Georg-Elias-Müller-Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Georg-August-University Göttingen, Gosslerstr. 14, 37073 Göttingen, Germany.
J Pediatr Psychol. 2011 May;36(4):420-32. doi: 10.1093/jpepsy/jsq099. Epub 2011 Feb 24.
The aim of the study was to ascertain the prevalence of multiple pains (MPs) and detect psychosocial risk factors assessed 1 year previously.
MPs were defined by the number of sites where pain was reported to occur at least "sometimes" in a general population sample of 2,219 German youths.
Two or more sites of recurrent pain were reported by 54% of the participants, whereas 27% reported no pains. Girls were much more prone to MPs than boys. Stability of MP was high in the two waves. Regression analysis revealed that prior MP, age, sex, internalizing/externalizing symptoms, and time spent with visual media explained 25% of the variance: the contribution of the psychosocial factors to the model was small. Separate analyses for boys and girls displayed different risk-factor profiles and a higher degree of predictability in girls.
A supposedly biological disposition, namely pain vulnerability, being particularly high in girls, is assumed to build the basis of pains felt in various sites of the body. Further research is needed to corroborate and specify these assumptions.
本研究旨在确定多发性疼痛（MPs）的患病率，并检测 1 年前评估的心理社会风险因素。
在 2219 名德国青年的普通人群样本中，通过报告疼痛发生至少“有时”的部位数量来定义 MPs。
2 个或更多部位反复疼痛的参与者占 54%，而报告无疼痛的参与者占 27%。女孩比男孩更容易发生 MPs。两次随访中 MPs 的稳定性较高。回归分析显示，先前的 MPs、年龄、性别、内外向症状以及与视觉媒体的接触时间可以解释 25%的变异：心理社会因素对模型的贡献很小。对男孩和女孩分别进行的分析显示出不同的风险因素特征，女孩的可预测性更高。
假设存在一种生物易感性，即疼痛易感性，在女孩中尤为明显，这被认为是身体各个部位疼痛的基础。需要进一步的研究来证实和具体说明这些假设。
