Pinto-Meza Alejandra, Serrano-Blanco Antoni, Codony Miquel, Reneses Blanca, von Korff Michael, Haro Josep Maria, Alonso Jordi
Sant Joan de Déu-SSM, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España.
Med Clin (Barc). 2006 Sep 9;127(9):325-30. doi: 10.1157/13092313.
Chronic back pain (CBP) and chronic neck pain (CNP) are highly prevalent among the adult population. However, less is known about its comorbidity with other diseases and its impact on global functioning. The objectives of following study, that is part of the ESEMeD-Spain study, are to estimate CBP-CNP prevalence among Spanish population, its comorbidity with other physical and mental conditions, and its impact on global functioning.
Cross-sectional household survey of a representative sample of the population of Spain 18 years or older. Sample size was 5,473 individuals. CBP-CNP and comorbid conditions were ascertained by self-report. Mental disorders were ascertained with the Composite International Diagnostic Interview and global functioning with the WHO Dissability Assessment Schedule. Response rate was 78.6%.
The one year prevalence of chronic CBP-CNP was 14.7%. A 65.7% of people with CBP-CNP reported at least one other comorbid condition, including other chronic pain conditions (49.4%), chronic physical conditions (40.7%), any mood disorders (7.9%), panic disorder (1.3%), posttraumatic stress disorder (1.5%) or generalized anxiety disorder (1.4%). Additionally, CBP-CNP negatively affected global functioning. However, comorbid conditions explained about one-third of the association between CBP-CNP and global functioning.
CBP-CNP is highly prevalent and comorbid with other physical and mental conditions. Comorbidity negatively affects individuals global functioning.
慢性背痛（CBP）和慢性颈痛（CNP）在成年人群中极为普遍。然而，对于其与其他疾病的共病情况及其对整体功能的影响，我们了解得较少。以下这项作为ESEMeD - 西班牙研究一部分的研究的目的，是评估西班牙人群中CBP - CNP的患病率、其与其他身体和精神状况的共病情况，以及其对整体功能的影响。
对西班牙18岁及以上具有代表性的人群样本进行横断面家庭调查。样本量为5473人。CBP - CNP及共病状况通过自我报告确定。精神障碍通过复合国际诊断访谈确定，整体功能通过世界卫生组织残疾评估量表确定。应答率为78.6%。
慢性CBP - CNP的一年患病率为14.7%。65.7%的CBP - CNP患者报告至少有一种其他共病状况，包括其他慢性疼痛状况（49.4%）、慢性身体状况（40.7%）、任何情绪障碍（7.9%）、惊恐障碍（1.3%）、创伤后应激障碍（1.5%）或广泛性焦虑障碍（1.4%）。此外，CBP - CNP对整体功能有负面影响。然而，共病状况解释了CBP - CNP与整体功能之间约三分之一的关联。
CBP - CNP极为普遍，且与其他身体和精神状况共病。共病对个体的整体功能有负面影响。
