Demyttenaere Koen, Bruffaerts Ronny, Lee Sing, Posada-Villa José, Kovess Vivianne, Angermeyer Matthias C, Levinson Daphna, de Girolamo Giovanni, Nakane Hideyuki, Mneimneh Zeina, Lara Carmen, de Graaf Ron, Scott Kate Margaret, Gureje Oye, Stein Dan J, Haro Josep Maria, Bromet Evelyn J, Kessler Ronald C, Alonso Jordi, Von Korff Michael
Department of Neurosciences and Psychiatry, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium Department of Psychiatry, The Chinese University of Hong Kong, PR China Colegio Mayor de Cundinamarca University, Saldarriaga Concha Foundation, Colombia Fondation MGEN pour la Sante Publique, Paris, France Department of Psychiatry, University of Leipzig, Germany Research and Planning, Mental health services, Ministry of Health, Israel Department of Mental Health, AUSL di Bologna, Italy Nagasaki International University Graduate School, Nagasaki, Japan Institute for Development, Research, and Applied Care (IDRAC), Lebanon Psiquiatria scola de Medicina da Santa Casa de Misericordia de Vitoria (EMESCAM), Brazil Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands Wellington School of Medicine and Health Sciences, Otago University Department of Psychiatry, University College Hospital, Ibadan, Nigeria Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa Sant Joan de Deu-SSM, Barcelona, Spain SUNY Stony Brook, United States Department of Health Care Policy, Harvard Medical School, Boston, United States Health Services Research Unit, Institut Municipal d'Investigacio Medica (IMIM), Barcelona, Spain Center for Health Studies, Group Health Cooperative, Seattle, United States.
Pain. 2007 Jun;129(3):332-342. doi: 10.1016/j.pain.2007.01.022. Epub 2007 Mar 9.
This paper reports cross-national data concerning back or neck pain comorbidity with mental disorders. We assessed (a) the prevalence of chronic back/neck pain, (b) the prevalence of mental disorders among people with chronic back/neck pain, (c) which mental disorder had strongest associations with chronic back/neck pain, and (d) whether these associations are consistent across countries. Population surveys of community-dwelling adults were carried out in 17 countries in Europe, the Americas, the Middle East, Africa, Asia, and the South Pacific (N=85,088). Mental disorders were assessed with the Composite International Diagnostic Interview, third version (CIDI 3.0): anxiety disorders (generalized anxiety disorder, panic disorder/agoraphobia, posttraumatic stress disorder, and social anxiety disorder), mood disorders (major depression and dysthymia), and alcohol abuse or dependence. Back/neck pain was ascertained by self-report. Between 10% and 42% reported chronic back/neck pain in the previous 12 months. After adjusting for age and sex, mental disorders were more common among persons with back/neck pain than among persons without. The pooled odds ratios were 2.3 [95% CI=2.1-2.5] for mood disorders, 2.2 [95% CI=2.1-2.4] for anxiety disorders, and 1.6 [95% CI=1.4-1.9] for alcohol abuse/dependence in people with versus without chronic back/neck pain. Although prevalence rates of back/neck pain were generally lower than in previous reports, mental disorders were associated with chronic back/neck pain. The strength of association was stronger for mood and anxiety disorders than for alcohol abuse/dependence. The association of mental disorders with back/neck pain showed a consistent pattern across both developed and developing countries.
本文报告了有关背痛或颈痛与精神障碍共病的跨国数据。我们评估了：（a）慢性背痛/颈痛的患病率；（b）慢性背痛/颈痛患者中精神障碍的患病率；（c）哪种精神障碍与慢性背痛/颈痛的关联最强；以及（d）这些关联在不同国家是否一致。对欧洲、美洲、中东、非洲、亚洲和南太平洋17个国家的社区居住成年人进行了人口调查（N = 85,088）。使用复合国际诊断访谈第三版（CIDI 3.0）评估精神障碍：焦虑障碍（广泛性焦虑障碍、惊恐障碍/广场恐惧症、创伤后应激障碍和社交焦虑障碍）、情绪障碍（重度抑郁症和心境恶劣）以及酒精滥用或依赖。背痛/颈痛通过自我报告确定。在之前12个月中，10%至42%的人报告有慢性背痛/颈痛。在调整年龄和性别后，背痛/颈痛患者中的精神障碍比无背痛/颈痛的人更常见。慢性背痛/颈痛患者与无慢性背痛/颈痛患者相比，情绪障碍的合并比值比为2.3 [95% CI = 2.1 - 2.5]，焦虑障碍为2.2 [95% CI = 2.1 - 2.4]，酒精滥用/依赖为1.6 [95% CI = 1.4 - 1.9]。尽管背痛/颈痛的患病率通常低于之前的报告，但精神障碍与慢性背痛/颈痛相关。情绪和焦虑障碍的关联强度比酒精滥用/依赖更强。精神障碍与背痛/颈痛的关联在发达国家和发展中国家都呈现出一致的模式。
