A greater number of somatic pain sites is associated with poor mental health in adolescents: a cross-sectional study

BMC Psychiatry

Atsushi Nishida³  Yuji Okazaki¹  Shimpei Inoue⁵  Yoshio Mino⁷  Kiyoto Kasai⁶  Nozomu Asukai³  Toshi A Furukawa²  Norihito Oshima⁴  Tsukasa Sasaki⁴  Shinji Shimodera⁵  Syudo Yamasaki⁶  Shuntaro Ando³ 

[1] Matsuzawa Hospital, Kamikitazawa 2-1-1, Setagaya-ku, Tokyo 156-0057, Japan;Department of Cognitive-Behavioral Medicine, Kyoto University School of Public Health, Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501, Japan;Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, Kamikitazawa 2-1-6, Setagaya-ku, Tokyo 156-8506, Japan;Department of Health Education, Graduate School of Education and Office for Mental Health Support, The University of Tokyo, Tokyo, Japan;Department of Neuropsychiatry, Kochi Medical School, Kohasu Oko-cho, Nankoku, Kochi 783-8505, Japan;Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan;Mino Clinic, 8F Urban Office Building, Shimo-ishii 1-1-1, Kita-ku, Okayama-shi, Okayama, 700-0907, Japan

关键词: Academic impairment;    Males and females;    Adolescents;    Poor mental health;    Somatic pain site;    Number;   

Others  :  1124163
DOI  :  10.1186/1471-244X-13-30

 received in 2012-05-15, accepted in 2013-01-15,  发布年份 2013

【 摘 要 】

Background

Identifying indicators of poor mental health during adolescence is a significant public health issue. Previous studies which suggested an association between the number of somatic pains and depression have mainly focused on adults or have employed samples with a narrow age range. To date, results from previous studies have been inconsistent regarding the association between somatic pain and academic impairment. Therefore, the main aims of the present study were to 1) investigate the association between the number of somatic pain sites and poor mental health using a community sample of adolescents aged 12 to 18 years and employing a simple method of assessment, and 2) examine the association between the number of somatic pain sites and perceived academic impairment.

Methods

Data analysis was conducted using a large cross-sectional survey of adolescents in grades 7 to 12. The one-month prevalence rates for three sites of somatic pain including head, neck and shoulders, and abdomen were examined. Poor mental health was evaluated using the General Health Questionnaire, and perceived academic impairment was measured using a self-report questionnaire.

Results

A total of 18,104 adolescents participated in the survey. A greater number of pain sites was associated with poor mental health, and this association was consistent across age and gender. There was no difference in effect on mental health between any of the pain sites. Although there was an association between the number of somatic pain sites and perceived academic impairment, the results suggested that the association was mediated by poor mental health.

Conclusions

Simple reporting methods for assessing the number of pain sites may be a feasible indicator of poor mental health in adolescents. Professionals working with adolescents should consider the possibility of poor mental health, especially when students report multiple somatic pains.

【 授权许可】

   
2013 Ando et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Gore FM, Bloem PJN, Patton GC, Ferguson J, Joseph V, Coffey C, Sawyer SM, Mathers CD: Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet 2011, 377:2093-2102.
• [2]Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, Vos T, Ferguson J, Mathers CD: Global patterns of mortality in young people: a systematic analysis of population health data. Lancet 2009, 374:881-892.
• [3]Levav I, Jacobsson L, Tsiantis J, Kolaitis G, Ponizovsky A: Psychiatric services and training for children and adolescents in Europe: Results of a country survey. Eur Child Adolesc Psychiatry 2004, 13:395-401.
• [4]Barney LJ, Griffiths KM, Jorm AF, Christensen H: Stigma about depression and its impact on help-seeking intentions. Aust N Z J Psychiatry 2006, 40:51-54.
• [5]Dunn KM, Jordan KP, Mancl L, Drangsholt MT, Le Resche L: Trajectories of pain in adolescents: A prospective cohort study. Pain 2011, 152:66-73.
• [6]Roth-Isigkeit A, Thyen U, Stöven H, Schwarzenberger J, Schmucker P: Pain Among Children and Adolescents: Restrictions in Daily Living and Triggering Factors. Pediatrics 2005, 115:e152-e162.
• [7]Perquin CW, Hazebroek-Kampschreur AAJM, Hunfeld JAM, Bohnen AM, van Suijlekom-Smit LWA, Passchier J, van der Wouden JC: Pain in children and adolescents: a common experience. Pain 2000, 87:51-58.
• [8]van der Veek SM, Derkx H, de Haan E, Benninga MA, Boer F: Abdominal Pain in Dutch Schoolchildren: Relations With Physical and Psychological Comorbid Complaints in Children and Their Parents. J Pediatr Gastroenterol Nutr 2010, 51:481-487.
• [9]Korovessis P, Repantis T, Baikousis A: Factors Affecting Low Back Pain in Adolescents. J Spinal Disord Techniques 2010, 23:513-520.
• [10]Härmä A-M, Kaltiala-Heino R, Rimpelä M, Rantanen P: Are adolescents with frequent pain symptoms more depressed? Scand J Prim Health Care 2002, 20:92-96.
• [11]Larsson B, Sund AM: Emotional/behavioural, social correlates and one-year predictors of frequent pains among early adolescents: influences of pain characteristics. Eur J Pain 2007, 11:57-65.
• [12]Konijnenberg AY, Uiterwaal CSPM, Kimpen JLL, van der Hoeven J, Buitelaar JK, de Graeff-Meeder ER: Children with unexplained chronic pain: substantial impairment in everyday life. Arch Dis Child 2005, 90:680-686.
• [13]Logan DE, Simons LE, Stein MJ, Chastain L: School Impairment in Adolescents With Chronic Pain. J Pain 2008, 9:407-416.
• [14]Ho GHY, Bennett SM, Cox D, Poole G: Brief Report: Cognitive Functioning and Academic Achievement in Children and Adolescents with Chronic Pain. J Pediatr Psychol 2009, 34:311-316.
• [15]Doi Y, Minowa M: Factor structure of the 12-item General Health Questionnaire in the Japanese general adult population. Psychiatry Clin Neurosci 2003, 57:379-383.
• [16]Goldberg D, Rickels K, Downing R, Hesbacher P: A comparison of two psychiatric screening tests. Br J Psychiatry 1976, 129:61-67.
• [17]Kaneita Y, Ohida T, Osaki Y, Tanihata T, Minowa M, Suzuki K, Wada K, Kanda H, Hayashi K: Association between mental health status and sleep status among adolescents in Japan: a nationwide cross-sectional survey. J Clin Psychiatry 2007, 68:1426-1435.
• [18]Fuchino Y, Mizoue T, Tokui N, Ide R, Fujino Y, Yoshimura T: Health-related lifestyle and mental health among inhabitants of a city in Japan. Nippon Koshu Eisei Zasshi 2003, 50:303-313.
• [19]Vikat A, Rimpelä M, Salminen JJ, Rimpelä A, Savolainen A, Virtanen SM: Neck or shoulder pain and low back pain in Finnish adolescents. Scand J Public Health 2000, 28:164-173.
• [20]Paananen MV, Auvinen JP, Taimela SP, Tammelin TH, Kantomaa MT, Ebeling HE, Taanila AM, Zitting PJ, Karppinen JI: Psychosocial, mechanical, and metabolic factors in adolescents' musculoskeletal pain in multiple locations: a cross-sectional study. Eur J Pain 2010, 14:395-401.
• [21]Bruusgaard D, Smedbraten BK, Natvig B: Bodily pain, sleep problems and mental distress in schoolchildren. Acta Paediatr 2000, 89:597-600.
• [22]Lee S, Tsang A, Von Korff M, de Graaf R, Benjet C, Haro JM, Angermeyer M, Demyttenaere K, de Girolamo G, Gasquet I, et al.: Association of headache with childhood adversity and mental disorder: cross-national study. Br J Psychiatry 2009, 194:111-116.
• [23]Haugland S, Wold B, Stevenson J, Aaroe LE, Woynarowska B: Subjective health complaints in adolescence. Eur J Public Health 2001, 11:4-10.
• [24]Magni G, Moreschi C, Rigatti-Luchini S, Merskey H: Prospective study on the relationship between depressive symptoms and chrnic musculoskeletal pain. Pain 1994, 56:289-297.
• [25]Patten SB: Long-term medical conditions and major depression in a Canadian population study at waves 1 and 2. J Affect Disord 2001, 63:35-41.
• [26]Eisenberger NI, Lieberman MD: Why rejection hurts: a common neural alarm system for physical and social pain. Trends Cogn Sci 2004, 8:294-300.
• [27]Wager-Smith K, Markou A: Depression: A repair response to stress-induced neuronal microdamage that can grade into a chronic neuroinflammatory condition? Neurosci Biobhehav Rev 2011, 35:742-764.
• [28]Kamaleri Y, Natvig B, Ihlebaek CM, Bruusgaard D: Localized or widespread musculoskeletal pain: Does it matter? Pain 2008, 138:41-46.
• [29]Chen X, Rubin KH, Li BS: Depressed mood in Chinese children: relations with school performance and family environment. J Consulting Clin Psychol 1995, 63:938-947.
• [30]Mikkelsson M, Salminen JJ, Kautiainen H: Non-specific musculoskeletal pain in preadolescents. Prevalence and 1-year persistence. Pain 1997, 73:29-35.
• [31]Bao Y, Sturm R, Croghan TW: A National Study of the Effect of Chronic Pain on the Use of Health Care by Depressed Persons. Psychiatr Serv 2003, 54:693-697.
• [32]Bahk W-M, Park S, Jon D-I, Yoon B-H, Min KJ, Hong JP: Relationship between painful physical symptoms and severity of depressive symptomatology and suicidality. Psychiatry Res 2011, 189:357-361.