过去十年多种身体症状和应对策略 - - 来自2012年和2022年丹麦两项基于人口的横截面研究的知识
Isabella Raasthøj1, Dorte Ejg Jarbøl1, Sanne Rasmussen1
1The Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Journal of psychosomatic research
|June 27, 2024
概括
2012年至2022年间,多种身体症状显著增加,并转向避免性应对策略. 这突显了日益严重的公共卫生问题,需要社会干预.
科学领域:
- 公共卫生研究 公共卫生研究
- 心理流行病学心理学
- 症状报告趋势的趋势
背景情况:
- 多重身体症状 (MPS) 是寻求医疗保健的常见原因.
- 了解症状患病率和应对机制的变化对于公共卫生至关重要.
- 之前的研究已经探讨了症状负担,但缺乏纵向比较.
研究的目的:
- 在丹麦人口中比较2012年至2022年间的MPS患病率.
- 评估十年来应对策略 (方法与避免) 的变化.
- 检查两年调查中MPS和应对方式之间的关联.
主要方法:
- 全国丹麦症状队列研究,在2012年和2022年重复.
- 包括20-64岁的人群,参与者为35,877人 (2012) 和18,330人 (2022年).
- 使用MPS的身体痛苦综合征检查清单和简要的方法/避免应对问卷,用回归模型分析.
主要成果:
- MPS患病率从2012年的23.8%上升到2022年的35.1%.
- 方法应对得分下降 (平均差异-1.27),而转移 (0.34) 和辞职 (0.52) 的得分增加.
- 在这两年中,较低的方法和更高的避免/放弃应对与MPS有显著的关联.
结论:
- 十年来,MPS报告的显著增加发生了,并与转向回避性应对相平行.
- 这些发现表明需要解决社会因素导致症状报告和避免增加.
- 建议针对可修改因素的干预措施,以减轻日益增加的症状负担和相关行为.
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