Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1402
7
1
gregorian
2023
10
1
22
6
online
1
fulltext
fa
بررسی ارتباط سلامت روانی و درد مزمن در کودکان و نوجوانان:
یک مطالعه مروری نظاممند
Examining the Relationship between Mental Health and Chronic Pain in Children and Adolescents: A Systematic Review Study
روانپزشكي
روانپزشكي
مقاله مروري
Review Article
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:10.5pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><a name="_Hlk113374001"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">تجربه درد در مدت طولانی و باورهای مربوط به زمان مرتبط با درد عوامل کلیدی را برای درک تجربه درد و پریشانی روان­شناختی بیمار تشکیل میدهند. پژوهش حاضر با هدف تعیین ارتباط سلامت روانی با درد مزمن در کودکان و نوجوانان انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b> <span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">در پژوهش مروری </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">حاضر، با استفاده از کلید واژه­های انگلیسی</span></span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> درد مزمن، کمر درد مزمن، سردرد مزمن، شکم درد، گردن درد، درد چندگانه، درد اسکلتی-عضلانی، کودکان، نوجوانان، و سلامت روانی در </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">پایگاه­های اطلاعاتی نظیر </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">Google Scholar</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">PubMed</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">ISI</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">Scopus</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">، </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">EMBASE</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> و </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">PsycINFO</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> در بازه زمانی 2000 (از ماه ژانویه) تا 2022 (تا ماه نوامبر) مورد جستجو قرار گرفتند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> بررسی­های صورت گرفته حاکی از شیوع 4 الی 60 درصدی درد مزمن در کودکان و نوجوانان داشت که شکم درد، سر درد، کمر درد و دردهای چندگانه شیوع بالاتری داشتند. بیمارانی که دارای افسردگی، اضطراب، ترس، استرس، فاجعه­</span></span></span> <span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">سازی درد، ناگویی هیجانی، پریشانی روان­شناختی، پرخاش­گری، مشکلات رفتاری، اختلالات شناختی بودند از شدت درد مزمن بیشتری برخوردار بودند. در مقابل، عواملی مانند وضعیت اقتصادی-اجتماعی مطلوب، کیفیت زندگی مرتبط با سلامت، کیفیت خواب، ارتباط اجتماعی، فعالیت بدنی، تاب­آوری و انعطاف­پذیری شناختی موجب کاهش درد و تسریع روند درمان بیماران مبتلا به درد مزمن گردید.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> نتایج ­به­دست آمده حاکی از ارتباط معنادار بین سلامت روانی و درد مزمن در کودکان و نوجوانان داشت. در این زمینه، مراکز روان­شناسی و مشاوره مدارس ضروری است آموزش­هایی در جهت افزایش کیفیت زندگی مرتبط با سلامتی و تاب­آوری کودکان و نوجوانان ارائه دهند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">واژه­های کلیدی: </span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">سلامت روانی، درد مزمن، کودکان، نوجوانان، مطالعه مروری نظام­مند</span></span></span><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%"> Long-term pain experience and pain-related time beliefs are key factors for understanding pain experience and patients' psychological distress. The present study was conducted to determine the relationship between mental health and chronic pain in children and adolescents.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> In this review research, using the English keywords chronic pain, chronic back pain, chronic headache, abdominal pain, neck pain, multiple pain, musculoskeletal pain, children, adolescents, and mental health, databases such as Google Scholar, PubMed, ISI, Scopus, EMBASE, and PsycINFO were searched in the period 2000 (from January) to 2022 (until November).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The studies conducted showed that the prevalence of chronic pain was 4%-60% in children and adolescents, and abdominal pain, headache, back pain, and multiple pains were more common. Patients with depression, anxiety, fear, stress, pain catastrophizing, emotional ataxia, psychological distress, aggression, behavioral problems, and cognitive disorders had more severe chronic pain. On the other hand, factors such as favorable socio-economic status, quality of life related to health, good sleep quality, social communication, physical activity, resilience, and cognitive flexibility reduced pain and accelerated the treatment process of patients with chronic pain.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The obtained results indicated a significant association between mental health and chronic pain in children and adolescents. In this context, psychology and counseling centers of schools should provide training to increase the quality of life-related to the health and resilience of children and adolescents.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Key words:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Mental health, Chronic pain, </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Children, Adolescents,</span></span><span style="font-size:9.0pt"><span style="line-height:150%"> Systematic review study</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical approval: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">The Ethics Committee of Tarbiat Modares University approved the study (IR.MODARES.REC.1401.197).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><i><span lang="EN" style="font-size:2.0pt"><span style="line-height:150%"></span></span></i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Bagheri Sheykhangafshe Farzin, Farahani Hojatollah, Dehghani Mohsen, Fathi-Ashtiani Ali. Examining the Relationship Between Mental Health and Chronic Pain in Children and Adolescents: A Systematic Review Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (6): 617-36. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
سلامت روانی, درد مزمن, کودکان, نوجوانان, مطالعه مروری نظام مند
Mental health, Chronic pain, Children, Adolescents, Systematic review study
617
636
http://journal.rums.ac.ir/browse.php?a_code=A-10-4744-7&slc_lang=fa&sid=1
Farzin
Bagheri Sheykhangafshe
فرزین
باقری شیخانگفشه
farzinbagheri73@gmail.com
6900319475328460055179
6900319475328460055179
No
PhD Candidate in Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
دانشجوی دکترای تخصصی روانشناسی، دانشکده علوم انسانی، دانشگاه تربیت مدرس، تهران، ایران
Hojjatollah
Farahani
حجت اله
فراهانی
h.farahani@modares.ac.ir
6900319475328460055180
6900319475328460055180
Yes
Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
گروه روانشناسی، دانشکده علوم انسانی، دانشگاه تربیت مدرس، تهران، ایران
Mohsen
Dehghani
محسن
دهقانی
m.dehghani@sbu.ac.ir
6900319475328460055181
6900319475328460055181
No
Department of Clinical Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran
گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید بهشتی، تهران، ایران
Ali
Fathi-Ashtiani
علی
فتحی آشتیانی
fathi@bmsu.ac.ir
6900319475328460055182
6900319475328460055182
No
Department of Clinical Psychology, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
گروه روانشناسی بالینی، مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی بقیه الله (عج)، تهران، ایران