在美国成年人中,医学上无法解释的疼痛和自杀念头
Ashley Redding1, Viktoryia A Kalesnikava2, Rachel Bergmans3
1Public Health Sciences, Henry Ford Health, Detroit, MI 48202, United States of America.
Journal of affective disorders
|January 25, 2024
概括
患有慢性疼痛和医学上无法解释的疼痛 (MUEP) 的成年人与患有医学上可以解释的疼痛 (MEP) 的人相比,表现出更高的自杀想法和自杀企图的几率. 这凸显了诊断和治疗过程在管理疼痛和自杀风险方面的重要性.
科学领域:
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
- 流行病学 流行病学
背景情况:
- 慢性疼痛是已知的自杀风险因素之一.
- 诊断疼痛综合征可能具有挑战性,特别是当物理证据有限时.
- 医学上无法解释的疼痛 (MUEP) 呈现出独特的诊断和管理困难.
研究的目的:
- 调查医学上无法解释的疼痛 (MUEP) 和自杀行为之间的联系.
- 将MUEP患者的自杀行为风险与医学解释疼痛 (MEP) 患者的风险进行比较.
- 探索诊断和治疗途径在疼痛和自杀之间的关系中的作用.
主要方法:
- 利用了来自美国国家并发症调查复制 (NCS-R) 的数据,这是美国成年人的全国代表性样本.
- 分析了一组3421名有慢性疼痛史的成年人,将他们分为MEP或MUEP组.
- 采用后勤回归来评估MUEP与自杀想法和企图的终身历史之间的关系.
主要成果:
- 大约11.6%的患有慢性疼痛的成年人患有MUEP,报告早期发病和更大的健康相关损害.
- 与MUEP患者相比,MUEP患者的自杀念头 (1.60倍) 和自杀企图 (1.89倍) 的几率明显更高.
- 28.4%的MUEP患者报告有自杀想法,而MPE患者的这一比例为18.7%.
结论:
- 医学上无法解释的疼痛与自杀行为比慢性疼痛的成年人中医学上解释的疼痛更强烈.
- 诊断和治疗过程在疼痛和自杀之间的复杂关系中起着至关重要的作用.
- 需要进一步研究疼痛,诊断和自杀风险的相互作用.
相关概念视频
Depressive Disorders: MDD and Dysthymia
136
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
136
Primary Motives: Sleep, Sex, and Pain Avoidance
626
Primary motives such as sleep, sex, and pain avoidance are crucial drivers of behavior in humans and animals. These motives ensure survival, reproductive success, and overall well-being by prompting actions that meet essential bodily needs.
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
Sleep is a fundamental physiological drive that fosters a state of restfulness crucial for several bodily functions. It facilitates body restoration, the process by which the body repairs, rejuvenates, and maintains itself during sleep, including memory...
626
Depression: Overview
244
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
244
Stress and Mental Health
157
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
157
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
124
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
124
Depressive Disorders: Etiology
102
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
102


