在慢性疼痛患者中,临床同情与自杀念头的关联:目标试验仿真
John C Licciardone1, Naomi Fortier2, Subhash Aryal3
1University of North Texas Health Science Center, Fort Worth, USA john.licciardone@unthsc.edu.
BJGP open
|November 28, 2025
概括
在初级保健中,更高的临床同理心与慢性腰部疼痛患者的自杀念头减少有关. 这一发现表明,同情可能是管理疼痛和心理健康的关键因素.
科学领域:
- 疼痛医学 医学 疼痛医学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自杀念头是慢性疼痛患者的一个重要问题.
- 了解减轻这一群体自杀念头的因素对于有效的医疗保健至关重要.
研究的目的:
- 为了研究临床同情和自杀念头之间的关联.
- 专注于患有慢性腰痛的成年患者.
主要方法:
- 一个目标试验仿真研究,使用来自美国国家疼痛登记处的数据 (2018年5月-2023年12月).
- 对接受疼痛初级护理的患者进行12个月的随访.
- 通过咨询和关系同理心测量评估的临床同理心.
- 倾向性得分匹配创造了具有较大和较少临床同情心的组.
主要成果:
- 具有较大的临床同情心的患者显示自杀念头的风险降低 (RR 0.60;P=0.02).
- 在同理心较强的群体中,无助感也明显较低 (RR 0.85;P=0.001).
- 该研究包括370名患者 (每组185人) 在匹配后.
结论:
- 在初级保健中增加临床同情心可能会降低慢性疼痛患者中自杀念头的风险.
- 研究结果强调了同情心在治疗慢性疼痛和相关心理健康问题的重要性.
- 建议进行进一步的研究来证实这些结果,并探索同情心对自杀企图的影响.
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