在接受密集治疗的退伍军人中,PTSD严重程度的降低先于疼痛强度的降低
Philip Held1, Rhea S Mundle1, Sarah Pridgen1
1Road Home Program, Department of Psychiatry and Behavioral Sciences, Rush University Medical Center.
Psychological trauma : theory, research, practice and policy
|August 8, 2024
概括
创伤后应激障碍 (PTSD) 严重程度预测慢性疼痛强度的增加,支持相互维持假设. 然而,疼痛强度的变化并不能预测退伍军人集中治疗期间的PTSD严重程度.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 慢性疼痛和创伤后应激障碍 (PTSD) 经常同时发生.
- 相互维持假设表明,共同的机制影响症状恶化.
- 创伤后应激障碍和疼痛强度之间的时间关系需要进一步调查.
研究的目的:
- 为了检查PTSD严重程度和疼痛强度的变化之间的时间关系.
- 为了研究经过密集PTSD治疗的退伍军人相互维持假设.
主要方法:
- 332名退伍军人的数据来自基于认知处理治疗的2周强化认知处理计划.
- 随机拦截交叉滞后面板模型 (RI-CLPMs) 分析了主体内关系.
主要成果:
- 退伍军人显示PTSD严重程度显著降低 (Essg = 1.20) 和较小的疼痛严重程度降低 (Essg = 0.21).
- 创伤后应激障碍的严重程度显著预测了随后的疼痛严重程度.
- 疼痛强度的变化没有预测随后的PTSD严重程度的改善.
结论:
- 研究结果支持PTSD和疼痛强度的相互维持假设.
- 需要进一步研究其他PTSD治疗中的时间关联以及长期疼痛影响.
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