有和没有慢性疼痛的青少年的酒精和烟草使用情况。
Alcohol and tobacco use in youth with and without chronic pain.
作者信息
Law Emily F, Bromberg Maggie H, Noel Melanie, Groenewald Cornelius, Murphy Lexa K, Palermo Tonya M
机构信息
Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine and Center for Child Health, Behavior and Development, Seattle Children's Research Institute Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine and Center for Child Health, Behavior and Development, Seattle Children's Research Institute
Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine and Center for Child Health, Behavior and Development, Seattle Children's Research Institute.
出版信息
J Pediatr Psychol. 2015 Jun;40(5):509-16. doi: 10.1093/jpepsy/jsu116. Epub 2015 Jan 22.
OBJECTIVE
To compare rates of alcohol and tobacco use in youth with and without chronic pain and to identify risk factors for use.
METHODS
Participants included 186 youth (95 mixed chronic pain; 91 without chronic pain; 12-18 years old) who reported current alcohol and tobacco use, pain intensity, activity limitations, loneliness, and depressive symptoms.
RESULTS
Adolescents with chronic pain were less likely to use alcohol compared with adolescents without chronic pain (7.4% vs. 22%), and as likely to use tobacco (9% vs. 8%). Across groups, youth with higher depressive symptoms, less loneliness, and fewer activity limitations were more likely to endorse alcohol and tobacco use. Exploratory analyses revealed that risk factors for substance use differed among youth with and without chronic pain.
CONCLUSIONS
Chronic pain may not increase risk for tobacco and alcohol use in adolescents. Research is needed to understand use of other substances in this medically vulnerable population.
目的
比较有慢性疼痛和无慢性疼痛青少年的烟酒使用率，并确定使用的风险因素。
方法
参与者包括186名青少年（95名患有混合性慢性疼痛；91名无慢性疼痛；年龄在12至18岁之间），他们报告了当前的烟酒使用情况、疼痛强度、活动受限情况、孤独感和抑郁症状。
结果
与无慢性疼痛的青少年相比，患有慢性疼痛的青少年饮酒的可能性较小（7.4%对22%），吸烟的可能性相同（9%对8%）。在所有组中，抑郁症状较重、孤独感较少且活动受限较少的青少年更有可能认可烟酒使用。探索性分析显示，有慢性疼痛和无慢性疼痛的青少年使用物质的风险因素有所不同。
结论
慢性疼痛可能不会增加青少年使用烟草和酒精的风险。需要开展研究以了解这一医学上易受伤害人群对其他物质的使用情况。
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