A greater number of somatic pain sites is associated with poor mental health in adolescents: a cross-sectional study.
A greater number of somatic pain sites is associated with poor mental health in adolescents: a cross-sectional study.
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DOI：
10.1186/1471-244x-13-30
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发表时间：
2013-01-17
期刊：
影响因子：
4.4
通讯作者：
Nishida A
中科院分区：
文献类型：
--
作者：
Ando S;Yamasaki S;Shimodera S;Sasaki T;Oshima N;Furukawa TA;Asukai N;Kasai K;Mino Y;Inoue S;Okazaki Y;Nishida A
识别青春期心理健康状况不佳的指标是一个重要的公共卫生问题。先前的研究表明躯体疼痛的次数与抑郁症之间存在关联，这些研究主要集中在成年人或使用了狭窄年龄范围的样本。迄今为止，之前的研究结果对于躯体疼痛与学业障碍之间的关系并不一致。因此，本研究的主要目的是：1）利用 12 至 18 岁青少年的社区样本并采用简单的评估方法，调查躯体疼痛部位的数量与心理健康状况不佳之间的关联；2）检查躯体疼痛部位的数量与感知到的学业障碍之间的关联。数据分析是通过对 7 至 12 年级青少年进行的大规模横断面调查进行的。调查了头部、颈部和肩部以及腹部三个躯体疼痛部位的一个月患病率。使用一般健康问卷评估不良的心理健康状况，并使用自我报告问卷测量感知的学业障碍。共有 18,104 名青少年参与了调查。疼痛部位越多与心理健康状况不佳相关，而且这种关联在不同年龄和性别之间都是一致的。任何疼痛部位对心理健康的影响都没有差异。尽管躯体疼痛部位的数量与感知到的学业障碍之间存在关联，但结果表明这种关联是由心理健康状况不佳介导的。用于评估疼痛部位数量的简单报告方法可能是青少年心理健康状况不佳的可行指标。从事青少年工作的专业人士应考虑心理健康状况不佳的可能性，尤其是当学生报告出现多种躯体疼痛时。
Identifying indicators of poor mental health during adolescence is a significant public health issue. Previous studies which suggested an association between the number of somatic pains and depression have mainly focused on adults or have employed samples with a narrow age range. To date, results from previous studies have been inconsistent regarding the association between somatic pain and academic impairment. Therefore, the main aims of the present study were to 1) investigate the association between the number of somatic pain sites and poor mental health using a community sample of adolescents aged 12 to 18 years and employing a simple method of assessment, and 2) examine the association between the number of somatic pain sites and perceived academic impairment. Data analysis was conducted using a large cross-sectional survey of adolescents in grades 7 to 12. The one-month prevalence rates for three sites of somatic pain including head, neck and shoulders, and abdomen were examined. Poor mental health was evaluated using the General Health Questionnaire, and perceived academic impairment was measured using a self-report questionnaire. A total of 18,104 adolescents participated in the survey. A greater number of pain sites was associated with poor mental health, and this association was consistent across age and gender. There was no difference in effect on mental health between any of the pain sites. Although there was an association between the number of somatic pain sites and perceived academic impairment, the results suggested that the association was mediated by poor mental health. Simple reporting methods for assessing the number of pain sites may be a feasible indicator of poor mental health in adolescents. Professionals working with adolescents should consider the possibility of poor mental health, especially when students report multiple somatic pains.