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青少年慢性特发性疼痛——高患病率和残疾:2008 年的年轻亨氏研究。

Chronic idiopathic pain in adolescence--high prevalence and disability: the young HUNT Study 2008.

机构信息

Department of Laboratory Medicine, Children's and Women's Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway Department of Pediatrics, St. Olavs Hospital, Trondheim, Norway Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway Department of Neurology, Oslo University Hospital, Ullevål and University of Oslo, Norway.

出版信息

Pain. 2011 Oct;152(10):2259-2266. doi: 10.1016/j.pain.2011.05.007. Epub 2011 Jun 16.

DOI:10.1016/j.pain.2011.05.007
PMID:21683528
Abstract

The aim of this study was to determine the prevalence of self-reported chronic idiopathic pain among adolescents in relation to age and gender, and to explore how pain interferes with daily activities. The study was performed in Nord-Trøndelag County, Norway in 2006-2008. All adolescents were invited to participate; the response rate was 78%. Participants completed a comprehensive questionnaire, including questions about pain and interference with everyday life. Chronic idiopathic pain was defined as pain at least once a week during the last 3 months, not related to any known disease or injury. The final study population, with complete pain questionnaires, consisted of 7373 adolescents aged 13-18 years. Chronic pain was reported by 44.4% of the participants, and 25.5% reported pain in at least 2 locations. Chronic idiopathic musculoskeletal pain was most prevalent (33.4%), and the neck/shoulder was most commonly affected. Musculoskeletal pain in 3 or more locations was reported by 8.5%. Pain almost daily was reported by 10.2%. More girls than boys reported pain. In girls, the prevalence of pain increased with age. A high number of pain-associated disabilities were reported, and 58.5% described difficulties doing daily activities in leisure time. Subjective disabilities were higher in girls, and increased with the frequency of pain and the number of pain locations, as shown by high disability in adolescents with musculoskeletal pain in 3 or more locations. Chronic idiopathic pain, especially multisite pain, is common among adolescents, and those suffering from it report a major impact on several areas of daily living.

摘要

本研究旨在确定青少年慢性特发性疼痛的患病率与年龄和性别之间的关系,并探讨疼痛如何干扰日常活动。该研究于 2006-2008 年在挪威特伦德拉格郡进行。所有青少年都被邀请参加,回应率为 78%。参与者完成了一份综合问卷,包括有关疼痛和日常生活干扰的问题。慢性特发性疼痛定义为过去 3 个月每周至少疼痛一次,与任何已知疾病或损伤无关。最终的研究人群包括 7373 名 13-18 岁的青少年,他们完成了完整的疼痛问卷。44.4%的参与者报告有慢性疼痛,25.5%报告有至少 2 个部位的疼痛。慢性特发性肌肉骨骼疼痛最为常见(33.4%),颈部/肩部最常受影响。3 个或更多部位的肌肉骨骼疼痛报告率为 8.5%。几乎每天都有疼痛报告的占 10.2%。报告疼痛的女孩多于男孩。在女孩中,疼痛的患病率随着年龄的增长而增加。报告的与疼痛相关的残疾数量较多,58.5%的人描述在休闲时间进行日常活动有困难。女孩的主观残疾程度较高,且随着疼痛频率和疼痛部位数量的增加而增加,表现为患有 3 个或更多部位肌肉骨骼疼痛的青少年残疾程度较高。慢性特发性疼痛,尤其是多部位疼痛,在青少年中很常见,患病者报告称其对日常生活的多个方面都有重大影响。

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