A Systematic Review of the Prospective Relationship between Child Maltreatment and Chronic Pain

被引：19

作者：

Marin, Teresa J. ^{[1
]}

Lewinson, Rebecca E. ^{[1
]}

Hayden, Jill A. ^{[2
]}

Mahood, Quenby ^{[3
]}

Rossi, Meghan A. ^{[4
]}

Rosenbloom, Brittany ^{[1
]}

Katz, Joel ^{[1
]}

机构：

[1] York Univ, Fac Hlth, Dept Psychol, Toronto, ON M3J 1P3, Canada

[2] Dalhousie Univ, Fac Med, Dept Community Hlth & Epidemiol, Halifax, NS B3H 4R2, Canada

[3] SickKids Hosp, Toronto, ON M5G 1X8, Canada

[4] Dalhousie Univ, Fac Sci, Dept Psychol & Neurosci, Halifax, NS B3H 4J1, Canada

来源：

CHILDREN-BASEL | 2021年 / 8卷 / 09期

基金：

加拿大健康研究院;

关键词：

child maltreatment; chronic pain; systematic review; PTSD; POSTTRAUMATIC-STRESS-DISORDER; SEXUAL-ABUSE; PHYSICAL ABUSE; PSYCHIATRIC-DISORDERS; LIFETIME DIAGNOSIS; ADULT DEPRESSION; HEALTH; EXPERIENCES; SYMPTOMS; IMPACT;

D O I：

10.3390/children8090806

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective: The present systematic review aimed to evaluate the association between childhood maltreatment and chronic pain, with specific attention to the temporal nature of the relationship and putative moderators, including, the nature (type), timing of occurrence, and magnitude of maltreatment; whether physical harm or injury occurred; and whether post-traumatic stress disorder (PTSD) subsequently developed. Method: We included studies that measured the prospective relationship between child maltreatment and pain. Medline, EMBASE, PsycINFO, and CINAHL were searched electronically up to 28 July 2019. We used accepted methodological procedures common to prognosis studies and preregistered our review (PROSPERO record ID 142169) as per Cochrane review recommendations. Results: Nine studies (17,340 participants) were included in the present review. Baseline participant age ranged from 2 years to more than 65 years. Follow-up intervals ranged from one year to 16 years. Of the nine studies included, three were deemed to have a high risk of bias. With the exception of one meta-analysis of three studies, results were combined using narrative synthesis. Results showed low to very low quality and conflicting evidence across the various types of maltreatment, with the higher quality studies pointing to the absence of direct (non-moderated and non-mediated) associations between maltreatment and pain. PTSD was revealed to be a potential mediator and/or moderator. Evidence was not found for other proposed moderators. Conclusions: Overall, there is an absence of evidence from high quality studies of an association between maltreatment and pain. Our results are limited by the small number of studies reporting the relationship between child maltreatment and pain using a prospective design. High quality studies, including prospective cohort studies and those that assess and report on the moderators described above, are needed to advance the literature.

引用

页数：19