Is childhood abuse a risk factor for chronic pain in adulthood?
Is childhood abuse a risk factor for chronic pain in adulthood?
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DOI：
10.1007/s11916-004-0023-y
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发表时间：
2004-04-01
影响因子：
3.7
通讯作者：
Ciccone, Donald S
中科院分区：
文献类型：
--
作者：
Raphael, Karen G;Chandler, Helena K;Ciccone, Donald S
儿童期性虐待和身体虐待往往被视为在成年后发展和持续慢性疼痛综合症的重要因素。然而，关于这一关系的真实性，早先对这一问题的审查得出了相互矛盾的结论。在这篇关于儿童期虐待和成年痛苦的现有研究的批判性综述中，令人惊讶的是，混合的证据被发现，显著的影响最一致地发现在非常大的横断面研究中，这些研究依赖于自我报告的虐待状况。为数不多的前瞻性研究并不支持这种关系。当从流行病学标准的角度审查文献以推断因果关系时，作者得出结论，证据不能证明因果关系。看来，儿童期虐待和成年后的痛苦之间的任何总体关系，如果确实存在的话，可能都是适度的。并讨论了临床意义和对未来研究方向的建议。
Childhood sexual and physical abuse often are viewed as important factors in the development and persistence of chronic pain syndromes in adulthood. Nevertheless, earlier reviews on this issue have reached conflicting conclusions regarding the veracity of the relationship. In this critical review of existing research on childhood abuse and pain in adulthood, surprisingly mixed evidence is found, with significant effects found most consistently in very large cross-sectional studies that rely on self-reported abuse status. The few prospective studies that are available do not support the relationship. When examining the literature from the perspective of epidemiological standards for inferring causation, the authors conclude that the evidence does not demonstrate a causal relationship. It appears that any overall relationship between childhood abuse and pain in adulthood probably is modest in magnitude, if it exists at all. Clinical implications and suggestions for future research directions are discussed.