常生活领域比那些不经常头痛。建议经常性头痛的青少年应定期询问其他疼痛，焦虑和抑郁症状，药物使用以及日常生活活动中的心理社会后果。还需要纵向研究来描述心理社会因素和复发性疼痛之间的因果关系，特别是关于可能的性别差异。
Background.-The psychosocial impact of headache combined with other pains has previously been insufficiently investigated.Objective.-The present study examined the prevalence of headache, its comorbidity with other pains and psychosocial impact among adolescents.Methods.-793 adolescents in a sample recruited from 8 schools in the middle of Sweden were assessed.Results.-Forty-five percent of the adolescents reported ongoing pain during assessment and more than half of the adolescents reported at least one frequent pain during the previous 6 months. The most common pain among girls was headache (42%), but for boys muscle pain (32%) was most prevalent. Number of pains and perceived pain disability were also higher among girls than boys. One-third of the headache sufferers had headache only, while one-third reported one other frequent pain and the others had at least two other frequent pains. Overall, adolescents with frequent headaches had higher levels of anxiety or depressive symptoms, in addition to functional disability and usage of analgesic medication. Frequent headache sufferers reported more problems in everyday life areas than those with infrequent headaches.Conclusions.-It is recommended that adolescents suffering from recurrent headaches routinely should be asked about the presence of other pains, anxiety and depressive symptoms, medication usage, in addition to psychosocial consequences in their everyday life activities. Longitudinal research is also needed to delineate causal relationships between psychosocial factors and recurrent pains, in particular regarding possible sex differences.