时间并不能治愈一切:PTSD症状加剧了年龄和疼痛强度之间的关系
Victoria O'Connor1,2,3, Jared A Rowland1,2,3, Jennifer C Naylor2,4,5
1W. G. (Bill) Hefner VA Healthcare System, Salisbury, NC, United States.
Frontiers in psychiatry
|August 14, 2023
概括
老年退伍军人患有创伤后应激障碍 (PTSD) 症状报告疼痛强度更高. 这凸显了评估老年退伍军人经历疼痛的创伤史的必要性.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
背景情况:
- 创伤后应激障碍 (PTSD) 症状和慢性疼痛显著损害了战斗退伍军人的日常功能和生活质量.
- 虽然疼痛强度通常随着年龄的增长而增加,但PTSD症状往往会减少,在衰老过程中产生复杂的相互作用.
- 创伤后应激障碍症状对与年龄相关的疼痛轨迹的具体影响尚不清楚.
研究的目的:
- 研究创伤后应激障碍 (PTSD) 症状如何影响战斗退伍军人的衰老和疼痛强度之间的关联.
- 为了确定PTSD是否会加剧老年人的疼痛.
主要方法:
- 一项涉及450名退伍军人 (80%为男性) 的横截面研究,这些退伍军人是在9/11之后服役的.
- 使用DSM-5 (PCL-5) 的PTSD检查清单评估PTSD症状,并通过简要疼痛清单 (BPI) 评估疼痛强度.
- 使用分层多重线性回归来分析年龄,PTSD症状和疼痛强度的相互作用效应.
主要成果:
- 增加年龄和更高的PTSD症状严重程度都与更大的疼痛强度有关.
- 一个显著的相互作用效应表明,PTSD症状加剧了年龄和疼痛强度之间的关系.
- 具体来说,报告PTSD症状严重程度较高的老年退伍军人经历了明显更高的疼痛强度.
结论:
- 在检查PTSD症状对疼痛强度的影响时,年龄是关键因素.
- 患有PTSD症状的老年退伍军人表现出增加的疼痛强度.
- 临床提供者应定期评估老年退伍军人出现疼痛的创伤史和PTSD症状.
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