Mount Saint Vincent University, Halifax, NS, Canada Dalhousie University and IWK Health Centre, Halifax, NS, Canada St. Mary's University, Halifax, NS, Canada.
Pain. 2011 Dec;152(12):2729-2738. doi: 10.1016/j.pain.2011.07.016.
Chronic and recurrent pain not associated with a disease is very common in childhood and adolescence, but studies of pain prevalence have yielded inconsistent findings. This systematic review examined studies of chronic and recurrent pain prevalence to provide updated aggregated prevalence rates. The review also examined correlates of chronic and recurrent pain such as age, sex, and psychosocial functioning. Studies of pain prevalence rates in children and adolescents published in English or French between 1991 and 2009 were identified using EMBASE, Medline, CINAHL, and PsycINFO databases. Of 185 published papers yielded by the search, 58 met inclusion criteria and were reviewed, and 41 were included in the review. Two independent reviewers screened papers for inclusion, extracted data, and assessed the quality of studies. Prevalence rates ranged substantially, and were as follows: headache: 8-83%; abdominal pain: 4-53%; back pain: 14-24%; musculoskeletal pain: 4-40%; multiple pains: 4-49%; other pains: 5-88%. Pain prevalence rates were generally higher in girls and increased with age for most pain types. Lower socioeconomic status was associated with higher pain prevalence especially for headache. Most studies did not meet quality criteria.
慢性和复发性疼痛与疾病无关，在儿童和青少年中非常常见，但有关疼痛患病率的研究结果并不一致。本系统综述调查了慢性和复发性疼痛的患病率研究，以提供最新的汇总患病率数据。该综述还检查了慢性和复发性疼痛的相关因素，如年龄、性别和心理社会功能。使用 EMBASE、Medline、CINAHL 和 PsycINFO 数据库，检索了 1991 年至 2009 年间以英文或法文发表的儿童和青少年疼痛患病率研究。在检索到的 185 篇已发表的论文中，有 58 篇符合纳入标准并进行了综述，其中 41 篇被纳入综述。两名独立的审查员对纳入的论文进行筛选、提取数据并评估研究质量。患病率差异很大，如下所示：头痛：8-83%；腹痛：4-53%；背痛：14-24%；肌肉骨骼疼痛：4-40%；多种疼痛：4-49%；其他疼痛：5-88%。大多数疼痛类型的女性疼痛患病率较高，且随年龄增长而增加。社会经济地位较低与更高的疼痛患病率相关，尤其是头痛。大多数研究不符合质量标准。
