Hunfeld J A, Perquin C W, Duivenvoorden H J, Hazebroek-Kampschreur A A, Passchier J, van Suijlekom-Smit L W, van der Wouden J C
Erasmus University Rotterdam, Sophia Children's University Hospital Rotterdam, The Netherland.
J Pediatr Psychol. 2001 Apr-May;26(3):145-53. doi: 10.1093/jpepsy/26.3.145.
To study chronic pain not caused by somatic disease in adolescents and the effect of pain on the quality of life of the adolescents and their families.
One hundred twenty-eight youngsters (12-18 years) who had reported chronic pain kept a 3-week diary of their pain and completed a questionnaire on quality of life. Their mothers completed a questionnaire on the impact of their youngster's pain on the family.
The most prevalent pains were limb pain, headache, abdominal, and back pain. The pain increased during the day, with the highest frequency around dinner time and the highest intensity around bedtime. Girls reported more intense and more frequent pain than boys. The higher the intensity and frequency of the pain, the lower the self-reported quality of life of the female or male adolescent, especially regarding psychological functioning (e.g. feeling less at ease), physical status (a greater incidence of other somatic complaints), and functional status (more impediments to leisure and daily activities). Chronic pain also had a negative impact on family life. The mothers reported restrictions, particularly in social life, and problems dealing with the stress of the adolescent's pain.
Chronic pain, not caused by somatic disease, was present to a higher degree in girls; the pain increased during the day and had a negative impact on quality of life of the adolescents and the family. There is a need for future research aimed at identifying risk factors for chronic pain and pain-associated quality of life in children and adolescents.
研究青少年中并非由躯体疾病引起的慢性疼痛，以及疼痛对青少年及其家庭生活质量的影响。
128名（年龄在12 - 18岁）报告有慢性疼痛的青少年记录了为期3周的疼痛日记，并完成了一份生活质量问卷。他们的母亲完成了一份关于孩子的疼痛对家庭影响的问卷。
最常见的疼痛是肢体疼痛、头痛、腹痛和背痛。疼痛在白天加剧，晚餐时间左右频率最高，就寝时间左右强度最大。女孩报告的疼痛比男孩更强烈、更频繁。疼痛的强度和频率越高，青少年（无论男女）自我报告的生活质量越低，尤其是在心理功能（如感觉不那么自在）、身体状况（其他躯体不适的发生率更高）和功能状态（休闲和日常活动受到更多阻碍）方面。慢性疼痛也对家庭生活产生负面影响。母亲们报告了各种限制，尤其是在社交生活方面，以及应对青少年疼痛压力时出现的问题。
非躯体疾病引起的慢性疼痛在女孩中更为常见；疼痛在白天加剧，对青少年及其家庭的生活质量产生负面影响。未来需要开展研究，以确定儿童和青少年慢性疼痛及与疼痛相关的生活质量的危险因素。
