对于Benzodiazepine止痛量表的预期初步验证
Emma C Lape1, Jessica M Powers2, Lisa R LaRowe3
1Department of Psychology, Syracuse University.
Experimental and clinical psychopharmacology
|November 27, 2023
概括
患有慢性疼痛的人经常使用二类药物 (BZD) 缓解疼痛,冒着依赖的风险. 一个新的尺度显示BZD止痛期望与疼痛和危险的阿片类药物使用有关,这表明了治疗目标.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛患者有较高的二二胺 (BZD) 处方率和滥用风险.
- 用BZD来缓解疼痛可能会导致使用升级,并与处方阿片类药物同时发生.
- 认知因素,如期望,对于理解疼痛-BZD关系至关重要.
研究的目的:
- 为了验证新的"对二胺止痛药 (EBA) 的预期"尺度.
- 探索EBA得分与处方阿片类药物使用行为之间的联系.
- 在慢性疼痛患者中调查BZD止痛药的预期.
主要方法:
- 调整并验证了对二胺止痛药 (EBA) 的预期量表.
- 调查了306名患有慢性疼痛的成年人和目前的BZD处方.
- 分析了心理测量特性和与疼痛的相关性,BZD滥用和阿片类药物使用.
主要成果:
- 欧洲银行评级表显示出良好的心理测量有效性,包括单因素结构和高内部一致性 (α = .93).
- EBA评分与疼痛严重程度,BZD滥用可能性,依赖症状和自我报告的止痛使用相关.
- 在处方阿片类药物患者中,较高的EBA得分与较高风险的阿片类药物使用行为有关.
结论:
- 对于长期疼痛患者来说,二胺止痛药的预期是一种有效的构造.
- 这些期望与疼痛,BZD滥用和危险的阿片类药物使用有关.
- 预期的BZD镇痛剂代表了对伴随性疼痛和BZD使用的潜在治疗目标.
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