儿童多部位疼痛发展的危险因素
Chelsea M Kaplan1, Andrew Schrepf1, Kevin F Boehnke1
1Department of Anesthesiology, Michigan Medicine, Ann Arbor, MI.
The Clinical journal of pain
|July 13, 2023
概括
儿童多部位疼痛风险因素包括女性性别,睡眠问题和体质症状. 早期识别这些症状可以帮助青少年预防疼痛的预防策略.
科学领域:
- 儿科健康 儿科健康
- 疼痛医学 医学 疼痛医学
- 发展心理学 发展心理学
背景情况:
- 慢性疼痛带来了相当大的经济负担,与主要疾病相美.
- 童年早期疼痛的早期发作往往导致成年人持续疼痛.
- 确定儿科多部位疼痛的预测性风险因素对于有效的干预至关重要.
研究的目的:
- 调查儿童新发多部位疼痛的基线症状预测因子.
- 识别年轻人发展慢性疼痛的早期预警信号.
主要方法:
- 长度研究分析了无疼痛儿童 (9-10岁) 的症状数据.
- 用于评估风险因素的多变量逻辑回归模型.
- 从青少年大脑认知发展研究中收集的数据.
主要成果:
- 女性性别,高非疼痛体征症状和睡眠问题与风险增加有关.
- 基线时的注意力问题也预测了多部位疼痛的发展.
- 没有发现负面影响是显著的预测因素.
结论:
- 身体意识,睡眠和注意力问题是早期检测的关键可操作目标.
- 这些确定的症状可以为儿童多部位疼痛的预防策略提供信息.
- 基于这些风险因素的早期干预可以预防疼痛的慢性化.
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