Department of Psychology, University of Bath, Claverton Down, BA2 7AY, Bath, UK.
Centre for Pain Research, University of Bath, Claverton Down, Bath, BA2 7AY, UK.
BMC Psychol. 2024 Nov 6;12(1):629. doi: 10.1186/s40359-024-02126-5.
Adolescents who experience poor mental health may develop chronic pain. Similarly, those with chronic pain may develop mental health symptoms. Little is known concerning how these co-occurring symptoms are associated with adolescent functioning. Our online cross-sectional quantitative study compared the specific nature of challenges to psychosocial functioning, across 4 groups: (1) adolescents with co-occurring chronic pain and mental health symptoms; (2) adolescents who only experience chronic pain symptoms; (3) adolescents who only experience mental health symptoms, and (4) adolescents who do not report either symptom. Participants completed self-report questionnaires assessing pain experiences, mental health symptoms and psychosocial functioning. After controlling for pain intensity, findings revealed significant differences, in physical, social, and family functioning across all groups. Significantly worse physical functioning was reported by adolescents with co-occurring pain and mental health symptoms and those with pain-only symptoms compared with adolescents with mental health-only symptoms and those without symptoms. Social functioning was significantly worse for adolescents who experienced co-occurring chronic pain and mental health symptoms compared with adolescents who experienced pain-only symptoms, and those with no symptoms. Significantly worse family functioning was reported by adolescents with mental health-only symptoms compared with adolescents reporting pain-only symptoms and no symptoms. Results suggest the combined impact of pain and mental health symptoms mainly influences adolescent social functioning. Future research is needed to develop standardised assessment and treatment plans to facilitate a thorough understanding of symptoms presented by adolescents who experience co-occurring pain and mental health symptoms.This study identifies that the combined impact of pain and mental health symptoms influences adolescent social functioning when compared to adolescents who experience pain-only or those without symptoms. Research is needed to develop standardised assessment and treatment plans to fully understand the symptoms presented by adolescents with co-occurring symptoms.
经历心理健康不良的青少年可能会发展为慢性疼痛。同样，患有慢性疼痛的人也可能会出现心理健康症状。对于这些同时存在的症状如何与青少年的功能相关，人们知之甚少。我们的在线横断面定量研究比较了 4 组人群在心理社会功能方面面临的具体挑战的性质：（1）同时患有慢性疼痛和心理健康症状的青少年；（2）仅患有慢性疼痛症状的青少年；（3）仅患有心理健康症状的青少年；（4）既不报告也不报告任何症状的青少年。参与者完成了自我报告问卷，评估疼痛体验、心理健康症状和心理社会功能。在控制疼痛强度后，研究结果显示，所有组别的身体、社会和家庭功能都存在显著差异。与只有心理健康症状和没有症状的青少年相比，同时患有疼痛和心理健康症状以及只有疼痛症状的青少年报告的身体功能明显更差。与只有疼痛症状和没有症状的青少年相比，同时患有慢性疼痛和心理健康症状的青少年的社会功能明显更差。与只有疼痛症状和没有症状的青少年相比，只有心理健康症状的青少年报告的家庭功能明显更差。研究结果表明，疼痛和心理健康症状的综合影响主要影响青少年的社会功能。需要进一步研究制定标准化的评估和治疗计划，以充分了解同时患有疼痛和心理健康症状的青少年所表现出的症状。本研究表明，与仅患有疼痛或无症状的青少年相比，疼痛和心理健康症状的综合影响会影响青少年的社会功能。需要进一步研究制定标准化的评估和治疗计划，以充分了解同时患有症状的青少年的症状。
