Trajectories of pain in adolescents: a prospective cohort study.
Trajectories of pain in adolescents: a prospective cohort study.
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DOI：
10.1016/j.pain.2010.09.006
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发表时间：
2011-01
期刊：
影响因子：
7.4
通讯作者：
Le Resche L
中科院分区：
文献类型：
--
作者：
Dunn KM;Jordan KP;Mancl L;Drangsholt MT;Le Resche L
识别疼痛随时间变化的不同模式（轨迹）有可能提供有关疼痛过程的新信息。描述青少年的发展轨迹将有助于加深对疼痛状况如何发展的理解。这项前瞻性队列研究确定了一般人群 (n = 1336) 中青少年（11-14 岁）的不同疼痛轨迹。对背痛、头痛、胃痛和面部疼痛的自我报告频率进行潜在类别增长分析，每 3 个月收集一次，持续 3 年。 44% 的青少年至少有一个疼痛部位有“疼痛”轨迹，12% 的青少年报告一个或多个疼痛部位持续疼痛。头痛是最常见的。 25% 的受试者处于“痛苦”轨迹，5% 的受试者报告持续疼痛。背痛和胃痛也很常见，分别有 22% 和 21% 的受试者经历过疼痛。面部疼痛是最不常见的，只有 10% 的人经历过疼痛，1% 的人报告持续疼痛。不同疼痛部位的基线轨迹特征相似，越疼痛的轨迹，抑郁和躯体化水平明显越高，生活满意度较低，且女性较多。体力活动水平或体重指数的基线在轨迹上没有显着差异。疼痛部位之间轨迹隶属关系的一致性中等。总之，报告疼痛轨迹在青少年中很常见，但只有少数人报告持续性疼痛，并且通常在单个疼痛部位经历。
Identification of different patterns of change in pain over time – trajectories – has the potential to provide new information on the course of pain. Describing trajectories among adolescents would improve understanding of how pain conditions can develop. This prospective cohort study identified distinct trajectories of pain among adolescents (11–14 years) in the general population (n = 1336). Latent class growth analysis was carried out on the self-reported frequency of back pain, headache, stomach pain and facial pain, which was collected every 3 months for 3 years. Forty four percent of adolescents had a ‘painful’ trajectory for at least one pain site, and 12% reported persistent pain at one or more pain site. Headache was the most common; 25% of subjects were in a ‘painful’ trajectory and 5% reported persistent pain. Back pain and stomach pain were also common, with 22% and 21% of subjects in painful trajectories, respectively. Facial pain was the least common, with only 10% in a painful trajectory, and 1% reporting persistent pain. Trajectory characteristics were similar at baseline across pain sites, with the more painful trajectories having significantly higher levels of depression and somatization, lower life satisfaction and more females. Trajectories did not differ significantly at baseline in physical activity levels or BMI. Agreement of trajectory membership among pain sites was moderate. In summary, reporting a painful trajectory was common among adolescents, but persistent pain was reported by a small minority, and was usually experienced at a single pain site.
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影响因子：
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作者：
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