Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study
Objectives To examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood. Design and setting Data were obtained from a linkage between the Norwegian Patient Registry (2008–2012) and the Norwegian Arctic Adolescent Health Study, a scho...
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crjcrbmj:10.1136/bmjopen-2016-012035 2024-06-23T07:50:45+00:00 Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study Eckhoff, Christian Straume, Bjørn Kvernmo, Siv 2017 http://dx.doi.org/10.1136/bmjopen-2016-012035 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2016-012035 en eng BMJ BMJ Open volume 7, issue 2, page e012035 ISSN 2044-6055 2044-6055 journal-article 2017 crjcrbmj https://doi.org/10.1136/bmjopen-2016-012035 2024-05-30T08:19:08Z Objectives To examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood. Design and setting Data were obtained from a linkage between the Norwegian Patient Registry (2008–2012) and the Norwegian Arctic Adolescent Health Study, a school-based survey conducted among 10th grade students in North Norway (2003–2005). Participants In total, 3987 (68%) of all 5877 invited participants consented to the registry linkage. Outcome measures Mental healthcare use and disorders from age 18–20 to 23–25 years (5 years). Methods Musculoskeletal pain was measured by the number of musculoskeletal pain sites. Multivariable logistic regression was used to explore the association with later mental healthcare use and disorders. Results Multisite adolescent musculoskeletal pain was significantly associated with an increase in mental healthcare use and mental health disorders in young adulthood. The relationship was stronger for anxiety and mood disorders, in both genders. Overall, the association between musculoskeletal pain and later mental health problems was attenuated after controlling for adolescent psychosocial and mental health problems, not by physical or sedentary activity. This could be due to confounding or mediation. However, when examining different mental health disorders, we found musculoskeletal pain to be significantly associated with anxiety disorders, and showing a strong trend in mood disorders, when adjusted for the adolescent factors. Conclusions Physicians should be aware that multisite adolescent pain is associated with mental health problems in adolescence, and that these adolescents are at increased risk of mental health disorders in young adulthood. As youth troubled by mental health problems commonly present physical symptoms it is important to examine for psychosocial problems in order to offer early interventions. Article in Journal/Newspaper Arctic North Norway The BMJ Arctic Norway BMJ Open 7 2 e012035 |
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description |
Objectives To examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood. Design and setting Data were obtained from a linkage between the Norwegian Patient Registry (2008–2012) and the Norwegian Arctic Adolescent Health Study, a school-based survey conducted among 10th grade students in North Norway (2003–2005). Participants In total, 3987 (68%) of all 5877 invited participants consented to the registry linkage. Outcome measures Mental healthcare use and disorders from age 18–20 to 23–25 years (5 years). Methods Musculoskeletal pain was measured by the number of musculoskeletal pain sites. Multivariable logistic regression was used to explore the association with later mental healthcare use and disorders. Results Multisite adolescent musculoskeletal pain was significantly associated with an increase in mental healthcare use and mental health disorders in young adulthood. The relationship was stronger for anxiety and mood disorders, in both genders. Overall, the association between musculoskeletal pain and later mental health problems was attenuated after controlling for adolescent psychosocial and mental health problems, not by physical or sedentary activity. This could be due to confounding or mediation. However, when examining different mental health disorders, we found musculoskeletal pain to be significantly associated with anxiety disorders, and showing a strong trend in mood disorders, when adjusted for the adolescent factors. Conclusions Physicians should be aware that multisite adolescent pain is associated with mental health problems in adolescence, and that these adolescents are at increased risk of mental health disorders in young adulthood. As youth troubled by mental health problems commonly present physical symptoms it is important to examine for psychosocial problems in order to offer early interventions. |
format |
Article in Journal/Newspaper |
author |
Eckhoff, Christian Straume, Bjørn Kvernmo, Siv |
spellingShingle |
Eckhoff, Christian Straume, Bjørn Kvernmo, Siv Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
author_facet |
Eckhoff, Christian Straume, Bjørn Kvernmo, Siv |
author_sort |
Eckhoff, Christian |
title |
Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
title_short |
Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
title_full |
Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
title_fullStr |
Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
title_full_unstemmed |
Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
title_sort |
multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of norwegian youth: the naahs cohort study |
publisher |
BMJ |
publishDate |
2017 |
url |
http://dx.doi.org/10.1136/bmjopen-2016-012035 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2016-012035 |
geographic |
Arctic Norway |
geographic_facet |
Arctic Norway |
genre |
Arctic North Norway |
genre_facet |
Arctic North Norway |
op_source |
BMJ Open volume 7, issue 2, page e012035 ISSN 2044-6055 2044-6055 |
op_doi |
https://doi.org/10.1136/bmjopen-2016-012035 |
container_title |
BMJ Open |
container_volume |
7 |
container_issue |
2 |
container_start_page |
e012035 |
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1802641671275413504 |