疼痛药物对患有头痛的人的信念
Dana P Turner1, Julia Bertsch1, Emily Caplis1
1Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Headache
|April 6, 2024
概括
许多头痛患者对止痛药持怀疑态度,担心副作用和成. 这些负面信念与较高的抑郁症得分相关,影响药物坚持.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 以前的研究表明,头痛患者的药物坚持不佳.
- 关于患者对止痛药和医疗保健提供者的看法,人们的了解有限.
- 这些感知对于解释药物坚持行为至关重要.
研究的目的:
- 在一个社区样本中评估疼痛药物的信念,这些样本是头痛患者.
- 了解这些信仰与心理因素之间的关系.
主要方法:
- 一项涉及215名头痛成年人的横截面研究的二次分析.
- 使用疼痛药物态度调查问卷 (PMAQ) 来分类信仰.
- 使用经过验证的尺度评估抑郁,焦虑,压力和残疾.
主要成果:
- 确定了三个不同的止痛药信仰群体:"信任和不关心" (38.6%),"怀疑和有点担心" (46.0%),和"怀疑和关心" (15.3%).
- 怀疑和关注的个人报告说,他们对副作用,审查,容忍,戒断和成的担忧增加了.
- 增加的不信任和对药物的担忧与更高的抑郁症得分相关 (r=0.23到0.38).
结论:
- 确定了对止痛药物的信仰的子组,包括对医疗保健提供者的担忧.
- 相信从最小的担忧到对药物危害的重大担忧.
- 关于止痛药的负面信念与抑郁症状的增加有关.
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