van der Donk J, Schouten J S, Passchier J, van Romunde L K, Valkenburg H A
Department of Epidemiology, Erasmus University Rotterdam, The Netherlands.
J Rheumatol. 1991 Dec;18(12):1884-9.
Degenerative changes are considered to be a common cause of neck pain. In addition to this cause, personality traits could contribute to the complaint of neck pain. We investigated the associations of neck pain with personality traits, disc degeneration and osteoarthritis (OA) on radiographs of the cervical spine in a general population of 5,440 men and women between 20 and 65 years of age. Disc degeneration was associated with neck pain in the men but not in the women. OA of the facet joints was not related to neck pain, either in the men or the women, but the personality traits, neuroticism and injuredness, were. Among those with severe disc degeneration or OA of the cervical spine, neuroticism was a strong independent determinant of pain. Our findings show that neuroticism is a more powerful determinant of neck pain than radiological signs of disc degeneration or OA in the general population.
退行性变被认为是颈部疼痛的常见原因。除了这一原因外，人格特质也可能导致颈部疼痛。我们在一个由5440名年龄在20至65岁之间的男性和女性组成的普通人群中，研究了颈部疼痛与人格特质、椎间盘退变和颈椎X线片上的骨关节炎（OA）之间的关联。椎间盘退变与男性的颈部疼痛相关，但与女性无关。小关节骨关节炎在男性和女性中均与颈部疼痛无关，但人格特质、神经质和受伤感与颈部疼痛有关。在患有严重椎间盘退变或颈椎骨关节炎的人群中，神经质是疼痛的一个强有力的独立决定因素。我们的研究结果表明，在普通人群中，神经质比椎间盘退变或骨关节炎的放射学征象更能有力地决定颈部疼痛。
