The association between bullying victimization and back pain in young people: a systematic literature review and meta-analysis.

IF 5.9 1区医学 Q1 ANESTHESIOLOGY

PAIN® Pub Date : 2024-09-18 DOI:10.1097/j.pain.0000000000003398

Nichole Phillips, Benjamin T Brown, Michael P Jones, Natasha Magson, Amber Beynon, Michael S Swain

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Abstract

Abstract: Back pain is a common and recurrent health complaint in adolescence. Psychosocial factors may be associated with the onset and persistence of back pain symptoms. This systematic review aims to determine the association between bullying victimization and back pain in young people. Observational studies that quantified the association between bullying victimization and back pain in participants were included in this systematic review. Estimates of associations and confidence intervals were extracted. A random effects meta-analysis of estimates of association was performed. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist for analytical cross-sectional studies. Database searches yielded 18,311 citations. Nineteen studies (n = 212,058, 51.4% female) were included in our review. Meta-analysis showed a positive association between bullying victimization and back pain (odds ratio 1.93, confidence interval 1.75-2.13). Subgroup analysis showed no statistically significant effect of sex, age, bullying type, pain type, recall periods, bullying frequency, back pain frequency, risk estimate adjustment, and study critical appraisal rating. All studies were rated at moderate-high risk of bias. Our synthesis of evidence found a weak-moderate association between bullying victimization and back pain in young people. Methodological shortcomings and heterogeneity in the field limit causal inference. Future longitudinal studies are required.

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青少年遭受欺凌与背痛之间的关系：系统文献综述和荟萃分析。

摘要：背痛是青少年常见且反复发作的健康问题。心理社会因素可能与背痛症状的发生和持续有关。本系统综述旨在确定青少年遭受欺凌与背痛之间的关系。本系统性综述纳入了量化欺凌受害与参与者背痛之间关系的观察性研究。研究提取了相关性的估计值和置信区间。对关联估计值进行了随机效应荟萃分析。证据质量采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的分析性横断面研究关键评估清单进行评估。通过数据库检索，共获得 18,311 条引文。19项研究（n = 212 058，51.4% 为女性）被纳入我们的综述。元分析表明，遭受欺凌与背痛之间存在正相关（几率比1.93，置信区间1.75-2.13）。亚组分析表明，性别、年龄、欺凌类型、疼痛类型、回忆期、欺凌频率、背痛频率、风险估计调整和研究批判性评价等级在统计学上没有显著影响。所有研究均被评为中度-高度偏倚风险。我们的证据综述发现，青少年遭受欺凌与背痛之间存在弱-中等程度的关联。该领域的方法缺陷和异质性限制了因果推断。未来需要进行纵向研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PAIN® 医学-临床神经学

CiteScore

12.50

自引率

8.10%

发文量

242

审稿时长

9 months

期刊介绍： PAIN® is the official publication of the International Association for the Study of Pain and publishes original research on the nature,mechanisms and treatment of pain.PAIN® provides a forum for the dissemination of research in the basic and clinical sciences of multidisciplinary interest.