慢性腰痛を持つ成人の間でのオピオイド乱用における性差異:ネガティブな影響と関連するトランス診断的要因の役割
Julia D Buckner1, Caroline R Scherzer1, Luke A Vargo1
1Department of Psychology, Louisiana State University, Baton Rouge, LA.
Journal of substance use
|September 2, 2025
まとめ
慢性的な腰痛を患っている男性は,より高い不安や感情の調節障害のために,より高いオピオイド乱用の重症リスクに直面する可能性があります. 性別の違いを理解することは 痛みの管理戦略に不可欠です
科学分野:
- 公衆衛生
- 痛みの管理
- 心理学
背景:
- オピオイドの流行は 深刻な公衆衛生問題であり続けています 特に慢性的な痛みを 管理している大人の場合です
- オピオイド使用行動における 性別差は,ネガティブ・アフェクトのような貢献要因のさらなる調査を正当化しています.
研究 の 目的:
- 慢性腰痛 (CLBP) の成人の性行為とオピオイド乱用の重度の関係をどのようにマイナスの影響関係変数が緩和するか調査する.
主な方法:
- CLBPを患っている206人の成人 (18歳から64歳) を対象とした研究では,不安,うつ,痛み不安,痛みの災害化,感情の調節,不安の感受性,および苦痛不耐性の緩和作用が検討されました.
- 性別とオピオイド乱用の重度の関係は,これらの否定的な影響変数と併せて分析されました.
主要な成果:
- オピオイド乱用の重症度が男女ともに増加した.
- 不安,痛みの不安,痛みの破滅化,感情の調節の難しさが重要な調節因子として登場し,男性はこれらの変数のレベルが高いオピオイド乱用の重症性を報告しました.
結論:
- オピオイド乱用の重度の性差を説明する際には,特定の悪影響変数が重要な役割を果たします.
- これらの発見は,慢性疼痛集団におけるオピオイド乱用に対処する性別のアプローチの必要性を強調しています.
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