Bruusgaard D, Smedbråten B K, Natvig B
Institute of General Practice and Community Medicine, University of Oslo, Norway.
Acta Paediatr. 2000 May;89(5):597-600. doi: 10.1080/080352500750027925.
It has been suggested that childhood pain could be the beginning of a career with chronic disabling pain. Bodily pain is frequent in children. We examined the association between self-reported bodily pain, mental distress and sleep problems in schoolchildren to test the following hypotheses: (i) that self-reported bodily pain is associated with mental distress and sleep problems, (ii) that the association is dependent on the localization of pain, and (iii) that the association increases with number of painful areas. Eighty-six percent of the pupils (569) in the 4th form (mean age 10.5 y), 7th form (mean age 13.5 y) and 9th form (mean age 15.5 y) from all the schools in a local community answered a questionnaire about self-esteem, body-image, physical activity and bodily pain. We found a strong association between the reporting of pain, mental distress and sleep problems. Pain in the knees was the only problem reported more frequently by boys than by girls, and knee pain did not show the same association with mental distress and sleep problems as pain from other regions.
A possible cause-effect relationship between pain, mental distress and sleep problems is discussed, and the possibility that all the complaints are the simultaneous signs of a multisymptom syndrome is introduced.
有人提出儿童期疼痛可能是慢性致残性疼痛职业生涯的开端。身体疼痛在儿童中很常见。我们研究了学龄儿童自我报告的身体疼痛、精神困扰和睡眠问题之间的关联，以检验以下假设：（i）自我报告的身体疼痛与精神困扰和睡眠问题相关；（ii）这种关联取决于疼痛的部位；（iii）这种关联随着疼痛部位数量的增加而增强。来自当地社区所有学校的四年级（平均年龄10.5岁）、七年级（平均年龄13.5岁）和九年级（平均年龄15.5岁）的学生中有86%（569名）回答了一份关于自尊、身体形象、体育活动和身体疼痛的问卷。我们发现疼痛报告、精神困扰和睡眠问题之间存在很强的关联。膝盖疼痛是男孩比女孩报告更频繁的唯一问题，并且膝盖疼痛与精神困扰和睡眠问题的关联与其他部位疼痛不同。
讨论了疼痛、精神困扰和睡眠问题之间可能的因果关系，并提出了所有这些症状都是多症状综合征同时出现的迹象的可能性。
