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Are adolescents with frequent pain symptoms more depressed?

Abstract：

OBJECTIVE:To study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to participate in the study. The final sample comprised 17,643 adolescents in 8th and 9th grades (mean age 15.3 years). MAIN OUTCOME MEASURES:The subjects were asked to rate the frequency of headache, stomach-ache, low back pain and neck or shoulder pain. Depression was measured using the Finnish modification of the short Beck Depression Inventory (R-BDI). Trait anxiety was questioned in an item formulated analogously to R-BDI questions. RESULTS:Prevalence of depression was higher among adolescents with recurrent pain symptoms. Each of the four measured pain symptoms predicted depression independently and accumulation of different pain symptoms increased the odd ratios for depression. Anxiety did not change the association between pain symptoms and depression. CONCLUSION:Recurrent pain symptoms are associated with depression among adolescents. Clinicians working with adolescents should be aware of this association and interview adolescents with recurrent pains for possible underlying depression.

journal_name

Scand J Prim Health Care

journal_title

Scandinavian journal of primary health care

authors

Härmä AM,Kaltiala-Heino R,Rimpelä M,Rantanen P

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

92-6

issue

2

eissn

0281-3432

issn

1502-7724

journal_volume

20

pub_type

杂志文章

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