Kesrewani Elie, Chammas Georgio, Malaeb Diana, Sakr Fouad, Dabbous Mariam, El Khatib Sami, Hallit Souheil, Fekih-Romdhane Feten, Obeid Sahar
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
Sci Rep. 2025 May 13;15(1):16559. doi: 10.1038/s41598-025-01689-6.
Pain is defined as an unpleasant sensory and emotional experience in response to a noxious stimulus. Nowadays, it is increasingly prevalent among adults and may be influenced by past experiences such as child abuse, trauma or psychiatric conditions like anxiety. Thus, this study aims to evaluate the mediating effect of anxiety between child abuse and pain among a sample of Lebanese adults. This cross-sectional study was conducted between March and April 2024. Participants were selected using a snowball sampling method from various Lebanese governorates, and completed a self-administered online questionnaire via Google Forms. All adults over the age of 18 were eligible to participate. The questionnaire included sociodemographic questions, the short form of McGill pain questionnaire, the generalized anxiety disorder-7 (GAD-7), and the child abuse self report scale (CASRS-12). A total of 507 Lebanese adults completed the questionnaire. The mean age was 26.80 ± 10.29 years and 73.2% were female. The results showed that anxiety partially mediated the association between child abuse and pain. Higher levels of child abuse were significantly associated with greater anxiety, which in turn was significantly associated with increased pain. Child abuse was directly associated with higher pain levels. The study highlights the relationship that child abuse has on pain in adults and its relationship with anxiety. Future research delving into the relationship between child abuse and chronic pain in adulthood is essential to better understand the underlying pathways and support effective prevention and intervention strategies.
疼痛被定义为对有害刺激产生的一种不愉快的感觉和情绪体验。如今，它在成年人中越来越普遍，并且可能受到过去经历的影响，如儿童期受虐、创伤或焦虑等精神状况。因此，本研究旨在评估黎巴嫩成年人样本中焦虑在儿童期受虐与疼痛之间的中介作用。这项横断面研究于2024年3月至4月进行。采用雪球抽样法从黎巴嫩各省份选取参与者，并通过谷歌表单完成一份自我管理的在线问卷。所有18岁以上的成年人都有资格参与。问卷包括社会人口学问题、麦吉尔疼痛问卷简表、广泛性焦虑障碍量表（GAD - 7）以及儿童期受虐自我报告量表（CASRS - 12）。共有507名黎巴嫩成年人完成了问卷。平均年龄为26.80 ± 10.29岁，73.2%为女性。结果表明，焦虑部分介导了儿童期受虐与疼痛之间的关联。更高水平的儿童期受虐与更高的焦虑显著相关，而焦虑又与疼痛增加显著相关。儿童期受虐与更高的疼痛水平直接相关。该研究突出了儿童期受虐对成年人疼痛的影响及其与焦虑的关系。深入研究儿童期受虐与成年期慢性疼痛之间的关系对于更好地理解潜在机制以及支持有效的预防和干预策略至关重要。
