Prevalence and predictors of pain in several body regions - Results of a representative German population survey

被引:0
作者
Haeuser, W. [1 ,2 ]
Schmutzer, G. [3 ]
Glaesmer, H. [3 ]
Braehler, E. [3 ]
机构
[1] Klinikum Saarbrucken gGmbH, D-66119 Saarbrucken, Germany
[2] Tech Univ Munich, Klin & Poliklin Psychosomat Med & Psychotherapie, D-8000 Munich, Germany
[3] Univ Leipzig, Abt Med Psychol & Soziol, Leipzig, Germany
来源
SCHMERZ | 2009年 / 23卷 / 05期
关键词
Widespread pain; Fibromyalgia syndrome; Health survey; German population; Epidemiology; CHRONIC WIDESPREAD PAIN; QUALITY-OF-LIFE; MUSCULOSKELETAL PAIN; GENERAL-POPULATION; FIBROMYALGIA SYNDROME; MENTAL-DISORDERS; VALIDITY; DIAGNOSIS; CRITERIA; CLASSIFICATION;
D O I
10.1007/s00482-009-0817-2
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
There are no data available from representative samples of the general German population on predictors of widespread pain (WP) and fibromyalgia syndrome (FMS). A cross-sectional survey of a representative sample of the German general population with persons over 14 years old was conducted based on face-to-face contact using standardised questionnaires. The number of pain sites and the presence of WP and FMS were assessed by the regional pain scale (RPS), somatic symptom intensity was measured by the Patient Health Questionnaire (PHQ-15), depressed mood by PHQ 9 and health-related quality of life (HRQOL) by the Short Form Health Survey (SF-12). Out of 4064 persons contacted, 2524 (62.1%) completed the study. The prevalence of CWP was 8.6% and of FMS 3.8%. The sex ratio for WP and FMS was 1:1. The variance of the number of pain sites was explained by older age, low social class index, high somatic symptom intensity, low depressed mood in 52.4% (p < 0.001). Older age (OR 2.0, 95% CI 1.71; 2.36; < 0.001), low social class index (OR 0.64; 95% CI 0.46; 0.91; p=0.01) and potential somatoform syndrome (OR 3.0; 95% CI 1.27; 7.15; p < 0.001) predicted WP with a probability 94.4%. Older age (OR 1.39, 95% CI 1.19; 1.62, p < 0.001), low social class index (OR 0.61, 95% CI .40, 0.93; p=0.02) and potential somatoform syndrome (OR 19.42; 95% CI 10.31; 36.61; p < 0.001) predicted FMS with a probability 97.7%. WP and FMS are components of a complex of high somatic symptom intensity, low social class index and older age.
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页码:461 / +
页数:9
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