CHRONIC MUSCULOSKELETAL PAIN AND DEPRESSIVE SYMPTOMS IN THE NATIONAL-HEALTH AND NUTRITION EXAMINATION .1. EPIDEMIOLOGIC FOLLOW-UP-STUDY
CHRONIC MUSCULOSKELETAL PAIN AND DEPRESSIVE SYMPTOMS IN THE NATIONAL-HEALTH AND NUTRITION EXAMINATION .1. EPIDEMIOLOGIC FOLLOW-UP-STUDY
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DOI：
10.1016/0304-3959(93)90076-2
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发表时间：
1993-05-01
期刊：
影响因子：
7.4
通讯作者：
LUCHINI, SR
中科院分区：
文献类型：
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作者：
MAGNI, G;MARCHETTI, M;LUCHINI, SR
我们在这里报告的后续数据的主题进行了检查，在两个调查由美国卫生统计中心在8年的时间间隔。第一次调查是第一次全国健康和营养检查调查（NHANES-1），8年后进行的第二次调查是全国健康和营养流行病学随访研究（NHEFS）。从3023名受试者的原始样本中，已知153名死亡，留下2870例潜在样本，其中2341例最终在NHEFS中进行了检查。NHANES-1调查中使用的疼痛定义确定了15%的受试者患有持续性疼痛。使用不同的疼痛定义，在NHEFS中，慢性疼痛受试者的频率为32.8%。应用第二个定义，NHANES-1中慢性疼痛受试者的百分比从15上升到20.2。一些最初患有慢性疼痛的受试者（32.5%）在随访时没有疼痛; 59%的随访时患有慢性疼痛的受试者最初没有疼痛。正如最初在NHANES-1中发现的那样，NHEFS中患有慢性疼痛的群体包括更多的女性，老年人和低收入人群。在逻辑回归分析中，在NHEFS中发现的变量之间最强的关系是慢性疼痛和抑郁症之间的关系。使用流行病学研究中心抑郁量表（CESD）上大于或等于20的临界点，16.4%的慢性疼痛受试者患有抑郁症，而无慢性疼痛的受试者为5.7%（校正比值比3.26，置信区间2.4-4.43）。
We report here follow-up data on subjects who were examined in two surveys conducted by the United States Center for Health Statistics at an interval of 8 years. The first survey was the 1st National Health and Nutrition Examination Survey (NHANES-1), and the second conducted 8 years later was the National Health and Nutrition Epidemiologic Follow-up Study (NHEFS). From an original sample of 3023 subjects, 153 were known to be deceased, leaving a potential sample of 2870 cases, of whom 2341 were ultimately examined in the NHEFS. The definition of pain used in the NHANES-1 survey identified 15% of the subjects as suffering from persistent pain. Using a different pain definition, in the NHEFS, the frequency of subjects with chronic pain was 32.8%. Applying this second definition, the percentage of subjects with chronic pain in the NHANES-1 had risen from 15 to 20.2. Some subjects (32.5%) who originally had chronic pain were free from pain at the time of follow-up; 59% of the subjects with chronic pain on follow-up did not have it initially. As found originally in the NHANES-1, the group with chronic pain at the NHEFS comprised significantly more females, older people, and people with lower income. On logistic regression analysis the strongest relationship found at the NHEFS between the variables examined was between chronic pain and depression. Using a cut-off point of greater-than-or-equal-to 20 on the Center for Epidemiologic Studies Depression scale (CESD), 16.4% of the subjects with chronic pain were depressed compared with 5.7% among those with no chronic pain (corrected odds ratio 3.26, confidence intervals 2.4-4.43).