Childhood Reading Ability and Pain in Childhood Through to Midlife

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY Journal of Pain Pub Date : 2024-08-01 DOI:10.1016/j.jpain.2024.03.014
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Abstract

Dyslexia and pain have recently been shown to correlate on a genetic level, but there has been little exploration of this association on the phenotypic level despite reports of increased pain in Attention Deficit Hyperactivity Disorder, which commonly co-occurs with dyslexia. In this study we test for an association between reading ability, which is the primary feature of dyslexia, and pain both in childhood and adulthood. Logistic regression modeling was used to test associations between reading ability in childhood and pain from childhood to midlife in a large UK birth cohort; the 1958 National Child Development Study. Associations were found between poor childhood reading ability and increased headache and abdominal pain in childhood, and between poor childhood reading ability and headache, eye pain, back pain, and rheumatism in adulthood. Mediation analyses indicated that socioeconomic status (defined by employment) fully mediated the association between poor reading ability in childhood and back pain at age 42. By contrast, the association between reading ability and eye pain acted independently of socioeconomic status. Different mechanisms were thus indicated for the association of reading with different pain types, including manual labor and a potential shared biological pathway.

Perspective

This study found a relationship between poor reading ability in childhood and pain in childhood and adulthood. Those with reading difficulties should be monitored for pain symptoms. Future research may uncover shared biological mechanisms, increasing our understanding of pain and potential treatments.

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儿童阅读能力和从童年到中年的疼痛。
最近的研究表明,阅读障碍与疼痛在遗传层面上存在相关性,但尽管有报道称注意力缺陷多动障碍(通常与阅读障碍并发)患者的疼痛加剧,但在表型层面上对这种关联的探讨却很少。在本研究中,我们测试了阅读能力(阅读障碍的主要特征)与儿童期和成年期疼痛之间的关联。在英国的一个大型出生队列(1958 年全国儿童发展研究)中,我们使用逻辑回归模型检验了儿童时期的阅读能力与儿童期至中年期的疼痛之间的关联。结果发现,童年时期阅读能力差与童年时期头痛和腹痛的增加有关,童年时期阅读能力差与成年后头痛、眼痛、背痛和风湿病有关。中介分析表明,社会经济地位(以就业为标准)完全中介了童年阅读能力差与 42 岁时背痛之间的关系。与此相反,阅读能力与眼痛之间的关联与社会经济地位无关。因此,阅读能力与不同疼痛类型之间的联系有不同的机制,包括体力劳动和潜在的共同生物学途径。有阅读困难的人应注意疼痛症状。未来的研究可能会发现共同的生物机制,从而加深我们对疼痛和潜在治疗方法的理解。
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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