在患有慢性疼痛和PTSD并发的个体中存在的痛苦
David E Reed1, Kenneth E Vail2, Briana A Cobos3
1Department of Psychiatry and Behavioral Sciences, University of Washington.
概括
患有慢性疼痛和创伤后应激障碍 (PTSD) 的个人经历了更大的存在性痛苦. 解决这种痛苦可能会改善这些复杂疾病的治疗.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 健康心理学 心理健康心理学
背景情况:
- 同时出现的慢性疼痛和创伤后应激障碍 (PTSD) 显著损害了精神和身体功能.
- 存在的痛苦,包括对局限性的焦虑,在这些条件下得到认可,但研究不足.
- 有限的经验数据存在于经历慢性疼痛和/或创伤后应激障碍的人群中的存在性痛苦.
研究的目的:
- 描述和比较四个组的存在性痛苦:控制,仅慢性疼痛,仅PTSD,以及同时出现的慢性疼痛和PTSD.
- 调查存在性痛苦的特定维度,包括死亡焦虑,存在性孤立和自我概念清晰度.
- 根据慢性疼痛和PTSD的存在来识别存在的痛苦中的差异.
主要方法:
- 一项研究包括158名参与者 (平均年龄=40.2岁).
- 采用一般线性模型来分析标准变量的差异.
- 对相关共变量进行调整的分析,以确保可靠的发现.
主要成果:
- 患有慢性疼痛和PTSD同时发生的个体报告存在的痛苦水平明显高于对照组和仅患有慢性疼痛的人.
- 这些差异的效应大小 (Cohen's ds) 从0.35到0.67.
- 仅在PTSD组和同时出现的慢性疼痛和PTSD组之间没有发现存在性痛苦的显著差异.
结论:
- 存在的痛苦是患有慢性疼痛和PTSD同时发生的个体的一个重要因素.
- 创伤后应激障碍似乎比慢性疼痛更强烈地与存在的痛苦有关.
- 对同时出现的慢性疼痛和PTSD的临床干预可能受益于解决存在的痛苦.
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