女性儿童期经历虐待,成年后疼痛风险高
  • 纳入447名青春期女性,通过医疗档案记录提示57%的人经历过儿童期虐待(包括肢体、性、情感方面的虐待);
  • 根据有无虐待史匹配两组人群,并在其中位年龄24岁时再次随访,调查肢体疼痛状况;
  • 儿童期受虐待组女性报告的疼痛强度更高、身体上有更多的疼痛部位、在调查前一周内有更多的疼痛感;
  • 中介效应分析提示,青春期的创伤后应激经历或可部分解释其中的关联;
  • 儿童期经历过虐待,且青春期有创伤后应激的女性未来身体疼痛的风险更高。
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小笋干儿
成年女性的慢性疼痛是影响生活质量的常见问题。本研究发现,女性在儿童期经历过虐待,其在成年期自我报告的身体疼痛强度、疼痛部位等均有显著增高。其中可能与创伤后应激有关。该研究提示,呵护宝宝童年,影响一生幸福。
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Pain [IF:6.029]

Heightened Risk for Pain in Young Adult Women with a History of Childhood Maltreatment: A Prospective Longitudinal Study

儿童期经历虐待的年轻女性疼痛的风险增高:前瞻性队列研究

10.1097/j.pain.0000000000001706

2019-10-07, Article

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A child maltreatment history is reported more frequently among adults with chronic pain compared to the general population; unfortunately, studies have primarily relied upon retrospective maltreatment reports by adults with chronic pain. This prospective study assessed pain symptoms in a cohort of young adult women with a documented history of child maltreatment, compared with a matched cohort of women who did not experience childhood maltreatment. Young women (N = 477) were recruited between ages 14-17 years and followed annually to age 19. Of these women, 57% experienced maltreatment (i.e., physical, sexual, or emotional abuse, neglect; n = 273) substantiated by child welfare record. Maltreated women were demographically-matched to non-maltreated women, also confirmed by child welfare record. In adolescence, post-traumatic stress was assessed. Women were contacted as young adults (Mage = 24.76; n = 383) and surveyed about their pain experiences, including the presence of pain in the past week, pain severity (0-10), and number of body areas with pain. Mediation path analyses examining the impact of maltreatment and adolescent post-traumatic stress on young adult pain were estimated via structural equation modeling. As adults, women who had experienced child maltreatment reported higher pain intensity, a greater number of pain locations, and were more likely to experience pain in the previous week than non-maltreated women. Adolescent post-traumatic stress partially explained the effects of maltreatment on pain. Young adult women who experienced child maltreatment are at higher risk for pain, particularly when they also experienced post-traumatic stress as adolescents.

First Authors:
Sarah J Beal

Correspondence Authors:
Sarah J Beal

All Authors:
Sarah J Beal,Susmita Kashikar-Zuck,Christopher King,Jaclyn Barnes,Jennie G Noll

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