ADHD (注意力缺陷多动症) 症状与慢性疼痛干扰有关:来自前性队列研究的结果
Patrick C M Brown1,2, Sarah W Feldstein Ewing3, Anna C Wilson4
1School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Child: care, health and development
|December 4, 2024
概括
注意缺陷多动症 (ADHD) 症状与年轻成年人的慢性疼痛干扰增加有关. 这项前性研究强调了有针对性的ADHD和疼痛管理策略的必要性.
科学领域:
- 疼痛医学 医学 疼痛医学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 在注意力缺陷多动症 (ADHD) 和慢性疼痛之间存在着已知的联系.
- 缺乏对ADHD症状及其对疼痛干扰的影响的前性调查.
研究的目的:
- 在年轻成年人中前性地研究ADHD症状与疼痛干扰之间的关联.
- 在阿片类药物处方后六个月确定中度至重度疼痛干扰的预测因素.
主要方法:
- 年轻成年人处方阿片类药物从各种临床环境中招募.
- 参与者在基线和六个月完成了对ADHD症状,抑郁症,疼痛灾难化,不良童年经历和疼痛干扰的评估.
- 后勤回归分析了ADHD症状和疼痛干扰之间的关系.
主要成果:
- 在116名基线参与者中,71人完成了六个月的随访.
- 中度至重度的疼痛干扰从基线的89.7%降低到六个月后的52.3%.
- ADHD症状,抑郁症和疼痛灾难性与疼痛干扰有关;在多变量分析中,ADHD症状和疼痛灾难性仍然是重要的预测因素.
结论:
- 较高的ADHD症状水平与更高的慢性疼痛干扰风险相关.
- 这些发现支持先前关于注意力在慢性疼痛中的作用的研究.
- 对患有ADHD症状和慢性疼痛的个体进行量身定制的预防和治疗方法是有必要的.
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