影响,应对和自我伤害与并发性严重精神疾病和慢性疼痛的退伍军人:试点研究
Nicole K Ciesinski1,2, Gabriella N Coakley1,3, Rebecca L Nguyen4
1Mental Illness Research, Education, and Clinical Center, Capitol Health Care Network of the Veterans Integrated Service Network 5, U.S. Department of Veterans Affairs (VA) Maryland Health Care System, Baltimore.
Psychiatric services (Washington, D.C.)
|January 15, 2026
概括
患有严重精神疾病和慢性疼痛的退伍军人经历了高负面影响和自我伤害的想法. 专注于情绪的应对可以减轻疼痛.
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
- 退伍军人健康的医疗服务
背景情况:
- 慢性疼痛是严重精神疾病患者的一个重要问题.
- 严重的精神疾病和慢性疼痛的治疗目标单独存在,但对退伍军人的并发病状况的结果不一致.
- 这项试点研究解决了退伍军人患有并发性慢性疼痛和严重精神疾病的情感和行为经验理解的差距.
研究的目的:
- 检查退伍军人患有并发性慢性疼痛和严重精神疾病的情感和行为经验.
- 为了确定这个人群的潜在治疗目标.
- 为了告知未来的治疗努力.
主要方法:
- 对41名寻求治疗的退伍军人的横截面分析.
- 典型的负面影响 (愤怒,抑郁,焦虑,压力,情绪不稳定),自我伤害和应对策略.
- 评估过去一周的负面影响和疼痛.
主要成果:
- 40%-61%的人报告中度至严重的负面影响.
- 与一般和慢性疼痛人群相比,自杀念头和自杀企图的比例更高.
- 负面影响,而不是疼痛,与自我伤害的想法有关;情绪脱节加剧了负面情绪,而以情绪为中心的应对缓冲了疼痛对情绪的影响.
结论:
- 患有严重精神疾病和慢性疼痛的退伍军人表现出复杂的情感和行为特征.
- 负面影响,情绪脱节和自杀倾向是关键的评估和治疗目标.
- 专注于情绪的应对策略可能有助于管理伴随性疾病.
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