创伤后应激障碍和慢性疼痛:调解研究的系统审查和元分析
Scott G Ravyts1, Ryan Hall1, Drew Vandine1
1Department of Psychological Science, The University of North Carolina at Charlotte, United States.
The journal of pain
|November 9, 2025
概括
创伤后应激障碍 (PTSD) 和慢性疼痛通常同时发生. 这次审查发现了初步证据表明,疼痛灾难化和抑郁症可能会将PTSD与慢性疼痛严重程度和干扰联系起来.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 疼痛医学 医学 疼痛医学
背景情况:
- 创伤后应激障碍 (PTSD) 和慢性疼痛经常同时发生.
- 连接PTSD和慢性疼痛的机制尚未完全理解.
研究的目的:
- 系统地审查和元分析介导PTSD和慢性疼痛之间的关系的心理社会因素.
主要方法:
- 搜索了五个数据库,寻找中介研究,研究PTSD和慢性疼痛的成年人的疼痛.
- 包括14项横截面研究.
- 聚合了标准化间接回归系数 (β).
主要成果:
- 疼痛灾难化介导了PTSD-疼痛严重程度的联系 (β = .18).
- 抑郁症调解了PTSD与身体干扰的联系 (β = 1.25).
- 抑郁症没有显著调解PTSD与疼痛严重程度的联系 (β =.18).
结论:
- 初步证据表明,疼痛灾难化和抑郁症是潜在的调解者.
- 低方法质量和横截面设计需要谨慎.
- 需要进行纵向研究来证实这些发现并阐明机制.
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