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一项试点研究:对因青少年原发性纤维肌痛综合征接受评估的青少年女性精神病住院患者的母亲亲属的疼痛、疲劳和压力情况进行研究。

A pilot study: pain, fatigue and stress in maternal relatives of adolescent female psychiatric inpatients assessed for juvenile primary fibromyalgia syndrome.

作者信息

Lommel Karen, Bamford Jaime, Jhavari Malhar, Martin Catherine, Crofford Leslie

机构信息

Division of Rheumatology and College of Public Health, Department of Psychiatry, University of Kentucky, Lexington, KY 40509, USA.

出版信息

Int J Adolesc Med Health. 2011;23(1):59-63. doi: 10.1515/ijamh.2011.010.

Abstract

BACKGROUND

This study was designed to assess the presence of pain and impaired functioning in the maternal relatives of adolescent females in an inpatient adolescent psychiatric population. We compared the relatives of adolescents who met the criteria for juvenile primary fibromyalgia syndrome (JPFS) to relatives of adolescents who did not meet the criteria for JPFS.

METHODS

A total of 55 biological maternal relatives of adolescent females admitted to a psychiatric unit were recruited to participate in the study. Participants completed four self-administered questionnaires: Multidimensional Fatigue Inventory, Fibromyalgia Impact Questionnaire, Medical Outcomes Survey (SF36v2), and the EPIFUND Health Survey.

RESULTS

The maternal relatives of adolescents who met the criteria for JPFS did not score higher than the maternal relatives of adolescents who did not meet the criteria for JPFS. However, all maternal relatives consistently scored higher on self-reported measures of pain, impaired functioning, fatigue, and fibromyalgia symptoms than the average patient diagnosed with fibromyalgia or a chronic pain syndrome.

CONCLUSION

Mood disorders and pain disorders share genetic risk factors and vulnerability. Future research is needed to further delineate other factors impacting the maternal caregivers' functioning. These could include stress associated with an adolescent child with psychiatric issues severe enough to warrant hospitalization.

摘要

背景

本研究旨在评估住院青少年精神科患者中青春期女性母亲亲属的疼痛情况及功能障碍。我们将符合青少年原发性纤维肌痛综合征(JPFS)标准的青少年的亲属与不符合JPFS标准的青少年的亲属进行了比较。

方法

总共招募了55名入住精神科病房的青春期女性的亲生母亲亲属参与本研究。参与者完成了四份自我管理问卷:多维疲劳量表、纤维肌痛影响问卷、医学结局调查(SF36v2)和EPIFUND健康调查。

结果

符合JPFS标准的青少年的母亲亲属得分并不高于不符合JPFS标准的青少年的母亲亲属。然而,所有母亲亲属在自我报告的疼痛、功能障碍、疲劳和纤维肌痛症状测量中得分始终高于被诊断为纤维肌痛或慢性疼痛综合征的普通患者。

结论

情绪障碍和疼痛障碍存在共同的遗传风险因素和易感性。未来需要进一步研究以明确影响母亲照顾者功能的其他因素。这些因素可能包括与患有严重到足以住院的精神疾病的青春期孩子相关的压力。

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