焦虑和抑郁患者疼痛的定性和定量评估:有没有区别?
Michelle Dos Santos Severino Costa1,2, Maria Júlia Logato3, Caroline Carvalho Mageste4
1Department of Surgery, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. michelle.s.severino@hotmail.com.
概括
这项研究发现,焦虑和抑郁会显著恶化慢性疼痛的质量体验,导致生活质量下降. 这些心理健康状况的得分较高与疼痛感知增加有关.
科学领域:
- 疼痛管理 疼痛管理
- 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:
- 慢性疼痛是一种复杂的,主观的经历,受到感官,情绪和行为因素的影响.
- 焦虑和抑郁是慢性疼痛群体中普遍存在的并发症.
- 了解心理健康和疼痛感知之间的相互作用对于有效治疗至关重要.
研究的目的:
- 评估抑郁和焦虑对慢性疼痛的定量和定性评估的影响.
- 确定慢性疼痛患者的心理健康状况和疼痛感知之间的关系.
- 研究焦虑和抑郁对慢性疼痛患者生活质量的影响.
主要方法:
- 在多学科疼痛中心进行的横截面研究.
- 参与的103名患者使用麦吉尔问卷,视觉数值量表,医院焦虑和抑郁量表以及医疗结果研究SF-36进行了评估.
- 在心理健康评估的同时,进行了定量和定性疼痛评估.
主要成果:
- 与非焦虑患者相比,焦虑患者在情感,感官和各种疼痛类别中的得分更高.
- 抑郁症患者在"情感"疼痛类别中得分更高.
- 患有焦虑和抑郁症的患者在多个类别中表现出明显更差的疼痛评估.
结论:
- 焦虑和抑郁症显著改变了疼痛的质量体验,使之变得更加不愉快.
- 焦虑和抑郁的存在和严重程度与较高的疼痛指数和较低的生活质量相关.
- 心理健康干预对于改善慢性疼痛管理结果至关重要.
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