基于系统的疼痛组与创伤后应激障碍 (PTSD) 患者中的社会人口统计学和精神病学相关性具有独特的关联
Caitlin Blaney1, Jordana L Sommer1, Elena Bilevicius2
1Department of Psychology, University of Manitoba, 190 Dysart Road, Manitoba, Winnipeg, R3T 2N2, Canada; Department of Anesthesiology, Perioperative and Pain Medicine, University of Manitoba, 671 William Avenue, Manitoba, Winnipeg, R3E 0Z2, Canada.
Journal of psychiatric research
|March 8, 2025
概括
患有创伤后应激障碍 (PTSD) 和影响多个身体系统的复杂慢性疼痛的人面临更高的精神疾病和自杀企图的风险. 这突出了一个特别脆弱的患者群体,需要有针对性的护理.
科学领域:
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
- 流行病学 流行病学
背景情况:
- 创伤后应激障碍 (PTSD) 经常与慢性疼痛同时发生.
- 慢性疼痛可以表现为特定的 (单体系统) 或复杂的 (多体系统) 条件.
研究的目的:
- 研究患有PTSD和特定疼痛与复杂疼痛之间的社会人口和精神疾病差异.
- 确定与PTSD患者不同疼痛概况相关的不同风险因素.
主要方法:
- 采用了来自全国酒精和相关疾病流行病学调查 (NESARC-III) 的数据.
- 基于卫生专业人员确认的肌肉骨,神经或消化系统慢性疼痛自我报告的分类疼痛组.
- 使用DSM-5的酒精使用障碍和相关残疾访谈时间表评估精神疾病.
主要成果:
- 在PTSD患者中 (n=1779),53.9%的人没有疼痛,25.6%的人有特定的疼痛,19.1%的人有复杂的疼痛.
- 年龄较大与这两种疼痛组有关,而非白人与复杂疼痛有关.
- 具体和复杂的疼痛都增加了终身人格障碍的几率. 复杂疼痛与过去一年焦虑症,过去一年吸烟障碍和终身自杀企图的可能性增加有独特的相关性.
结论:
- 患有PTSD和复杂疼痛的个体代表了一个明显更脆弱的人群.
- 创伤后应激障碍的复杂疼痛与精神病并发症和自杀倾向的较高负担有关.
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