Aasland A, Flatö B, Vandvik I H
The National Hospital, Oslo, Norway.
Acta Paediatr. 1997 Jul;86(7):740-6. doi: 10.1111/j.1651-2227.1997.tb08578.x.
To explore the role of psychosocial factors in the development and persistence of idiopathic musculoskeletal pain (IMP) in children, 23 children with IMP and 52 children with juvenile chronic arthritis (JCA) were compared at first admission to hospital and at 9 y follow-up. Semistructured interviews were performed at both assessments. At first admission, the prevalence of psychiatric diagnoses was high both in patients with IMP and patients with JCA, but patients with IMP more often had pain models, reported more school stress and more often lived with one biological parent. At follow-up, overall psychosocial functioning and level of chronic family difficulties were improved in both groups, but patients with IMP had a higher prevalence of psychiatric diagnoses and more chronic family difficulties and life events than patients with JCA. The persistence of IMP at follow-up was related to pain models, school stress, less parental education and more chronic family difficulties at first admission. Findings support the association between psychosocial factors and childhood IMP.
为探讨社会心理因素在儿童特发性肌肉骨骼疼痛（IMP）发生及持续存在中的作用，对23例IMP患儿和52例青少年慢性关节炎（JCA）患儿在首次入院时及9年随访时进行了比较。在两次评估时均进行了半结构式访谈。首次入院时，IMP患儿和JCA患儿的精神疾病诊断患病率均较高，但IMP患儿更常具有疼痛模式，报告有更多的学业压力，且更多是与一位亲生父母生活在一起。随访时，两组患儿的总体社会心理功能及慢性家庭困难程度均有所改善，但IMP患儿的精神疾病诊断患病率更高，且比JCA患儿有更多的慢性家庭困难和生活事件。随访时IMP的持续存在与首次入院时的疼痛模式、学业压力、父母受教育程度较低及更多的慢性家庭困难有关。研究结果支持社会心理因素与儿童IMP之间存在关联。
