美国年轻人颈部疼痛与抑郁呈正相关：一项横断面研究

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Clinical Neuroscience Pub Date : 2025-05-12 DOI:10.1016/j.jocn.2025.111315

Jiqiang Zhu , Xianfeng Li , Xiaoyu Wang , Fei Yang , Qing Wang , Jing Lu

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引用次数: 0

摘要

目前，关于颈部疼痛和抑郁症之间关系的证据不足。我们调查了美国年轻人颈部疼痛和抑郁之间的详细联系。方法采用横断面研究方法，从1999-2004年全国健康与营养检查调查中选取1949名年轻人作为样本。对于颈部疼痛和抑郁的评估，我们使用了一份来自个人访谈数据的关于杂项疼痛和心理健康的问卷，将颈部疼痛定义为过去三个月有颈部疼痛的人，将抑郁定义为抑郁得分为阳性的人。采用Logistic回归对研究目标进行验证。进行亚组分析以确保结果稳定。结果本研究共纳入1949名符合条件的参与者，其中344人报告颈部疼痛，患病率为17.7%。抑郁症报告133例，患病率为6.8%。颈痛患者患抑郁症的可能性（11.6%）明显高于无颈痛患者(5.8%,p <；0.001)。在调整了年龄、性别、种族/民族、教育水平、婚姻状况、家庭收入、体育活动、吸烟、饮酒、高血压、糖尿病和口服止痛药等因素后，颈部疼痛与抑郁症显著相关（OR: 1.72, 95% CI: 1.14-2.6, p = 0.01）。年龄、性别、吸烟、饮酒和口服镇痛药的亚组分析显示无统计学意义的相互作用(p >；0.05)。总之，本研究的发现表明颈部疼痛和抑郁之间存在显著联系。临床医生应该筛查和评估颈部疼痛患者的抑郁症，确保他们提供及时有效的干预措施，以防止病情进一步恶化。

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Positive association of neck pain and depression in American young adults :A cross-sectional study

Background

At present, the available evidence regarding the relationship between neck pain and depression is inadequate. We investigated the detailed association between neck pain and depression among American young adults.

Methods

In this cross-sectional study, 1,949 young adults were selected from the National Health and Nutrition Examination Survey 1999–2004 for the sample. For the assessment of neck pain and depression, we used a questionnaire about miscellaneous pain and mental health from personal interview data, defining neck pain as those who have had neck pain in the past three months, and defining depression as those who positive depression score. Logistic regression were utilized to substantiate the research objectives. A subgroup analysis was carried out to ensure that the results were stable.

Results

This study included a total of 1,949 eligible participants, 344 reported neck pain, with a prevalence of 17.7 %. Depression was reported in 133 cases, indicating a prevalence rate of 6.8 %. Patients with neck pain were significantly more likely to have depression (11.6 %) than those without it (5.8 %, p < 0.001). After adjusting for age, sex, race/ethnicity, education level, marital status, family income, physical activity, smoking, alcohol consumption, hypertension, diabetes, and oral analgesics, neck pain is significantly associated with depression (OR: 1.72, 95 %CI: 1.14–2.6, p = 0.01). Subgroup analyses by age, sex, smoking, alcohol, and oral analgesics showed no statistically significant interactions (p > 0.05).

Conclusion

In summary, the findings of this research indicated a significant link between neck pain and depression. Clinicians should screen and assess for depression in patients experiencing neck pain, ensuring that they offer prompt and effective interventions to prevent further exacerbation of the condition.

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来源期刊

Journal of Clinical Neuroscience 医学-临床神经学

CiteScore

4.50

自引率

0.00%

发文量

402

审稿时长

40 days

期刊介绍： This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology. The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.