Pollock C M, Harries R L, Smith A J, Straker L M, Kendall G E, O'Sullivan P B
School of Psychology, Curtin University, GPO Box U1987, Perth WA 6845, Australia.
Man Ther. 2011 Jun;16(3):246-51. doi: 10.1016/j.math.2010.10.010. Epub 2010 Nov 19.
A cross-sectional study of 1258, 14 year old girls and boys used self-report and physical examination measures to assess neck/shoulder pain in the last month, depressed mood, physical fitness, body composition, self-efficacy, global self-worth, family functioning and social advantage. The data was used to compare the relationship between depressed mood and neck/shoulder pain (NSP) in adolescent girls and boys. The prevalence of NSP in girls (34%, 211/621) was significantly greater than in boys (21%, 134/637; p < .001). After controlling for covariates, girls with medium (OR = 4.28; CI = 2.31-7.92; p < .001) and high depressed mood (OR = 8.63; CI = 4.39-16.98; p < .001) were significantly more likely to report NSP than girls with low depressed mood. Depressed mood was also a significant correlate of NSP in boys after controlling for covariates, although the association was substantially weaker (OR = 2.44; CI = 1.29-4.61; p < .001). After controlling for relevant biological, psychological and social covariates, depressed mood was a significant correlate of NSP in both sexes; but the association between depressed mood and NSP was significantly stronger for girls than for boys.
一项针对1258名14岁青少年（包括女孩和男孩）的横断面研究，采用自我报告和体格检查的方法，评估了他们在过去一个月内的颈部/肩部疼痛、情绪低落、身体素质、身体成分、自我效能感、整体自我价值、家庭功能和社会优势。这些数据用于比较青少年女孩和男孩中情绪低落与颈部/肩部疼痛（NSP）之间的关系。女孩中NSP的患病率（34%，211/621）显著高于男孩（21%，134/637；p <.001）。在控制协变量后，中度情绪低落（OR = 4.28；CI = 2.31 - 7.92；p <.001）和高度情绪低落（OR = 8.63；CI = 4.39 - 16.98；p <.001）的女孩比低度情绪低落的女孩更有可能报告NSP。在控制协变量后，情绪低落也是男孩NSP的一个显著相关因素，尽管这种关联要弱得多（OR = 2.44；CI = 1.29 - 4.61；p <.001）。在控制了相关的生物、心理和社会协变量后，情绪低落是两性NSP的一个显著相关因素；但情绪低落与NSP之间的关联在女孩中比在男孩中显著更强。
