患有慢性疼痛的青少年的焦虑和抑郁:系统性审查和元分析
Joanne Dudeney1, Rachel V Aaron2, Taylor Hathway1
1School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
JAMA pediatrics
|September 9, 2024
概括
患有慢性疼痛的三分之一的年轻人经历焦虑,八分之一的年轻人经历抑郁症. 这些心理健康状况是重要的并发症,需要在受影响的年轻人的医疗保健中给予关注.
科学领域:
- 儿科心理学 儿科心理学
- 临床精神病学 临床精神病学
- 疼痛医学 医学 疼痛医学
背景情况:
- 焦虑和抑郁症在患有慢性疼痛的年轻人中很常见,影响残疾.
- 在儿科慢性疼痛群体中,这些心理健康状况的患病率估计尚不清楚.
研究的目的:
- 确定患有慢性疼痛的年轻人中临床焦虑和抑郁症的患病率.
- 为了比较患有和没有慢性疼痛的年轻人之间的焦虑和抑郁症状.
主要方法:
- 系统审查和对2023年4月之前发表的研究进行元分析.
- 纳入标准:报告25岁以下慢性疼痛患者焦虑/抑郁症患病率或症状的研究.
- 数据综合使用随机效应模型来计算患病率和症状差异.
主要成果:
- 包括79项研究,涉及22,956名年轻人 (12,614名慢性疼痛患者).
- 患病率:焦虑诊断为34.6%,抑郁诊断为12.2%.
- 与对照组相比,患有慢性疼痛的年轻人表现出明显更高的焦虑 (g=0.61) 和抑郁 (g=0.74) 症状.
结论:
- 大约33%的患有慢性疼痛的年轻人符合焦虑症和12%的抑郁症标准.
- 在这个人群中,焦虑和抑郁是主要的临床并发症.
- 优先考虑心理健康查,预防和治疗对于患有慢性疼痛的年轻人至关重要.
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