Department of Orthopaedic Surgery and Spinal Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Mod Rheumatol. 2020 Jan;30(1):191-196. doi: 10.1080/14397595.2018.1551177. Epub 2019 Jan 3.
'Katakori', discomfort or dull pain around the neck and shoulder, is common in Japan. Somatizing tendency is important in the quality of daily living. This study aimed to examine the association between disability due to Katakori and high somatizing tendency. This internet study included 34,754 Japanese adults who reported Katakori in the past four weeks. Katakori was classified into four grades: 1) no Katakori, 2) Katakori without difficulty in activities for daily living (ADL), 3) Katakori with ADL difficulty but without absence from social activities, and 4) Katakori with absence from social activities. Somatizing tendency was assessed using the Somatic Symptom Scale-8 (SSS-8). The association between a very high (SSS-8 ≥ 16) somatizing tendency and Katakori grade was examined using logistic regression adjusting for age, sex, body mass index, marital status, smoking, regular exercise, low back pain, depression, and the number of chronic conditions. Katakori grade was significantly associated with a very high somatizing tendency (Odds ratio (OR)= 5.36 [4.36-6.60] in grade 4 vs. 2, and OR= 2.57 [2.30-2.89] in grade 3 vs. 2). When treating severe Katakori with disability, somatizing tendency should be assessed to facilitate better management.
“肩颈痛”是日本常见的一种不适或隐痛症状，躯体化倾向对日常生活质量有重要影响。本研究旨在探讨“肩颈痛”所致残疾与高躯体化倾向之间的关系。本网络研究纳入了 34754 名在过去四周内报告有“肩颈痛”的日本成年人。“肩颈痛”分为四级：1）无症状，2）日常生活活动（ADL）无困难，3）ADL 有困难但不影响社会活动，4）影响社会活动。躯体化倾向采用躯体症状量表-8（SSS-8）评估。采用 logistic 回归模型，在调整年龄、性别、体重指数、婚姻状况、吸烟、定期运动、腰痛、抑郁和慢性疾病数量等因素后，分析了极高躯体化倾向（SSS-8≥16）与“肩颈痛”分级之间的关系。“肩颈痛”分级与极高躯体化倾向显著相关（4 级与 2 级相比，OR=5.36[4.36-6.60]；3 级与 2 级相比，OR=2.57[2.30-2.89]）。在治疗严重残疾所致“肩颈痛”时，应评估躯体化倾向，以促进更好的管理。
