Longitudinal associations of anxiety, depressive symptoms and their comorbidity with chronic pain among junior and senior high school students
10.16835/j.cnki.1000-9817.2026293
- VernacularTitle:中学生焦虑抑郁症状及其共存与慢性疼痛的纵向关联
- Author:
XIE Yawen, LI Tongtong, TAN Ying, ZHANG Xinyang, XIE Jialing,〖JZ〗 CHEN Kemiao, LIU Kunyu, L Yongcheng, ZHANG Junhong, AO Yiyun, WANG Li
1
Author Information
1. Department of Child and Adolescent Health, School of Public Health, Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
- Publication Type:Journal Article
- Keywords:
Anxiety;
Depression;
Low back pain;
Shoulder pain;
Neck pain;
Longitudinal studies;
Students
- From:
Chinese Journal of School Health
2026;47(10):1451-1455
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the associations of anxiety, depressive symptoms and their comorbidity with neck-shoulder pain (NSP) and low back pain (LBP) among junior and senior high school students, thereby providing evidence for the promotion of physical and mental health.
Methods:Stratified cluster random sampling method was used to select 638 junior and senior high school students in Taiyuan, Shanxi Province. The baseline survey (T1) was conducted in May 2025, and the follow up survey (T2) was conducted in October 2025. The Generalized Anxiety Disorder Scale-7, Patient Health Questionnaire-9, and Assessment of Spinal Health of Youths were used to assess anxiety/depressive symptoms and symptoms of NSP and LBP among junior and senior high school students. Multivariable modified Poisson regression models were applied to investigate the associations between anxiety, depressive symptoms and their comorbidity with NSP and LBP among junior and senior high school students.
Results:The baseline survey showed that the detection rates of anxiety symptoms, depressive symptom, and their comorbidity symptoms among junior and senior high school students were 7.5%, 9.9% and 5.5%, respectively.The follow up results showed that the detection rates of NSP and LBP among junior and senior high school students were 10.7% and 10.8%. After adjusting for variables such as gender, school stage and boarding status, multivariable modified Poisson regression analyses indicated that depressive symptom at T1 was positively associated with NSP and LBP at T2 ( RR =2.41, 2.50; 95% CI =1.15-5.09,1.15-5.47,both P <0.05). The comorbidity of anxiety and depressive symptoms at T1 was positively associated with LBP at T2 ( RR =3.08, 95% CI =1.67-5.68, P <0.05).
Conclusion:Anxiety and depressive symptoms are positively associated with the occurrence of NSP and LBP among junior and senior high school students; among these, depressive symptoms and the comorbidity of anxiety and depressive symptoms show greater impacts.
