背部和颈部疼痛与青少年的心理健康问题有关。
Back and neck pain are related to mental health problems in adolescence.
机构信息
School of Psychology and Speech Pathology, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
出版信息
BMC Public Health. 2011 May 25;11:382. doi: 10.1186/1471-2458-11-382.
Abstract
BACKGROUND
There is a high prevalence of mental health problems amongst adolescents. In addition there is a high prevalence of spinal pain in this population. Evidence suggests that these conditions are related. This study sought to extend earlier findings by examining the relationship between mental health problems as measured by the Child Behaviour Check List (CBCL) and the experience of back and neck pain in adolescents.
METHODS
One thousand five hundred and eighty participants (mean age 14.1 years) from the Western Australian Pregnancy (Raine) Study provided cross-sectional spinal pain and CBCL data.
RESULTS
As predicted, there was a high prevalence of back and neck pain in this cohort. On the whole, females reported more mental health difficulties than males. There were strong relationships between the majority of symptom scales of the CBCL and back and neck pain. Scores on the CBCL were associated with higher odds of comorbid back and neck pain.
CONCLUSIONS
These findings strongly support the need to consider both psychological and pain symptoms when providing assessments and treatment for adolescents. Further research is required to inform causal models.
摘要
背景
青少年群体中心理健康问题的发生率较高。此外，该人群中脊柱疼痛的发病率也很高。有证据表明，这些情况是相关的。本研究旨在通过检查儿童行为检查表（CBCL）测量的心理健康问题与青少年背部和颈部疼痛的经历之间的关系，来扩展早期的发现。
方法
来自西澳大利亚妊娠（Raine）研究的 1580 名参与者（平均年龄 14.1 岁）提供了横断面脊柱疼痛和 CBCL 数据。
结果
正如预期的那样，该队列中背部和颈部疼痛的发病率很高。总的来说，女性比男性报告更多的心理健康问题。CBCL 的大多数症状量表与背部和颈部疼痛之间存在很强的关系。CBCL 的分数与并发背部和颈部疼痛的更高几率相关。
结论
这些发现强烈支持在为青少年提供评估和治疗时，需要同时考虑心理和疼痛症状。需要进一步的研究来为因果模型提供信息。
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2
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J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S46-60. doi: 10.1016/j.jmpt.2008.11.010.
3
Configurations of common childhood psychosocial risk factors.常见儿童期心理社会风险因素的构成
J Child Psychol Psychiatry. 2009 Apr;50(4):451-9. doi: 10.1111/j.1469-7610.2008.02005.x. Epub 2009 Feb 10.
4
Nosology and measurement in child and adolescent psychiatry.儿童及青少年精神病学中的疾病分类学与测量
J Child Psychol Psychiatry. 2009 Jan;50(1-2):9-15. doi: 10.1111/j.1469-7610.2008.01981.x. Epub 2008 Oct 23.
5
Understanding the potency of stressful early life experiences on brain and body function.了解早期生活压力经历对大脑和身体功能的影响程度。
Metabolism. 2008 Oct;57 Suppl 2(Suppl 2):S11-5. doi: 10.1016/j.metabol.2008.07.006.
6
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8
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9
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Clin J Pain. 2008 Mar-Apr;24(3):226-31. doi: 10.1097/AJP.0b013e3181602131.
10
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