在接受性别确认手术的青少年和年轻成年人中,术后疼痛,心理社会功能和大麻使用
Eleanor A J Battison1, Emily A Kenyon2, Corrin M Murphy1
1Department of Pediatrics, Oregon Health & Science University, Portland, Oregon, USA.
Transgender health
|September 8, 2025
概括
变性人和性别扩张的青少年和年轻人经历性别确认手术 (GAS) 后的急性和持续性疼痛. 大麻使用与增加疼痛和更糟糕的心理健康后GAS结果有关.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 对于跨性别和性别扩展性 (TGE) 青少年和年轻成年人 (AYA) 在性别确认手术 (GAS) 后的疼痛和心理社会经验的有限理解.
- 在TGE AYAs中需要有关急性术后疼痛,心理健康和大麻使用的数据.
研究的目的:
- 在TGE AYA中,在GAS后1个月内描述疼痛和心理社会功能.
- 检查立即术后大麻使用与疼痛,疼痛灾难化和心理社会功能之间的关联.
- 在GAS后6个月探索疼痛持久性,大麻使用和心理社会功能.
主要方法:
- 64名接受GAS治疗的AYA被评估了疼痛强度,干扰,灾难化,焦虑,抑郁和大麻使用.
- 统计分析包括独立和对对样本的t测试.
- 在1个月内和手术后6个月内收集的数据.
主要成果:
- 在GAS后,TGE AYAs报告了急性和持续性疼痛.
- 年龄较小与术后更好的疼痛干扰相关.
- 观察到过去30天的大麻使用率很高,与增加的疼痛干扰,焦虑和抑郁症有关.
结论:
- 这项研究是首次评估AYA疼痛,心理健康和大麻使用在1个月内和GAS后6个月内.
- 六个月后的GAS代表了一个关键的适应期,需要加强外科手术前和心理社会支持.
- 在这个术后窗口期间,注意使用物质,包括大麻,至关重要.
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