青少年心理健康与颈、胸、腰背痛之间的关联：一项横断面研究。

Associations between mental health and cervical, thoracic, and lumbar back pain in adolescents: A cross-sectional study.

作者信息

Campello Camilla Porto, Gominho Murilo, Arruda Gustavo Aires de, Bezerra Jorge, Rangel João Francisco Lins Brayner, Barros Mauro Virgilio Gomes de, Santos Marcos André Moura Dos

机构信息

Department of Physical Education, Division of Research in Adolescents Mental Health and Sleep Problems, Institutional Project in Natural Disasters, Sanitary, and Social Emergencies, University of Pernambuco, Recife, Pernambuco, Brazil; Department of Dentistry, Hebiatrics Graduate Program, Health Determinants in Adolescence, Faculty of Dentistry, University of Pernambuco, Recife, Pernambuco, Brazil; Department of Community Health Sciences, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada.

Associate Program of Physical Education, School of Physical Education, University of Pernambuco, Recife, Pernambuco, Brazil.

出版信息

J Affect Disord. 2025 Apr 15;375:366-372. doi: 10.1016/j.jad.2025.01.125. Epub 2025 Jan 30.

DOI:10.1016/j.jad.2025.01.125

PMID:39889927

Abstract

BACKGROUND

Low back pain is a significant emergent health disorder in adolescence. It is predicted that around 843 million subjects worldwide will present this condition in 2050. We investigated whether symptoms of anxiety, depression, and suicidal behavior are associated with back pain in adolescents.

METHODS

This is a cross-sectional school-based study including 4514 student participants aged 14-19 years. Data were collected using the WHO's "Global School-Based Student Health Survey". Anxiety symptoms were assessed with the Social Anxiety Scale for Adolescents. The Depression Scale of the Center for Epidemiologic Studies was used to estimate depressive symptomatology. Suicidal behaviors were assessed with two questions about thoughts and plans for suicide. The presence (yes, no) of each of cervical, thoracic, and lumbar back pain were assessed with the use of a drawing of the human body with spine areas delimited. Multivariable logistic regression analyses were used to study the presence of three outcomes of back pain (cervical, thoracic, and lumbar) and associated factors.

RESULTS

Adolescents with cervical pain were more likely to report social anxiety (OR = 1.0, CI: 1.00-1.02). Depression symptomatology was associated with pain in the tree segments of the spine: cervical (OR = 1.01, CI: 1.00-1.02), thoracic (OR = 1.02, CI: 1.01-1.02), and lumbar (OR = 1.02, CI: 1.01-1.02). No association was observed between suicidal behavior and cervical (OR = 0.86 CI: 0.743-1.017), thoracic (OR = 0.92, CI: 0.79-1.08), and lumbar back pain (OR = 0.86, CI: 0.73-1.01).

LIMITATIONS

It is not possible to affirm causality in the interpretation of findings.

CONCLUSIONS

Social anxiety and depression symptomatology were associated with back pain in adolescents.

摘要

背景

腰痛是青少年中一种重要的突发健康问题。据预测，到2050年全球约有8.43亿人会出现这种情况。我们调查了焦虑、抑郁和自杀行为症状是否与青少年背痛有关。

方法

这是一项基于学校的横断面研究，包括4514名14 - 19岁的学生参与者。数据通过世界卫生组织的“全球基于学校的学生健康调查”收集。使用青少年社交焦虑量表评估焦虑症状。采用流行病学研究中心抑郁量表评估抑郁症状。通过两个关于自杀想法和计划的问题评估自杀行为。使用人体脊柱区域划定的示意图评估颈部、胸部和腰部疼痛的存在情况（是、否）。采用多变量逻辑回归分析研究背痛的三种结果（颈部、胸部和腰部）及相关因素。

结果

颈部疼痛的青少年更有可能报告社交焦虑（比值比=1.0，可信区间：1.00 - 1.02）。抑郁症状与脊柱的三个节段疼痛相关：颈部（比值比=1.01，可信区间：1.00 - 1.02）、胸部（比值比=1.02，可信区间：1.01 - 1.02）和腰部（比值比=1.02，可信区间：1.01 - 1.02）。未观察到自杀行为与颈部（比值比=0.86，可信区间：0.743 - 1.017）、胸部（比值比=0.92，可信区间：0.79 - 1.08）和腰部疼痛（比值比=0.86，可信区间：0.73 - 1.01）之间存在关联。