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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Association of Depression/Anxiety Symptoms with Neck Pain: A Systematic Review and Meta-Analysis of Literature in China
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Association of Depression/Anxiety Symptoms with Neck Pain: A Systematic Review and Meta-Analysis of Literature in China

机译:抑郁/焦虑症状与颈痛的关联:对中国文学的系统评价和荟萃分析

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Background. Due to its high morbidity and prevalence, the potential relationships of depression/anxiety symptoms in neck pain (NP) are not well demonstrated. Objectives. This study aimed to conduct a comprehensive estimation of controlled trials of psychological problems and to test hypotheses concerning whether NP was statistically relative to anxiety/depression symptoms. Methods. Chinese literature databases such as the China National Knowledge Infrastructure (CNKI), VIP Information (VIP), Chinese Biomedicine (CBM), and Wanfang Data (WANFANG) were scientifically searched for reports published until February 5, 2018. Controlled trials incorporating NP patients with anxiety/depression versus healthy people were contained. Two researchers screened each article and extracted data, respectively, and blinded to the findings of each other. Meta-analysis was conducted by the Cochrane Collaboration’s RevMan 5.3 and Stata 14.0 (Stata Corp LP, USA) software. Results. We identified 13 eligible studies involving 2339 patients and 3290 healthy people. Compared with healthy control participants, the findings indicated that depression/anxiety symptoms were more common or severe in NP patients (respectively, SMD?=?0.89; 95% CI?=?(0.58, 1.20); and SMD?=?0.92; 95% CI?=?(0.65, 1.20); and ), results from the pooled data demonstrated no statistical significance between depression/anxiety symptoms and gender in NP patients (resp., SMD?=?0.16; 95% CI?=?(?0.18, 0.51); and SMD?=??0.08; 95% CI?=?(?0.42, 0.27); and ), and the combined data of the incidence of depression or anxiety symptoms revealed significant difference between NP patients and healthy persons (resp., RR?=?4.81; 95% CI?=?(3.30, 7.01); and RR?=?3.29; 95% CI?=?(2.16, 5.00); and ). In addition, we did not find articles that met the inclusion criteria, which compared NP patients with other physical illnesses in terms of anxiety/depression symptoms. Conclusions. This meta-analysis suggests that anxiety/depression symptoms are associated with high morbidity in NP patients. We consider these reports support the viewpoint that nonspecific mechanisms mediate mental disturbances in NP. This study may have clinical value for NP, offering an underlying target for the prevention and treatment of anxiety/depression.
机译:背景。由于其较高的发病率和患病率,颈部疼痛(NP)中抑郁/焦虑症状的潜在关系尚未得到充分证明。目标。这项研究旨在对心理问题的对照试验进行全面评估,并检验有关NP是否在统计学上与焦虑/抑郁症状相关的假设。方法。科学搜索中国文献数据库,例如中国国家知识基础设施(CNKI),VIP信息(VIP),中国生物医学(CBM)和万方数据(WANFANG),以查找发表至2018年2月5日的报告。焦虑/抑郁与健康人的关系得到了控制。两名研究人员分别筛选了每篇文章并提取了数据,并对彼此的发现不知情。 Meta分析由Cochrane Collaboration的RevMan 5.3和Stata 14.0(Stata Corp LP,美国)软件进行。结果。我们确定了13项合格研究,涉及2339名患者和3290名健康人。与健康对照组相比,研究结果表明,NP患者的抑郁/焦虑症状更为常见或严重(分别为SMD?=?0.89; 95%CI?=?(0.58,1.20); SMD?=?0.92; SMD?=?0.82。 95%CI =?(0.65,1.20);和),合并数据的结果表明,NP患者的抑郁/焦虑症状与性别之间无统计学意义(分别为SMD = 0.16; 95%CI =?0.16)。 (?0.18,0.51); SMD?=?0.08; 95%CI?=?(?0.42,0.27);),抑郁或焦虑症状发生率的综合数据显示NP患者与健康人士(分别为RR?=?4.81; 95%CI?=?(3.30,7.01);和RR?=?3.29; 95%CI?=?(2.16,5.00);和)。此外,我们没有找到符合纳入标准的文章,该文章将NP患者与其他身体疾病的焦虑/抑郁症状进行了比较。结论。这项荟萃分析表明,焦虑/抑郁症状与NP患者的高发病率有关。我们认为这些报告支持非特异性机制介导NP中精神障碍的观点。这项研究可能对NP具有临床价值,为预防和治疗焦虑/抑郁症提供了潜在的靶标。

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