来自三级疼痛诊所的样本中的创伤暴露和PTSD症状
Sophia Åkerblom1,2, Linda Nordin3,4, Xiang Zhao5,6
1Department of Pain Rehabilitation, Skåne University Hospital, Lund, Sweden.
概括
创伤后应激障碍 (PTSD) 在慢性疼痛患者中很常见,其中23%符合DSM-5标准. 女性性别,迁移和多重创伤预测PTSD症状严重程度更高,突出显示疼痛诊所需要综合评估.
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) 是慢性疼痛患者经常出现的精神病并发症.
- 以前的研究经常使用过时的DSM-IV标准,需要使用更新的DSM-5标准进行研究以获得准确的患病率.
- 了解慢性疼痛患者中PTSD的患病率和预测因素对于有效的临床管理至关重要.
研究的目的:
- 在使用DSM-5标准的慢性疼痛人群中确定创伤后应激障碍 (PTSD) 的患病率.
- 研究PTSD症状严重程度与社会人口统计学,创伤相关和疼痛相关因素之间的关联.
- 强调将PTSD评估纳入慢性疼痛临床环境的重要性.
主要方法:
- 在瑞典的一家三级疼痛诊所进行的一项观察性研究.
- 使用自我报告措施来评估创伤事件史和DSM-5 PTSD标准的满足.
- 用回归分析来确定创伤受影响子样本中PTSD症状严重程度的预测因素.
主要成果:
- 很大一部分人 (76.8%) 报告至少经历过一次创伤事件.
- 根据DSM-5标准,自我报告的PTSD的患病率在样本中为23.0%.
- 女性性别,异国出生,焦虑和经历多次创伤事件是增加PTSD症状严重性的重要预测因素.
结论:
- 这些发现强调了将PTSD查和评估纳入慢性疼痛管理的临床环境的重要性.
- 社会人口学因素 (性别,移民状况) 和累积创伤暴露是慢性疼痛患者PTSD症状的重要预测因素.
- 认识到PTSD和慢性疼痛之间的复杂关系,需要在评估和治疗中考虑这些相关因素的综合方法.
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