Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study
ObjectivesTo examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood.Design and settingData were obtained from a linkage between the Norwegian Patient Registry (2008–2012) and the Norwegian Arctic Adolescent Health Study, a school-...
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| description | ObjectivesTo examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood.Design and settingData 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).ParticipantsIn total, 3987 (68%) of all 5877 invited participants consented to the registry linkage.Outcome measuresMental healthcare use and disorders from age 18–20 to 23–25 years (5 years).MethodsMusculoskeletal 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.ResultsMultisite 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.ConclusionsPhysicians 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. |
| doi_str_mv | 10.1136/bmjopen-2016-012035 |
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Multivariable logistic regression was used to explore the association with later mental healthcare use and disorders.ResultsMultisite 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.ConclusionsPhysicians 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.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2016-012035</identifier><identifier>PMID: 28188150</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Adolescence ; Adolescent ; Adult ; Adults ; Anxiety ; Child development ; Children & youth ; Clinical medical disciplines: 750 ; Cohort analysis ; Cohort Studies ; Education ; Epidemiology ; Families & family life ; Female ; Follow-Up Studies ; Help-Seeking Behavior ; Humans ; Klinisk medisinske fag: 750 ; Likert scale ; Logistic Models ; Male ; Medical disciplines: 700 ; Medisinske Fag: 700 ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Mental health ; Mental health care ; Mental Health Services - statistics & numerical data ; Multivariate Analysis ; Musculoskeletal Pain - epidemiology ; Musculoskeletal Pain - psychology ; Norway ; Pain ; Patients ; Peer tutoring ; Population ; Population-based studies ; Public Health ; Quality of life ; Registries ; Social Support ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology ; Students ; Teenagers ; VDP ; Young Adult</subject><ispartof>BMJ open, 2017-02, Vol.7 (2), p.e012035-e012035</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2017 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess</rights><rights>2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b524t-c610d0e116adb5007bb90a4fae9ad77f5b0178cc1e0c563d8fd8843339ab6af63</citedby><cites>FETCH-LOGICAL-b524t-c610d0e116adb5007bb90a4fae9ad77f5b0178cc1e0c563d8fd8843339ab6af63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/7/2/e012035.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/7/2/e012035.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,26567,27549,27550,27924,27925,53791,53793,77601,77632</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28188150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eckhoff, Christian</creatorcontrib><creatorcontrib>Straume, Bjørn</creatorcontrib><creatorcontrib>Kvernmo, Siv</creatorcontrib><title>Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesTo examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood.Design and settingData 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).ParticipantsIn total, 3987 (68%) of all 5877 invited participants consented to the registry linkage.Outcome measuresMental healthcare use and disorders from age 18–20 to 23–25 years (5 years).MethodsMusculoskeletal 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.ResultsMultisite 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.ConclusionsPhysicians 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.</description><subject>Abdomen</subject><subject>Adolescence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Anxiety</subject><subject>Child development</subject><subject>Children & youth</subject><subject>Clinical medical disciplines: 750</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Education</subject><subject>Epidemiology</subject><subject>Families & family life</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Help-Seeking Behavior</subject><subject>Humans</subject><subject>Klinisk medisinske fag: 750</subject><subject>Likert scale</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical disciplines: 700</subject><subject>Medisinske Fag: 700</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Multivariate Analysis</subject><subject>Musculoskeletal Pain - epidemiology</subject><subject>Musculoskeletal Pain - psychology</subject><subject>Norway</subject><subject>Pain</subject><subject>Patients</subject><subject>Peer tutoring</subject><subject>Population</subject><subject>Population-based studies</subject><subject>Public Health</subject><subject>Quality of life</subject><subject>Registries</subject><subject>Social Support</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - psychology</subject><subject>Students</subject><subject>Teenagers</subject><subject>VDP</subject><subject>Young Adult</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>3HK</sourceid><recordid>eNqNkt9r1TAUx4sobsz9BYIGfPGlM2matN2DcBnqhDkf1OeQNqdrrmlS80O5f4z_q7n2bkxBMIQkJJ_zPTmHb1E8JfiMEMpf9fPWLWDLChNeYlJhyh4UxxWu65Jjxh7eOx8VpyFscR416xirHhdHVUvaljB8XPz8kEzUQUdAcwpDMi58BQNRGrRIbVGeUjkDYQA7AJJWISMjeDSD3UMTSBMnpHRwXoEP50iixS0pQ9rZspcBFPJwo0P0OxRiUjvkRnTt_I98KS3auRSncxQnQNebzeUnNLjJ-biiT4pHozQBTg_7SfHl7ZvPF5fl1cd37y82V2XPqjqWAydYYSCES9UzjJu-77CsRwmdVE0zsh6Tph0GAnhgnKp2VG1bU0o72XM5cnpSvF51l9TPoHKt0UsjFq9n6XfCSS3-fLF6Ejfuu2AUc1bRLPB8FRh8rlRbYZ2XgmBMm7xS0mTi5SGFd98ShChmnZtqjLTgUhCk5Q2jHW6qjL74C9265G1ugKg4py3r6t8p_0nttQjpWEsyRW8_5kLwMN4VRbDYO0kcnCT2ThKrk3LUs_v9uIu59U0GzlYgR_-X4i9iMdZz</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Eckhoff, Christian</creator><creator>Straume, Bjørn</creator><creator>Kvernmo, Siv</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>3HK</scope><scope>5PM</scope></search><sort><creationdate>20170201</creationdate><title>Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study</title><author>Eckhoff, Christian ; Straume, Bjørn ; Kvernmo, Siv</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b524t-c610d0e116adb5007bb90a4fae9ad77f5b0178cc1e0c563d8fd8843339ab6af63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdomen</topic><topic>Adolescence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Anxiety</topic><topic>Child development</topic><topic>Children & youth</topic><topic>Clinical medical disciplines: 750</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Education</topic><topic>Epidemiology</topic><topic>Families & family life</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Help-Seeking Behavior</topic><topic>Humans</topic><topic>Klinisk medisinske fag: 750</topic><topic>Likert scale</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical disciplines: 700</topic><topic>Medisinske Fag: 700</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Multivariate Analysis</topic><topic>Musculoskeletal Pain - epidemiology</topic><topic>Musculoskeletal Pain - psychology</topic><topic>Norway</topic><topic>Pain</topic><topic>Patients</topic><topic>Peer tutoring</topic><topic>Population</topic><topic>Population-based studies</topic><topic>Public Health</topic><topic>Quality of life</topic><topic>Registries</topic><topic>Social Support</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - psychology</topic><topic>Students</topic><topic>Teenagers</topic><topic>VDP</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eckhoff, Christian</creatorcontrib><creatorcontrib>Straume, Bjørn</creatorcontrib><creatorcontrib>Kvernmo, Siv</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eckhoff, Christian</au><au>Straume, Bjørn</au><au>Kvernmo, Siv</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>7</volume><issue>2</issue><spage>e012035</spage><epage>e012035</epage><pages>e012035-e012035</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesTo examine the association between multisite musculoskeletal pain in adolescence and mental health disorders in young adulthood.Design and settingData 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).ParticipantsIn total, 3987 (68%) of all 5877 invited participants consented to the registry linkage.Outcome measuresMental healthcare use and disorders from age 18–20 to 23–25 years (5 years).MethodsMusculoskeletal 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.ResultsMultisite 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.ConclusionsPhysicians 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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28188150</pmid><doi>10.1136/bmjopen-2016-012035</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Adolescence Adolescent Adult Adults Anxiety Child development Children & youth Clinical medical disciplines: 750 Cohort analysis Cohort Studies Education Epidemiology Families & family life Female Follow-Up Studies Help-Seeking Behavior Humans Klinisk medisinske fag: 750 Likert scale Logistic Models Male Medical disciplines: 700 Medisinske Fag: 700 Mental disorders Mental Disorders - epidemiology Mental Disorders - psychology Mental health Mental health care Mental Health Services - statistics & numerical data Multivariate Analysis Musculoskeletal Pain - epidemiology Musculoskeletal Pain - psychology Norway Pain Patients Peer tutoring Population Population-based studies Public Health Quality of life Registries Social Support Stress, Psychological - epidemiology Stress, Psychological - psychology Students Teenagers VDP Young Adult |
| title | Multisite musculoskeletal pain in adolescence and later mental health disorders: a population-based registry study of Norwegian youth: the NAAHS cohort study |
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