Neuroticism prospectively predicts pain among adolescents: results from a nationally representative sample.

Neuroticism prospectively predicts pain among adolescents: results from a nationally representative sample.
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神经质前瞻性地预测青少年的疼痛:来自全国代表性样本的结果。

DOI:
10.1016/j.jpsychores.2014.10.012
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发表时间:
2014
影响因子:
4.7
通讯作者:
Blashill,AaronJ
Blashill,AaronJ
中科院分区:
医学3区
文献类型:
--
作者:
Wilner,JulianneG;Vranceanu,Ana-Maria;Blashill,AaronJ

文献摘要

被引文献

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本研究的目的是评估青少年神经质与头痛和胃痛频率的前瞻性关系。方法参与者是从国家青少年健康纵向研究的第1波(平均年龄16岁)和第2波(平均年龄17岁)中抽样的3,676名青少年(即,添加健康),一个全面的,全国代表性的,纵向数据集。创建二元变量以隔离报告高频率与低/中频率疼痛的参与者。随后,基于第1波神经质,控制第1波疼痛和人口统计学,对第2波疼痛变量进行建模。(比值比= 1.4,95% CI [1.2,1.8],p= 0.001)和第2波时的胃痛(比值比= 1.5,95% CI [1.1,2.0],p= .004).ConclusionsThis是第一个已知的研究,研究和寻找证据的前瞻性关系之间的神经质和疼痛的全国代表性样本的青少年。结果表明,在控制了基线疼痛后,神经质的升高纵向预测了一年后高频疼痛的几率增加。鉴于神经质治疗的最新进展,临床医生应该意识到这些关系,并将多学科治疗纳入对经历高水平疼痛的青少年的护理中。
ObjectiveThe purpose of this study is to assess the prospective relationship of neuroticism to frequency of headaches and stomachaches in adolescents.MethodsParticipants were 3,676 adolescents sampled from Wave 1 (mean age 16) and Wave 2 (mean age 17) of the National Longitudinal Study of Adolescent Health (i.e., Add Health), a comprehensive, nationally representative, longitudinal data set. Binary variables were created to isolate participants who reported high versus low/medium frequency of pain. Subsequently, Wave 2 pain variables were modeled based on Wave 1 neuroticism, controlling for Wave 1 pain and demographics.ResultsElevated neuroticism at Wave 1 prospectively predicted increased odds of high frequency of headaches (odds ratio = 1.4, 95% CI [1.2, 1.8],p= .001) and stomachaches at Wave 2 (odds ratio = 1.5, 95% CI [1.1, 2.0],p= .004).ConclusionsThis is the first known study to examine and find evidence for the prospective relationship between neuroticism and pain among a nationally representative sample of adolescents. Results indicated that after controlling for baseline pain, elevated neuroticism longitudinally predicted increased odds of high frequency of pain, one year later. Given recent advances in treatment for neuroticism, clinicians should be aware of these relationships and incorporate multidisciplinary treatments in the care of adolescents who experience high levels of pain.