注意力缺陷/多动症和慢性疼痛之间的相关性:对日本成年人的调查
Satoshi Kasahara1,2, Takahiko Yoshimoto3, Hiroyuki Oka4
1Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. namahagenator@gmail.com.
Scientific reports
|April 16, 2025
概括
注意缺陷/多动症 (ADHD) 症状与慢性疼痛及其强度有关. 查和治疗ADHD可能有利于慢性疼痛患者,特别是那些经历严重疼痛的人.
科学领域:
- 流行病学 流行病学
- 神经发育障碍 神经发育障碍
- 疼痛医学 医学 疼痛医学
背景情况:
- 慢性疼痛影响了相当一部分成年人群.
- 注意缺陷/多动障碍 (ADHD) 和自闭症谱系障碍 (ASD) 是常见的神经发育状况.
- 神经发育障碍和慢性疼痛之间的关系需要进一步调查.
研究的目的:
- 评估ADHD和ASD症状与慢性疼痛 (CP) 特征之间的关联.
- 探索发育障碍症状与疼痛强度之间的关系.
- 与心理健康问题相比,检查ADHD症状在慢性疼痛中的作用.
主要方法:
- 在互联网上对4028名20-64岁的成年人进行了横截面流行病学调查,他们患有疼痛.
- 使用成人多动症自我报告量表 (ASRS) 评估ADHD症状.
- 使用自闭症谱系系数和疼痛强度通过11点数值评分表 (NRS) 评估ASD症状.
主要成果:
- 慢性疼痛的成年人报告ADHD症状明显高 (ASRS阳性) 比没有.
- ADHD症状与慢性疼痛和疼痛强度密切相关,比精神健康问题更重要.
- 在这个队列中,自闭症谱系障碍症状与慢性疼痛没有显著的关联.
结论:
- ADHD症状独立地与慢性疼痛的存在和强度有关.
- 在患有慢性疼痛的个体中,特别是患有严重疼痛的个体中,可能需要对ADHD进行查.
- 对ADHD的治疗可能会缓解同时存在的慢性疼痛症状.
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