Chronic musculoskeletal pain (CMP) and coexisting mental health conditions impact young people; however, little is known about their lived and care experiences. In a prospectively registered systematic review with qualitative evidence synthesis (PROSPERO: CRD42022369914), we explored the following: (1) lived physical, psychological, and social experiences; and (2) care experiences/preferences of young people living with CMP and mental health conditions. Inclusion criteria: studies using qualitative methods; participants aged 16 to 24 years with CMP and coexisting mental health condition(s); phenomenon explored included lived and/or care experiences. Seven databases were searched (inception to 19-May-2024), study quality was assessed, data were extracted and analysed thematically, and GRADE-CERQual was used to assess confidence in findings. Twenty-two studies (23 reports) were included (>239 participants, 82% women). Lived experiences yielded 4 themes (9 findings): 2-way relationship between CMP and mental health (2 findings, low to moderate confidence); psychosocial implications of CMP (3 findings, very low-moderate confidence); uncertainty about future (2 findings, low-moderate confidence); coping with CMP and mental health conditions (2 findings, low-moderate confidence). Care experiences/preferences yielded 3 themes (8 findings): navigating healthcare systems (2 findings, moderate confidence); receiving appropriate care (3 findings, very low-moderate confidence); point-of-care experiences and care preferences (3 findings, very low-moderate confidence). Chronic musculoskeletal pain and mental health conditions are interconnected, significantly impacting young people's lives, identities, and socialisation, yet services for CMP and mental health are often inadequate and poorly integrated. The mechanisms and interplay of CMP and mental health require deeper exploration, including how young people may be better supported with personalised, holistic, developmentally and/or life-stage-appropriate integrated care.

中文翻译：

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患有慢性肌肉骨骼疼痛和心理健康状况的年轻人的生活和护理经历。具有定性证据综合的系统评价。


慢性肌肉骨骼疼痛 （CMP） 和共存的心理健康状况会影响年轻人;然而，人们对他们的生活和护理经历知之甚少。在一项前瞻性注册的定性证据综合系统评价 （PROSPERO： CRD42022369914） 中，我们探讨了以下内容：（1） 生活的身体、心理和社会经历;（2） 患有 CMP 和心理健康状况的年轻人的护理经历/偏好。纳入标准：使用定性方法的研究;年龄在 16 至 24 岁之间患有 CMP 并同时存在心理健康状况的参与者;探索的现象包括生活和/或护理经历。检索了 7 个数据库（建库至 2024 年 5 月 19 日），评估了研究质量，提取了数据并按主题进行了分析，并使用 GRADE-CERQual 评估结果的可信度。纳入 22 项研究 （23 份报告） （>239 名参与者，82% 为女性）。生活经历产生了 4 个主题（9 个发现）：CMP 与心理健康之间的 2 向关系（2 个发现，低到中等可信度）;CMP 的社会心理影响（3 项发现，极低-中等可信度）;对未来的不确定性（2 项发现，低-中等可信度）;应对 CMP 和心理健康状况（2 项发现，低-中等可信度）。护理体验/偏好产生了 3 个主题（8 个发现）：导航医疗保健系统（2 个发现，中等可信度）;接受适当的护理（3 项发现，极低-中等可信度）;床旁体验和护理偏好（3 项发现，极低-中等可信度）。 慢性肌肉骨骼疼痛和心理健康状况相互关联，严重影响年轻人的生活、身份和社会化，但 CMP 和心理健康服务往往不足且整合不良。CMP 与心理健康的机制和相互作用需要更深入的探索，包括如何通过个性化、整体、适合发展和/或生命阶段的综合护理更好地支持年轻人。