Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Center for Child Health, Behavior & Development, Seattle Children's Research Institute, Seattle, WA, USA.
Dev Med Child Neurol. 2018 Jun;60(6):596-601. doi: 10.1111/dmcn.13705. Epub 2018 Feb 22.
Adolescents with physical disabilities may have co-occurring chronic pain, but the prevalence and specific associated factors are unknown. The aims of this study were to determine (1) the prevalence of chronic pain in adolescents with physical disabilities and (2) whether known correlates of chronic pain in the general population are also present in young people both with physical disability and with chronic pain relative to peers.
We conducted a secondary analysis of cross-sectional nationally representative data from the National Longitudinal Study of Adolescent to Adult Health. Multivariate linear regression analysis was used to identify demographic and psychosocial factors associated with chronic pain.
A total of 989 (4.3%) adolescents reported physical disabilities. They had a significantly higher rate of pain (27.2%) compared with able-bodied peers (15.6%, χ =86.3550, p<0.001). There was no significant interaction between physical disability status and chronic pain in relation to depressive symptoms, anxiety, or insomnia.
Adolescents with physical disabilities experience chronic pain at a significantly higher rate than able-bodied peers, but the comorbidity of physical disability and chronic pain is not related to depression, anxiety, or insomnia. Evaluation of chronic pain and tailored pain interventions need to be developed for this population.
Chronic pain and its correlates are important problems for adolescents with physical disabilities. These adolescents present with higher rates of chronic pain than other young people. Chronic pain is associated with increased levels of depressive symptoms, anxiety, and insomnia regardless of disability status.
身体残疾的青少年可能同时患有慢性疼痛，但目前尚不清楚其流行程度和具体的相关因素。本研究的目的是确定：(1)身体残疾青少年慢性疼痛的流行率；(2)在身体残疾和慢性疼痛的青少年中，是否存在与一般人群慢性疼痛相关的已知因素，以及这些因素与同龄人相比是否存在差异。
我们对全国青少年纵向健康研究的代表性横断面数据进行了二次分析。采用多元线性回归分析来确定与慢性疼痛相关的人口统计学和心理社会因素。
共有 989 名（4.3%）青少年报告存在身体残疾。他们的疼痛发生率（27.2%）明显高于身体健全的同龄人（15.6%，χ=86.3550，p<0.001）。身体残疾状况与慢性疼痛在与抑郁症状、焦虑或失眠之间没有显著的交互作用。
身体残疾的青少年经历慢性疼痛的比率明显高于身体健全的同龄人，但身体残疾和慢性疼痛的共病与抑郁、焦虑或失眠无关。需要为这一人群开发慢性疼痛评估和针对性的疼痛干预措施。
慢性疼痛及其相关因素是身体残疾青少年的重要问题。这些青少年的慢性疼痛发生率高于其他年轻人。无论残疾状况如何，慢性疼痛都与更高水平的抑郁症状、焦虑和失眠有关。
