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成年人之间焦虑,抑郁和疼痛经验的差异 慢性腰部疼痛作为尼古丁产品使用的功能
Michael J Zvolensky1,2,3, Tanya Smit4, Andrew H Rogers5,6
1Department of Psychology, University of Houston, Houston, USA. mjzvolen@central.uh.edu.
Journal of behavioral medicine
|January 9, 2025
概括
结合可燃香烟和电子烟的双重尼古丁使用与慢性腰部疼痛的成年人中更严重的焦虑,抑郁和疼痛有关. 单独使用电子烟并没有显示这些关联.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 疼痛管理 疼痛管理
背景情况:
- 尼古丁的使用正在演变,电子烟 (e-cigarette) 的使用正在增加.
- 双重尼古丁使用 (可燃和电子烟) 可能会增加尼古丁依赖和健康风险.
- 尼古丁使用和慢性疼痛之间存在双向关系.
研究的目的:
- 基于尼古丁使用类型的负面情绪和疼痛经验的差异,研究慢性腰痛的成年人之间的差异.
- 检查双烟/电子烟使用与焦虑,抑郁和疼痛残疾之间的关联.
主要方法:
- 对1034名患有慢性腰部疼痛的成年尼古丁吸食者的横截面研究.
- 参与者报告使用可燃香烟和/或电子烟.
- 统计分析比较了独家可燃使用者,双重使用者和独家电子烟使用者的结果,控制共变量.
主要成果:
- 双重香烟/电子烟使用者报告与独家可燃尼古丁使用者相比,焦虑,抑郁和疼痛障碍显著增加.
- 在控制年龄,性别,教育和阿片类药物使用后,这些差异仍然存在.
- 对于独家使用电子烟的用户,与独家使用可燃燃料的用户相比,没有发现显著的结果差异.
结论:
- 双重香烟/电子烟使用可能会识别出具有更复杂临床特征的慢性腰部疼痛患者的一个子组.
- 研究结果表明,双重使用与较差的心理健康和疼痛结果有关.
- 患有慢性腰部疼痛且使用双重尼古丁产品的人可能需要综合护理.
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