What are the consequences of musculoskeletal pain in adolescents? A critical qualitative systematic review and meta-synthesis

IF 4 2区医学 Q1 CLINICAL NEUROLOGY

Journal of Pain Pub Date : 2025-07-01 DOI:10.1016/j.jpain.2025.105418

Nichole Phillips , Benjamin T. Brown , Lise Hestbaek , Henrik Hein Lauridsen , Amy Miller , Natasha Magson , Michael S. Swain

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引用次数: 0

Abstract

There is a paucity of research into the lived experiences of adolescents with musculoskeletal pain. This study synthesised the available qualitative research on musculoskeletal pain consequences in adolescents. CINAHL, EMBASE, MEDLINE, PsycINFO and Research Rabbit were searched, and a critical qualitative systematic review and meta-synthesis was performed (Prospero ID=476626). Screening and data extraction were completed in duplicate. Critical appraisal of included studies and level of confidence in the findings were assessed. A thematic synthesis approach was used to derive analytical themes. Twelve studies were included (n=213). Adolescents (age range 8–22 years) reported functional impediments that impacted daily living, mobility, school, socializing, and sleep. Distress and concern regarding movement, health, isolation, autonomy, support, healthcare experiences, and their future were also reported. Adolescents report complex and burdensome consequences of musculoskeletal pain. The functional impediments and the psychosocial impacts lead adolescents to feel distressed, isolated, and unsupported. Confidence in the findings according to the GRADE-CERQual assessment showed high, moderate and low confidence across the results. This knowledge can be used to develop meaningful communication and understanding in clinical encounters with adolescents, and provide focus for more impactful research, addressing the consequences reported by adolescents.

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青少年肌肉骨骼疼痛的后果是什么？一个关键的定性系统评价和综合。

对患有肌肉骨骼疼痛的青少年的生活经历的研究很少。本研究综合了现有的关于青少年肌肉骨骼疼痛后果的定性研究。检索了CINAHL、EMBASE、MEDLINE、PsycINFO和Research Rabbit，并进行了重要的定性系统评价和综合（Prospero ID=476626）。筛选和数据提取一式两份完成。对纳入研究的批判性评价和研究结果的可信度进行了评估。采用主题综合方法推导分析主题。纳入12项研究（n=213）。青少年（年龄范围8-22岁）报告了影响日常生活、行动、学习、社交和睡眠的功能障碍。还报告了对行动、健康、孤立、自主、支持、保健经历及其未来的痛苦和关切。青少年报告肌肉骨骼疼痛的复杂和沉重的后果。功能障碍和心理社会影响导致青少年感到痛苦、孤立和得不到支持。根据GRADE-CERQual评估，对结果的置信度显示了对结果的高、中、低置信度。这些知识可用于在与青少年的临床接触中发展有意义的沟通和理解，并为更有影响力的研究提供重点，解决青少年报告的后果。

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

Journal of Pain 医学-临床神经学

CiteScore

6.30

自引率

7.50%

发文量

441

审稿时长

42 days

期刊介绍： The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.